New York Rental Application Template
This document serves as an application for rental property in the State of New York. It is compliant with the New York State Human Rights Law and the New York City Human Rights Law. All applicants are considered without regard to race, color, religion, national origin, sex, age, disability, sexual orientation, gender identity, or any other legally protected status.
Please complete all sections of this application.
Applicant Information
Name: ___________________________
Date of Birth: ___________________
Current Address: ___________________________
City: _______________ State: ______ Zip: ________
Phone Number: ___________________
Email Address: ___________________
Employment Information
Current Employer: ___________________________
Position: ___________________
Employer Address: ___________________________
City: _______________ State: ______ Zip: ________
Employment Start Date: ___________________
Monthly Income: $___________________
Rental History
- Current Landlord Name: ___________________________
- Landlord Contact Number: ___________________
- Monthly Rent: $___________________
- Lease Start Date: ___________________
- Lease End Date: ___________________
References
- Name: ___________________________ Phone: ___________________
- Name: ___________________________ Phone: ___________________
Consent and Signature
By signing below, the applicant grants permission to the landlord or the landlord’s agent to conduct a background check, including but not limited to credit history, employment verification, and previous rental history. The applicant affirms that all information provided in this application is true and accurate.
Applicant Signature: ___________________ Date: ____________