Rental Application
HEI Property Management, Inc.
PO Box 1296
Gloversville, NY 12078
518-774-4181
info@heihomes.com
www.heihomes.com

Incomplete applications will not be considered. Please fill out all sections of application or put N/A if not applicable.

Applicants may be required to provide paystubs or other income verification, as well as proof of residence.

Rental policies to be aware of:

• No smoking of any kind including tobacco, marijuana, vaping, e-cigarettes, etc.
• No more than one candle burning at a time
• No sealing/insulating windows or doors
• Only sheer/lightweight curtains (condensation/moisture issues with heavy curtains, mini blinds provided)
• No fish tanks above 20gal
• No rental furniture
• No painting, no wall clings or stickers
• Tenant responsible for lawn care and snow ice removal from driveway and walk
• Tenant must obtain town dump permit and remove trash weekly
• Pets are permitted on a case by case basis in pet friendly units only. Pet deposit may be required.
• Pets are not to be tied out for long periods
• Pets must be cleaned up after immediately
Email *
Rental Location including lot # *
First Name - Primary Resident *
Middle Initial - Primary Resident *
Last Name - Primary Resident *
Previous Names - Primary Resident (if none put "none") *
Date of Birth - Primary Resident *
MM
/
DD
/
YYYY
Best Daytime Phone Number *
Text ok?
Clear selection
First Name - Other Adult Resident (if none put "none") *
Middle Initial - Other Adult Resident (if none put "none") *
Last Name - Other Adult Resident (if none put "none") *
Previous Names - Other Adult Resident (if none put "none") *
Date of Birth - Other Adult Resident
MM
/
DD
/
YYYY
Children's Names and Ages (if none put "none") *
Number of Pets and Types (if none put "none") *
Address where you are currently living (include city and state) *
Date moved into current address *
MM
/
DD
/
YYYY
Lease Type *
Landlord's Name (if none put "none" and explain below) *
Landlord's Phone Number (if not applicable put "NA" and explain below) *
Reason For Leaving Current Address *
Previous Address (include city and state) *
Date moved out of previous address *
MM
/
DD
/
YYYY
Date moved into previous address *
MM
/
DD
/
YYYY
Landlord's Name (if none put "none" and explain below) *
Landlord's Phone Number (if not applicable put "NA" and explain below) *
Reason For Leaving Previous Address *
Current Employer (if none put "none") *
Length of Employment (if not applicable put "NA") *
Monthly Income From This Employment (if not applicable put "NA") *
Supervisor's Name (if not applicable put "NA") *
Supervisor's Phone Number (if not applicable put "NA") *
Other Adult's Employer (if none put "none") *
Length of Employment (if not applicable put "NA") *
Monthly Income From This Employment (if not applicable put "NA") *
Supervisor's Name (if not applicable put "NA") *
Supervisor's Phone Number (if not applicable put "NA") *
Other Income Source & Monthly Amount (support/SSI/settlement/disability/death benefits/retirement, etc.)
Desired Move In Date *
MM
/
DD
/
YYYY
Date Able to Pay Security (security is required upon approval of application to SECURE the rental) *
MM
/
DD
/
YYYY
Anyone Smoke? *
Anyone Been Convicted of a Crime *
Number of Vehicles (if none put "none") *
Recreational Vehicles (ATV, snowmobiles, etc. if none put "none") *
Name of Personal/Credit Reference #1 (not relatives) *
Relationship of Personal/Credit Reference #1 *
Phone Number of Personal/Credit Reference #1 *
Name of Personal/Credit Reference #2 (not relatives) *
Relationship of Personal/Credit Reference #2 *
Phone Number of Personal/Credit Reference #2 *
Do you already have an appointment to view the rental? If so, when? *
Anything else you would like to us to know?
How did you hear about this rental? *
BY TYPING MY NAME BELOW, I CERTIFY THAT THE INFORMATION ABOVE IS TRUE. I GIVE PERMISSION FOR A CREDIT AND/OR BACKGROUND INVESTIGATION. I GIVE PERMISSION TO THE LANDLORDS/MORTGAGE COMPANIES TO RELEASE PAYMENT HISTORY AND TENANT RECORDS TO HEI PROPERTY MANAGEMENT, INC. I GIVE PERMISSION TO EMPLOYERS TO RELEASE EMPLOYMENT INFORMATION TO HEI PROPERTY MANAGEMENT, INC.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy