Rental Entry Form.



Form Includes:
1) Covid-19 Disclaimer
2) Agency Disclosure
3) Fair Housing Notice
4) Anti-Discrimination Disclosure
5) Rental Specifics
6) Employment information (Optional)
.
Agent at: ERA TOP Service Realty
Office phone: 718-464-5800
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Email *
REQUIRED FIELDS HAVE A RED ASTERISK * TO THE RIGHT.

PERSONAL INFORMATION:
First Name *
Last Name *
Telephone # - A text might be sent to this number to confirm identity. *
IMPORTANT - AN EMAIL COPY OF THIS FORM WILL BE SENT TO THIS ADDRESS. PLEASE ENTER CORRECT EMAIL ADDRESS. *
Address:
CO APPLICANT'S FIRST NAME:
CO APPLICANT'S LAST NAME:
Telephone #
# Of Occupants:
Recommended by:
Clear selection
I understand documentation proof will be required for all applicants. *
I understand a background check may be required for applicants to be considered for apartments.  It is not required to view the apartment. *
Your Status *
Add additional information here. Ex Prefered location. Special requirements such as elevators, Hadicap access.
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