Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Frontier Management of NY, Inc. Rental Application FormApplication To Lease(All required questions must be answered)PROPERTY APPLYING FOREastway ManorWe are an equal housing opportunity provider. We do not discriminate on the Basis of race, color, religion, sex, family status, national origin or handicap.Applying For:One BedroomTwo BedroomName *Address *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Date of Birth *Drivers License NumberDO YOU RENT OR OWN *OwnRentOtherIf Other, please provide explaination:Rent or Monthly Payment Cost *Landlord *How Long Did You Stay at This Address? *1-3 months3-6 months6 months-1 year1-2 years2 years +Landlord Phone Number *Reason For Leaving *EMPLOYMENTAre You Currently Employed? *YesYesNoEmoloyer *Employer Phone NumberEmployer Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeOccupation *How long *1-3 months3-6 months6 months-1 year1-2 years2 years +Salary *HOW OFTEN ARE YOU PAID? *WeeklyBi-WeeklyAnnualOther Income *SourceADDITONAL OCCUPANTSNamePhoneRelationshipName Phone Relationship PERSONAL REFERENCESNameRelationshipPhoneName (copy)Relationship (copy)PhoneDo you have any pets?YesNoIf yes what kind?*CONDITONS APPLY-MUST HAVE PET AGREEMENT*Have you ever refused to pay rent? *YesNoIf yes please ExplainHave you filed bankruptcy in the last ten years? *YesNoIf yes please ExplainHave you been convicted of committing a crime? *YesNoPlease note that criminal conviction will not necessarily ban you from housing.If yes please ExplainI have the following situations which might influence my credit stand(check all that my apply)NoneLate paymentsLarge balances owedJudgmentCollectionPrevious rent balanceForeclosureBankruptcyTax LiensGarnishmentRepossessionOtherMy signature below serves as permission for Frontier Management of NY, Inc. to verify the accuracy of all statements in this application, and to obtain present and previous landlord references, income and employment verification and credit history and criminal background check for applicant, co-applicant and guarantor. Applicant attests that all information on this application is correct and complete. The undersigned makes the foregoing representation knowing that if any such information proves false, the management may cancel any lease given in reliance upon such information at any time. DEPOSIT AGREEMENTThe acceptance of this Application and/or a deposit does not constitute an approval of the application, or an agreement to lease, or a lease on the part of the Landlord. If the Landlord does not approve this application, the sum deposited shall be returned to the applicant, less any application fee paid.Applicant has the right to cancel this application within forty-eight (48) hours of the signing of this application. If Applicant cancels this application within the forty-eight hour period, a handling fee of $20.00 will be charged to the Applicant for the paperwork, rental and office expense involved in the processing of the application. If Applicant cancels this application after the forty-eight hour grace period, and prior to the signing of a lease agreement, Applicant agrees that the full deposit received along with this application will be retained for liquidated damages and payment of the cancellation. In consideration for payment of this sum, the Landlord agrees to completely release the Applicant from this application agreement.In the event the Applicant has indicated to the Landlord on this application that the Applicant will provide a guarantor residing in New York State and the Landlord requests the Applicant to provide such guarantor, the Applicant will supply a guarantor within three (3) days of the receipt of such request. The Applicant expressly acknowledges that in the event that the Applicant does not supply a guarantor upon request, the deposit received as part of this application will be retained for liquidated damages and the release from this application.If the Applicant does not return the signed lease within seventy-two (72) hours from written request by the Landlord, this application, at the Landlord's option, may be considered null and void. In such event, the Landlord will retain the deposit as part of liquidated damages.If the Landlord accepts this application to lease, this application shall be deemed a part of the lease.There is a $20.00 application fee to process this application. All Application fees are non-refundable. Please enclose payment in the form of money order payable to the property name.My signature below serves as permission for Frontier Management of NY, Inc. to verify the accuracy of all statements in this application, and to obtain present and previous landlord references, income and employment verification and credit history for applicant, co-applicant and guarantor. Applicant attests that all information on this application is correct and complete. The undersigned makes the foregoing representation knowing that if any such information proves false, the management may cancel any lease given in reliance upon such information at any time.Signature of Applicant * Clear SignatureDateSignature of Co-Applicant Clear SignatureDate Internal Use OnlyApplication Fee Paid:Check #:Date:Submit Your Application5620