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Frontier Management of NY, Inc. Rental Application Form

Application To Lease

(All required questions must be answered)

We 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:
Address
DO YOU RENT OR OWN

EMPLOYMENT

Employer Address
HOW OFTEN ARE YOU PAID?

ADDITONAL OCCUPANTS

PERSONAL REFERENCES

Do you have any pets?
*CONDITONS APPLY-MUST HAVE PET AGREEMENT*
Have you ever refused to pay rent?
Have you filed bankruptcy in the last ten years?
Have you been convicted of committing a crime?
Please note that criminal conviction will not necessarily ban you from housing.

I have the following situations which might influence my credit stand

(check all that my apply)

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 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 AGREEMENT

  1. The 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.

Clear Signature
Clear Signature

Internal Use Only