TRUSTED NY REAL ESTATE INV.

Full Name

Title

Company Name

Company Website

Company Telephone

Company Fax

Business Cell Phone

Email Address

Confirm Email Address

Company Address

QUESTIONS ABOUT YOUR CLIENT:

Type and size of prospective pet Tenant(s) or write "NONE"

Reasons for Prior Evictions:

Type and size of Pet(s) or Type "NONE"

Client's Current Employment Status:

Employed

Unemployed

Undergrad Student

Has an Employment Start Date

Enrolled in Recovery Program

Client's Employment is Expected to Last For:

Temporary

Less than 3 Months

Less than 6 Months

More than 6 Months

Less than 1 Year

More than 1 Year

N/A

Title/Position Held

Employer's Name

Employer's Website

Name of Immediate Supervisor

Tel # of Immediate Supervisor

Who Will Pay Housing Expenses?

Fully Paid by Agency/Organization

Partially Paid by Agency/Organization

Paid by Other Entity

Paid by Client

Monthly Gross Income of Client (Before Taxes)

Client Has

No Credit History

A Credit Score Below 600

A Credit Score Between 600 and 640

A Credit Score Above 640

Credit Score Range is Unknown

Some of Client Challenges

Drug-Abuse/Recovery

Victim of Domestic Violence

Facing Homelessness

Mental Disability

Criminal Record

Recent Prior Evictions

Other (Please Specify Below)

Please Check All Applicable

Client Will Be Provided up to 1 Month Rent and 2 Months Security Deposit.

Client Receives Ongoing Non-Financial Support from an Agency.

Client Will Be Provided With Financial Support for up to 2 Months.

Client Will Be Provided With Financial Support for Over 3 Months.

Desired Move-In Time

Less than a month

Within a Month

Within 2 Months

Within 3 Months

More than 3 Months

Desired Move-In Date or Month & Year

# of Bedrooms Needed

Studio/Efficiency

1-Bedroom

2-Bedrooms

3-Bedrooms

4-Bedrooms

5-Bedrooms

# of Bathrooms Needed

1

1.5

2

3

Desired Lease Term:

Month to Month

At Least 3 Months

6 Months or More

At Least 9 Months

At Least One year

Over One Year

At Least 3 Years

Desired Housing Type(s)?

Single Family House

Condo

Apartment

Shared Apartment

Shared House

Furnished Unit Desired

Yes

No

Does Not Matter

Desired City/State

Desired Counties...

Desired Zip Codes...

Acceptable Contact Source

Email

Phone

Text

Facebook Messenger

Any Contact Method

Facebook Messenger Name

Is Handicap Accessibility Required?

Yes (List Needs in "Additional Info" below)

No

I can arrange to have rent paid electronically on an automatic monthly basis

Yes, for 3 Months or Less

Yes, for Over 3 Months

No

Requested Features or Amenities

How Did You Learn of Our Company?

Company's Housing Coordinator

Colleague

Email Received

Web Search

Flyer

Newspaper

Mail

Other (Please specify in Additional Info below)

Other Additional Info (Type Explanations Here)

My Organization Is Interested in Leasing an Entire 1-6 Unit Property

Yes

No

Will Consider for the Future

Please check to acknowledge that a Background, Credit, Criminal, and/or Eviction checks may be conducted for applicants age 18+. The applicant's entire situation will be considered and a Non-Refundable Administrative/Application Fee may apply.

HOUSING APPLICATION FOR ORGANIZATIONS

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