Landlord
Landlord Name: Edward M. Claffey
Address: 2525 O'Connell Rd. LaFayette, NY 13084
Phone: (315) 677-5445
Rental Property Information
Rental Property Address: ________________________#____,Syracuse NY 13210
Anticipated Possession Date: ___________________________________________
The term of the tenancy will be: ___________________________________________
The monthly rent will be $__________ The initial security deposit will be $__________
Applicants' Personal Information
| Applicant's Name: |
| Home Phone: | ( ) | Cell Phone: | ( ) |
| Email Address: | Date of Birth: |
| Applicant's Social Security Number: |
| Second Applicant's Name: |
| Second Applicant's Date of Birth: |
| Second Applicant's Social Security Number: |
| Third Applicant's Name: |
| Third Applicant's Date of Birth: |
| Third Applicant's Social Security Number: |
Do you have a pet? Yes / No If more than one, how many? _______ Please describe type(s) of pet(s):
| Present Address: |
| City: | State: |
| ZIP Code: | How long at this address? |
| Landlord / Lessor: | Phone: | ( ) |
| Previous Address 1: |
| City: | State: |
| ZIP Code: | How long at this address? |
| Landlord / Lessor: | Phone: | ( ) |
Details of Employment
| Employer: |
| Position: | Date Hired: |
| Supervisor's Name: | Phone: | ( ) |
| Salary: |