Rental Application – Mondello Upstate Properties

Applicant Information

First Name:

Last Name:

D.O.B

Home Number:

Cell Number:

Email:

Current Address:

City:

State:

Zip:

Monthly Rent:

From:

To:

Reason for leaving:

Landlord:

Landlord Contact Number:

Have you ever been evicted?

When were you evicted?

Reason you were evicted?

Have you ever filed bankruptcy?

Have you ever been convicted of a felony?

Do you have any pets?

What type of pet?

How many pets?

List any additional residents under the age of 18 who will reside with you:

Previous Address

Previous Address:

City:

State:

ZIp:

Monthly Rent

From:

To:

Reason for leaving:

Landlord:

Landlord Contact Number:

Employment Information

Current Employer

Employer Address

City:

State:

Zip:

Phone:

Fax::

Email:

Position:

Monthly Income:

Income:

How long have you been there?

Emergency Contact

Name of person not residing with you:

Phone Number:

Address:

City:

State:

Zip:

Relatioship:

References

Name:

Address:

Phone Number:

Name:

Address:

Phone Number:

I authorize the verification of the information provided on this form and to my credit and employment. I understand my credit may be checked at any or all credit bureau’s as well as my criminal history. I have received a copy of this application.

Signature of applicant:

Date:

Signature of applicant:

Date:

7 W Market Street

Main: 845-758-5555

Mon - Fri: 10:00 AM - 5 PM

Columbia County Rentals

Dutchess County Rentals

Columbia County

Dutchess County

Feature Property

Catherine

Margaret

Terese

Miranda

Chelsea

Angelina

Mondello Upstate Properties - Rental Application

Applicant Information

Previous Address

Employment Information

Emergency Contact

References

LOCATIONS

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