Rental Application

Applicant Information

Name: Nataly Vasco

Date of birth: November 21, 1989 Cell:(929)339-9872 Phone:

Current address: Queens, Warrent 41-42 y Roosevelt Av.

ZIP Code:
City: New York State: New York
11368
Monthly payment or How long: 1
Own( ) Rent (X) month
rent: $600

Previous address:

City: State: ZIP Code:

Monthly payment or
Owned () Rented () How long?
rent:

Employment Information

References and Income Verification

Construction
$600 per week

Additional Information:

E
PROFESSION: _________
attendant)__________________________________________________________
(CELL)PHONE ()
_______________________________________________________________________

(WORK)PHONE () _________________________________________________________

KIDS YES (YES/NO) HOW MANY _2_______ ____________________________________

WHY ARE YOU

LEAVING__Comfort___________________________________________________

HOW LONG DO YOU INTEND STAYING _1 year________________________________

WHEN DO YOU INTEND MOVING IN? _October 1st_____________________________

IF YOU HAVE A PET,
NAME OF PET: ___________________________________________________________

KIND OF PETS: _________________________________________________________

HABITS:
DO YOU SMOKE Yes_________________________________________________________
DO YOU DRINK __________________________________________________________
DO YOU WORK LATE NIGHT ________________________________________________