Residential
Commercial

Rental Application

Applying for a home is a personal process. EXR is committed to maintaining
your privacy.

All personally identifiable information collected by
EXR is secured and digitally encrypted.

Our licensed salespeople are held to the highest standard
of quality and trained to protect your information.

Apartment
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Applicant
Applicant
Guarantor
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Current Address
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Employment
Employed
Retired
Student
No income
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Emergency Contact
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Pets
I don't have pets
I have pets
Legal
I warrant that all the statements above are true. I further represent that I am not renting a room or an apartment under any other name, nor have I ever been dispossessed from any apartment, nor am I now being dispossessed. I hereby give my permission to conduct an investigative consumer report on me. If this application is approved, I further authorize Owner or its agent(s) to conduct their credit inquiries. I hereby hold Weimark Credit Information Services, Owner, and its agents free and harmless of any liability in conjunction with this application. No representations or agreements by any third party are binding on Owner/Agent, unless included in an executed lease. Owner makes no guarantee regarding the status of this application or the availability of any apartment. If a lease is approved and executed, this completed application form becomes part of that certain lease.
New York City Tenant Fair Chance Act
Pursuant to federal and state law:
  • If your application is denied or other adverse action is taken against you due to a screening report the landlord uses, the landlord must tell you so and how to contact the screening company to obtain a free copy of the report.
  • You may dispute inaccurate or incorrect information on the report directly with the screening company. Our screening company is: Weimark Credit Information Services, P.O. Box 994, Brick, NJ 08723 | Phone: (718) 338-3040 | Fax: (888) 394-2898 | weimark.com
  • You may order a free screening report annually from www.annualcreditreport.com (in addition to a free report from each national consumer reporting agency if advertise action was taken against you).
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