SHERBROOK APARTMENTS

OFFICE Q-5

CORTLAND NY 13045

756-6145

FAX 753-9961

sherbrook@pobox.com



Your credit history & references will be checked.

We need at least 5 years of consistent history!



Date Wanted:________________

Name:______________________________________Spouse_____________________

Social Security Number: (______-____-______) Are you at least 21 year of age?_______

Present phone #: (_____)______-_________ Another phone #: (_____)______-_________

e-mail address:__________________________ Fax:________________


Present Address:__________________________________City_____________State_____Zip________ Present Address: from(dates)________________to__________________

Present Landlord:___________________________________Related to you?______________________

Landlord's Address:________________________________City____________State______Zip________

Landlord's Phone #:(____)_____-________


Prior Address:___________________________________City_____________State______ Zip_______

How long at this address_________ Moved in date____________ Moved out date_________________

Landlord:_________________________________________ Related to you?______________________

Landlord's Address______________________________ City______________State______Zip________

Landlord's Phone #:(____)_____-________


Another Address:________________________________City______________State______Zip_______

How long at this address_________ Moved in date____________ Moved out date_________________

Landlord:__________________________________________Related to you?______________________

Landlord's Address_______________________________City______________State______Zip_______

Landlord's Phone #:(____)_____-________


Another Address:________________________________City______________State______Zip_______

How long at this address_________Moved in date_____________ Moved out date__________________

Landlord:___________________________________________Related to you?_____________________

Landlord's Address_______________________________City_____________State_______Zip_______

Landlord's Phone #;( )_____-________


Current Place of Employment:________________________________ Phone:#(____)_____-________

Address________________________________________City______________ State_____Zip________

Position:_______________________________ Gross Salary______________________

Length of Employment:_______________ Date Started____________

Supervisor's Name & Title:__________________________________ Phone #(_____)______-_______


Prior Employer:____________________________________________ Phone #(_____)______-_______

Address________________________________________City______________ State_____Zip________

Position:_______________________________ Gross Salary______________________

Length of Employment:_______________ Date Started____________ End Date__________

Supervisor's Name & Title:__________________________________ Phone #(_____)______-_______


(over)

LIST ALL OTHER OCCUPANTS WHO WILL RESIDE IN APARTMENT:

(anyone 18 & over must file separate application)

Full Name ____________________________________________

Full Name_____________________________________________

Child's Full Name ______________________________________ Age________

Child's Full Name ______________________________________ Age________



In Case of Emergency

Name of next of kin_______________________________________Relationship to you______________

(who will not be living with you at Sherbrook)

Current Phone #(____)_____-________ Work Phone #(____)_____-________

Present Address__________________________________City______________State______Zip_______

Do you require a 1 or 2 bedroom apartment?________

How many people will be living in the apartment?________


Would you be interested in a smoke free building?____________

Any other requirement?_________________________________________________________________

Do you have friends &/or relatives that have lived or do live at Sherbrook?_________________

How did you hear of this vacancy?________________________________

In whose name would you like the security deposit?___________________________________________

Do you have or intend to have water filled furniture in the apartment?_____

Do you have or intend to have any pets in the apartment?_____

Have you ever been convicted of a sexual offense?_____

Have you or do you intend to possess, sell or use illicit drugs or narcotics in or about the apartment?____

Have you ever been convicted for possession, use or sale of illegal substances?_____

Have you ever been convicted of a misdemeanor?_____

Have you ever been convicted of a felony?_____

Have you ever been evicted or refused to pay rent for any reason?_____

If you answered "yes" to any of the above questions, please explain:

POLICY & EXPECTATIONS

WE DO NOT ACCEPT DOGS OR CATS OR ANY OTHER PETS!!!! If you give us money to hold an apartment consider this amount non-refundable under any circumstances. This money is however applied to your security deposit. The deposit is held to cover damages, cleaning charges, rent owed and any other charges that may arise. It will be returned to you if there are no charges. Cleaning charges will be deducted for failure to clean the stove, oven, sink, lavatory, bathtub, toilet, etc. It will be returned after the apartment has been vacated and the keys returned. Heat is provided up 71 in the apartment. The tenant will provide his/her own electricity. WE EXPECT COMMUNICATION, COOPERATION AND CONGENIALITY BETWEEN TENANTS AND OTHER TENANTS AND BETWEEN MANAGEMENT AND TENANTS, PROMPT PAYMENT OF RENT, PEACEFUL SURROUNDINGS AND CONSIDERATION OF OTHERS AND OBEYING OF RULES AND REGULATIONS. Pursuant to Fair Housing Laws, the management shall neither refuse to rent or lease an apartment to any person because of race, color, creed, religion, national origin, ancestry, handicaps or familial status of the applicant nor discriminate in the terms offered or the services rendered.

The undersigned warrants and represents that all statements herein are true and permits verification. Should it be determined prior to or at any time during a subsequent tenancy that information given was false, landlord reserves the right to terminate said tenancy immediately. The undersigned agrees to provide documentation necessary to substantiate present or prior earnings which are to be considered as a basis for payment of rent. The undersigned further agrees to execute upon presentation a lease in the usual form and on terms and conditions therein stated, which lease may be terminated by the Lessor if any statement herein made is not true. This application and deposit are taken subject to previous applications.



I hereby give permission to obtain information on my credit, rental history, criminal history, income verification, and other references, now or in the future for the purpose of this application or for enforcing the provisions of any future lease with Sherbrook Apartments, which include, but are not limited to, the collection of rent and any other balances due.





SIGNATURE ___________________________________________ Date:__________________