ELOUISE RENTAL APPLICATION

This information is confidential and will be used to determine if you fit the general qualifications for income, credit and references.  If you meet these qualifications you will be contacted by a member of our staff.  All information requested below is optional.


Please indicate the best way for us to contact you:

Name

E-mail

Telephone

     FAX 

Other

Best time to contact

What size apartment are you interested in?

Studio    One Bedroom Two Bedroom 

Number of people in your household? 

 Adults:      Children:
 

What price range?

        Minimum                Maximum
   
                    

What date would you like to occupy the apartment?

        Date:

SOURCE OF INCOME:

     Employment
        Name of Company/Employer:
        Length of employment:           
        Salary:                                   
      
    Other Sources of Income
      
Type:         Amount:
      
Type:         Amount:
      
Type:         Amount:

Have you previously rented an apartment? 
Yes No

Enter any additional comments or needs in the space provided below:


                                  


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Managed by Highlander Associates, LTD.
(518) 689-3410
(315) 434-8880

Revised:  August 18, 2002