Apply for an apartment at Paltz CommonsIf you are applying with roommates, please note that each roommate must submit an application. Apply Now Application for Paltz Commons 2 Bedroom Apartment This application is for a 12 month annual lease. NOTE: If you are planning on having roommates, they must fill out applications as well. Apartment type Which apartment type are you applying for? * View photos and descriptions of the apartment here. Renovated Unit Classic Unit Applicant (occupant) information Applicant name * First Name Last Name Applicant social security number * Applicant birth date * MM DD YYYY Applicant current address * Address 1 Address 2 City State/Province Zip/Postal Code Country Applicant email * Applicant primary phone * (###) ### #### If applicant is a student, please list school below. Emergency contact name * First Name Last Name Emergency contact relationship * Emergency contact phone * (###) ### #### Rental history Applicant previous rental address Address 1 Address 2 City State/Province Zip/Postal Code Country Previous rental start date MM DD YYYY Previous rental end date MM DD YYYY Previous monthly rent $ Reason for leaving Previous rental landlord name First Name Last Name Previous rental landlord phone (###) ### #### Additional Occupant 1 Please Note: Each roommate MUST fill out an application as well or you will not be considered. If you have 3 occupants, there will be additional monthly charge of $200. Additional Occupant 1 name First Name Last Name Additional Occupant 1 relationship Additional Occupant 1 birth date MM DD YYYY Additional Occupant 2 Please Note: Each roommate MUST fill out an application as well or you will not be considered. If you have 3 occupants, there will be additional monthly charge of $200. Additional Occupant 2 name First Name Last Name Additional Occupant 2 relationship Additional Occupant 2 birth date MM DD YYYY Applicant/Guarantor Employment Information Applicant/Guarantor Employer name * Applicant/Guarantor Employer address Address 1 Address 2 City State/Province Zip/Postal Code Country Applicant/Guarantor Employer phone * (###) ### #### Applicant/Guarantor Position held * Applicant/Guarantor Employment start date MM DD YYYY Applicant/Guarantor Employment end date Leave blank if currently employed. MM DD YYYY Applicant/Guarantor Monthly Gross Salary * $ Applicant/Guarantor Supervisor name First Name Last Name Pets Pet fees apply if applicable. Pet type Leave blank if no pet. Pet weight Leave blank if no pet. Vehicles Vehicle make Leave blank if no vehicle. Vehicle model Leave blank if no vehicle. NYS Fair Housing NYS Fair Housing notice review * Please review the NYS Fair Housing notice which relates to NYS Human Rights Law. If you have not already done so, we also ask that you review and sign the attached NYS Housing and Anti-Discrimination Disclosure Form, Agency Disclosure, and COVID-19 Disclosure and Liability Waiver Form. I have reviewed and agree to the terms of the NYS Housing and Anti-Discrimination Disclosure Form, Agency Disclosure, and COVID-19 Disclosure and Liability Waiver Form. Terms & conditions * I understand that this is a routine application to establish credit, character, employment, and rental history. I also understand that this is NOT an agreement to rent and that all applications must be approved. I authorize verification of references given. I declare that the statements above are true and correct, and I agree that the landlord may terminate my agreement entered into in reliance on any misstatement made above. I agree to the terms & conditions stated above. By submitting this application I am giving Kempner Properties permission to run a background check on myself and any cosigners. Thank you for your application to Paltz Commons! Our team will be in touch shortly. View the Units View the Property Have a Question? Send us an email or call us.management@kempnerproperties.com(914) 946-3030
