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$25 non-refundable application fee required per resident of the age of 18

1Applicant Information

2Employment

3Residence History

4Emergency Contacts & References

5Financial Information

6Other Occupants

Applicant Information
Name*
First MI Last Name
Current Address*
Street Address Address Line 2 City State ZIP Code
Home #*
Cell #
Email*
Best time to contact*
Personal Confirmation*
- I understand that I may be contacted to provide further personal information such as date of birth, SSN, or other identifying details
Do you have a pet?*
- Yes
- No
Please refer to the Community Guidelines for Pet Possession details
What kind of pet?*
Pet Weight*
Referred by/Source*

Employment Information
Do you have more than one job?*
- No, I have one job
- Yes, I have multiple jobs
- I am unemployed
Job #1
Employment #1 Status*
- Full-Time
- Part-Time
- Self-Employed
Employer #1*
Supervisor*
Employer #1 Address*
Street Address Address Line 2 City State ZIP Code
Position*
Date Started*
Employer #1's Phone*
Employer #1's Fax
Hours Worked per Week*
Average Tips
Current Wage*
Wage Per*
- Hour
- Week
- Month
- Year
Job #2
Employment #2 Status*
- Full-Time
- Part-Time
- Self-Employed
Employer #2*
Supervisor*
Employer #2 Address*
Street Address Address Line 2 City State ZIP Code
Position*
Date Started*
Employer #2's Phone*
Employer #2's Fax
Hours Worked per Week*
Average Tips
Current Wage*
Wage Per*
- Hour
- Week
- Month
- Year

Residence History
Please give at least 2 years' history
Do you currently:*
- Rent
- Own
Month/Year moved in*
Monthly Rent*
Utilities Included?*
- Yes
- No
Monthly utility cost*
Previous Address #1
Previous Address #1
Street Address Address Line 2 City State ZIP Code
Did you:
- Rent
- Own
Month/Year moved in
Monthly Rent
Utilities Included?
- Yes
- No
Monthly utility cost
Landlord Name
Landlord Phone
Landlord Address
Street Address Address Line 2 City State ZIP Code
Previous Address #2
Previous Address #2
Street Address Address Line 2 City State ZIP Code
Did you:
- Rent
- Own
Month/Year moved in
Monthly Rent
Utilities Included?
- Yes
- No
Monthly utility cost
Landlord Name
Landlord Phone
Landlord Address
Street Address Address Line 2 City State ZIP Code
Additional Residence History
If more room is needed to provide 2 years' residence history, please include details in the field below.
Additional Residence History

Personal Information
Emergency Contact #1*
Name Relationship Daytime Phone Evening Phone
Emergency Contact #2*
Name Relationship Daytime Phone Evening Phone
Personal References
Please list three (3) people who you have known for at least two (2) years and who are not related.
Reference #1*
Full Name Address Phone Years known
Reference #2*
Full Name Address Phone Years known
Reference #3*
Full Name Address Phone Years known

Financial Information
Have you ever:
Filed for bankruptcy?*
- Yes
- No
Please explain:*
Been evicted from tenancy?*
- Yes
- No
Please explain:*
Been convicted of a felony?*
- Yes
- No
Please explain:*
Willfully or intentionally refused to pay rent when due?*
- Yes
- No
Please explain:*
Will this unit be your only place of residence?*
- Yes
- No
Please explain:*
Banking Confirmation*
- I understand that I may be contacted to provide banking details or other financial information

Other Occupants (under 18yrs of age)
List all household members who will live in the apartment. Be sure to include any temporarily absent family members (such as military/student) who will be returning to the household.
Other Occupants*
Full Name Relationship Age
Personal Confirmation*
- I understand that I may be contacted to provide further personal information such as date of birth, SSN, or other identifying details for these additional occupants
Phone
This field is for validation purposes and should be left unchanged.

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Hoffman Homes
ASH Management LTD
15 Trieble Ave Ste 5
PMB 424
Ballston Spa, NY 12020

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(518) 884-8383

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