RENT QUESTIONNAIRE

Kindly answer the rental application questions below.

• Name (First name/ Middle name/Surname ) : ________?

• Phone numbers (home,cell and office line ) # :__________?
• Marital Status:__________?
• How many proposed occupants :__________?
• List all in addition to yourself including approx age :__________?
• Present Address :__________?
• Will you have pets :__________?
• Please describe Breed, size :__________?
• Personality of pet :__________?
• Preferred move in date :__________?
• Intended length of lease:__________?
• Do you agree to pay the payment before you move in:__________?
• If you are asked to make a down payment to secure the house and take it off the market
today, How much will you be able to pay:__________?
• Length of previous tenancy :__________?
• Present occupation :__________?
• Are you a section 8 applicant? Do you work late night :__________?
• Do you smoke :__________? Do you drink :__________?

I _________________, CERTIFY that answers given here are true and complete to the best of
my knowledge. I authorize investigation of all statements contained in this application for
tenant screening as may be necessary in arriving at a tenant decision. I understand that the
landlord may terminate any rental agreement entered into for any misrepresentation made
above.I will be looking forward to hearing back from you with all this detail, so that i can have
them in my file in case of issuing your rent payment receipt to you and for contacting you. Your
quick response will be highly appreciated, so that we can discuss how to get the documents and
the keys of my property to you via Express Delivery Services.

Thanks!
Nero William.

(Assistant District Attorney)

Kings County District Attorneys Office
Brooklyn, New York, United States.