Property Address
Unit 4B, 220 Elm Street, Brooklyn, NY 11201
Applicant Information
SSN / ID Number
NY-DL-847291
Driver License #
NY-DL-847291
Current Address
Address
180 Atlantic Avenue, Apt 2A, Brooklyn, NY 11201
Duration at Address
3 years
Landlord Name
Metro Living LLC — (718) 555-0150
Reason for Leaving
Need larger space
Employment & Income
Employer
Meridian Technologies
Supervisor Phone
(206) 555-0341
References
Reference 1Jordan Lee · (503) 555-0199 · Friend (10 years)
Reference 2Maria Gonzalez · (718) 555-0201 · Former Landlord
Authorization & Consent
I hereby authorize Greenfield Properties LLC to verify the information provided above, including conducting credit and background checks. I certify that all information is true and complete.
Applicant Signature · Date