The Seagirt Apartments - Oceanview Apartments In Far Rockaway, NY 914-329-8268

Online Application

I am submitting the Application below because I wish to rent an Apartment at The Seagirt. I understand that a security deposit equalling 2 months rent will be required and that the standard monthly rental rates are published in this website, but can vary per unit chosen.

If an additional person is to be listed on the Rental Agreement, please have each Applicant complete the form below.

By clicking on Submit, I authorize Landlord of the Apartment to conduct inquires concerning my income, credit, residence, family compositon and character for the purpose of verifing information provided on this Rental Application. I understand the the owner or manager of the Apartment may reject my Application.

I also agree to fax a copy of my current driver's license to (914) 934-5096. A scanned copy is also acceptable.

I further agree to submit a copy of my last year's tax return and a copy of a recent pay stub either by fax or email.

First Name:*
Last Name:*
Date of Birth:*
Social Security #:*
Email Address:*
Current Address:*
City:*
State:*
Zip Code:*
Please list the names and ages of all occupants:*
Driver's License Number:*
State of Issue & Expiration:*
Name of Employer:*
Business Address:*
Position & Length of Employment:*
Business Phone:*
Gross Annual Salary:*
List Two References With Phone Numbers:
Date You Would Like To Occupy Apartment:*
Length of Lease Desired:
Person To Notify In Case of Emergency:
Address of Emergency Contact:
Phone Number of Emergency Contact:
Present Landlord:*
Landlord's Address:
Landlord's Phone Number:*
Name of Your Bank:*
Account Number:*
Branch Address:*
Account In Name Of:*
Type of Account:
Name of Second Bank:
Account Number:
Branch Address:
Type of Account:
Do not enter anything in this field:

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Download Rental Application