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Park City | Check List
15557
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Check List
(To be completed by the Applicant)
NAME (required):
EMAIL (required):
GENERAL INFORMATION
How did you find out about the apartment?
Newspaper
Broker
Friend
All fees & deposits paid:
Yes
No
Employment and salary verification letter from the employer submitted:
Yes
No
Latest pay stubs (last four) submitted:
Yes
No
Latest rent stubs (last four) submitted:
Yes
No
Copies of: W-2, SSA-1099, 1099-R, N.Y.S. Tax Return & Federal 1040 Form (Complete) submitted:
Yes
No
Do you own any real estate?
Yes
No
If yes, indicate your monthly mortgage and maintenance payment:
Home Insurance Policy:
Yes
No
FOR RESALE
Purchase Price: $
Contract Deposit: $
Loan Amount: $
Monthly Payment: $
Loan Commitment Submitted:
Yes
No
Contract of Sale Submitted:
Yes
No
Lender (Bank):
Closing Date:
Monthly Maintenance Charge: $
FOR SUB-LET
Annual Rent: $
Sub-Let Period: From
To
Sub-Lease Agreement Submitted:
Yes
No
TOTAL INCOME OF THE APPLICANT(S)
Salary (Earned Income): $
Pension: $
Social Security: $
Business Income (Loss): $
Dividends: $
Interest: $
Other Income (Specify): $
Total Income (Gross): $
Total Adjusted Gross: $
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