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Rental Application

Personal Information

First name*

Last name*

Phone

Email

Social Security Number

Birthday

Month

Day

Year

Multi-line address

Country/Region

Address

City

Zip / Postal code

Residential Information

Desired Move In Date

Desired Location*

Rome

New Hartford

Desired Unit Size*

1 Bedroom

2 Bedroom

3 Bedroom

Employment

Employer*

Income Amount (Specify Frequency)*

Is your income subject to any garnishment proceedings?

Yes

No

Additional Information

Have you ever been convicted of a crime?*

Yes

No

Pets?

Yes

No

Type of Pet(s) if Any

Cat

Dog

Number of children or others to occupy apartment?

Make & Plate of Vehicle

Additional Applicants? (e.g. spouse, significant other)*

Yes

No

Applicant agrees to post a NON-REFUNDABLE deposit, equal to one month's rent, upon approval and leasing of any apartment.

Accepts terms & conditions

info@cakaplan.com

Office Hours:
Mon - Fri
9:00 AM - 4:00 PM

We are committed to providing equal housing opportunities to all prospective tenants, landlords, and applicants. In accordance with Federal, New York State, and local laws, we do not discriminate based on race, color, religion, sex, disability, familial status, national origin, sexual orientation, gender identity, military status, age, marital status, or lawful source of income (including housing vouchers and public assistance).

Pursuant to 19 NYCRR §175.29, please review the official New York State Housing and Anti-Discrimination Notice to learn more about consumer protections and your rights as a renter or housing consumer.

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1300 Floyd Ave, Rome, NY 13440