Thank you for your interest in one of our properties and allowing Intracoastal Realty the opportunity to provide rental services to you. Please read the Application Process prior to applying.
Property Location
Personal Information
Other Occupants
Current Residence
Previous Residence
Employment Information
Nearest Relative Not Living With You
Character Reference
Credit Reference
Additional Information
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Please Read Carefully Before Submitting

I am applying to lease the above-described premises for the term specified and the conditions as set forth in an N.C.R. Lease. I agree to pay with this application a non-refundable application fee of $80 single, current or previous NY residents $160.00 & KY $90.00. $150 married couple, current or previous NY residents $310.00 & KY $170.00, occupants $60 each, current or previous NY residents $140.00 & KY $70.00 or $80 grantor/co-signer & current or previous NY residents $160.00 & KY $90.00 to cover credit report, rental reference, employment and income verification. I agree to pay the entire first month’s rent in certified funds within 24 hours of acceptance. If I do not pay the first month’s rent within 24 hours, the property will not be held for me. I AUTHORIZE INTRACOASTAL REALTY TO ORDER MY CREDIT REPORT FOR THE PURPOSE OF REAL ESTATE RENTAL.