APPLICATION TO SUBLEASE TENANCY

PLEASE PROVIDE FULL AND COMPLETE ANSWERS TO ALL QUESTIONS APPLICABLE

1. Name and address of current tenant (including apartment no.):

2. Date on which current tenant took occupancy of apartment:

3. Why are you requesting permission to sublet (e.g., employment, vacation)? Please give details. Include documents, which support your claim.

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4. What is the address where you will live during the period of the sublease? Is it a co-op, condo, private home or rental? (circle one) In whose name is the ownership or lease of the address where you will reside during the period of the sublease?

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5. What will be your monthly expenses for housing where you will live during the sublet period?

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6. Do you intend to return to the apartment in the future? If so, when? Why will you

return?

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7. Will you be registering to vote at the address you will occupy during the period of the

sublet? Will you file a change of address with the Post Office? Will you register a car

using the new address? Do you intend to file income taxes with the new address?

8. Have you removed or do you intend to remove any of the furnishings from your

apartment prior to commencement of the intend sublease? If so, please list those items.

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9. Will you leave any furnishings in the apartment for use by the subtenant? If so what

items will you leave and what is their estimated value at this time?

10. Name of proposed subtenant(s) and rent to be paid by subtenant (s), term of sublease?

11. Permanent home address of subtenant. If home is rented, please give expiration date

of the lease, if any.

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12. Is there any written agreement between the tenant and proposed subtenant? If so, please

attach.

13. Has or will the proposed subtenant move his own future into your apartment?

14. If subtenant will sublease your apartment with furnishings specify the amount, if any, which subtenant will pay you in connection with furnishings.

15. Do you contemplate any extensions or renewal of the proposed sublease following its

expiration?

16. State name, address and phone number of proposed subtenant(s).

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17. State subtenant (s) present employer or place of business.

18. Why is sublease being requested by subtenant(s)? Please elaborate.

19. Does the subtenant (s) own or rent any real property or apartment? If so, list

addresses.

20. Name, address and telephone number of subtenants last Landlord, if applicable, and

reason for vacating last address.

21. Subtenant’s social security number, marital status, number and age of dependents.

22. Subtenant’s expected average monthly income.

23. Has proposed subtenant ever been evicted or party to any housing court action? If so,

give details.

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