Thank you for visiting my web site. Please take your time to fill out the application below. In any area where you feel there is inadequate space to put your full answer, please abbreviate as best you can. For instance, Belle Harbor would be BH, Rockaway Park = RP, Rockaway Beach = RB, Arverne = ARV, Far Rockaway = FR, etc. Filling out this form as accurately as possible helps me to help you. This application is not a binding contract or agreement in any way unless you choose to use the services of Heffernan Realty.

In the event that you do choose to use the services of Heffernan Realty, and Heffernan Realty is successful in finding you an apartment you will be required to pay a $35.00 credit check fee. In the event that your application and credit history are acceptable to the owner of the apartment, and/or management company, a commission equal to no less than one months rental fee prior to the execution of any lease and or rental agreement will be payable and due, Heffernan Realty. Where the rental is located in a co-op building you may be required to pay additional fees. These fees will be explained to you well in advance.

 Please understand that no competent real estate brokerage can drive you around looking at various available apartment without knowing some basic information about you and your needs. It is for this reason that we ask the following questions. Thank you for you cooperation. Furthermore, before compleating this form you must refer back to the 1st page of the rental section where you are required to read the New York State Disclosure Form for Landlords and Tenants. Thank you

RENTAL APLICATION Required
Contact Information
First Name
Last Name
Street # 
Street Name 
Suite #
City 
Zip/Postal Code 
PO Box
State/Province 
Country 
Best time to contact you
PHONE: Work
PHONE: Cell
Email Address
Property Information
Are you looking for a Studio, 1 Br, 2 Br, or 3 Br, or other?
Does it matter on what floor?
What area's are you interested in?
What is your price range$$$$ (Be specific)
Are you currently looking with any other Real Estate. If so, who?
Questions
When are you planning to move?
Are you aware and in agreement to paying a one month real estate fee? (Only if we find you a place)
How many people will occupy the apartment?
How many of the above number are children, and what ages?
Do you have pets? If so, how many? what type? and what size?
Do you currently have any type of judgements against you? If so explain.
Is there an urgent move in time? explain.
Is there anything important you would like to ad?
Do you have any credit problems?
Where are you currently working?
How long have you been employed with this company?
Will they provide you with a reference?
I have read and undeerstand New York State Disclosure Form for Landlords and Tenants
 Enter the verification code in the field below and click the submit button.