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New York landlord · tenant screening

New York Residential Rental Application

Download the New York residential rental application — screens prospective tenants with application-money elections, a standalone screening-report authorization, and the disclosures federal and New York law require — in fillable Word and fillable PDF, with the New York Tenant Selection Criteria sheet, the New York Completion & Compliance Guide.

  • Fillable Word + fillable PDF
  • New York Completion & Compliance Guide included
  • New York Tenant Selection Criteria sheet included
  • Completed sample available
  • Instant secure download

Renting out property in more than one state? This page is the New York application — each state's edition is built to its own screening and application-money law.

What's in your New York download

Every file below is included: the fillable Word application, a fillable PDF, the New York Tenant Selection Criteria sheet, the New York Completion & Compliance Guide, the statewide criminal-history rider, and — for New York City properties — the Fair Chance Housing packet, the FARE fee disclosure, and the City’s official notice, plus the New York adverse-action notice.

Included files

  • New York Residential Rental Application Core application — completes on screen in the fillable PDF or in Word, then print and sign Word PDF
  • New York Tenant Selection Criteria Sheet The printed screening-criteria notice — fill in your property’s standards; both formats complete on screen Word PDF
  • New York Completion & Compliance Guide Money elections, criteria timing, deadlines, refunds, adverse action, and recordkeeping — editable Word; print-ready PDF Word PDF
  • New York Criminal-History Screening Rider Statewide (non-NYC) — the lawful criminal-history screening election and never-use categories; both formats complete on screen Word PDF
  • NYC Fair Chance Housing Post-Conditional Packet Use only for New York City properties — the conditional-commitment architecture and post-conditional criminal-history process; both formats complete on screen Word PDF
  • NYC Itemized Pre-Lease Fee Disclosure (FARE Act) Use only for New York City properties — the signed itemized all-fees disclosure the FARE Act requires before lease signing; both formats complete on screen Word PDF
  • New York Adverse-Action Notice The notice to send on a denial or conditional approval tied to a consumer report; both formats complete on screen Word PDF
  • NYC Fair Chance Housing Notice The NYC Commission on Human Rights’ official notice, bundled unaltered for New York City properties — print-ready PDF PDF

Preview the actual form

The real document — not a mockup. Page 1 of the form included in your download.

Get This Form — $12.99
Page 1 of the New York Residential Rental Application form
Form PL-NY-RA01 · Page 1 of the actual New York document included in your download.

Inside the New York application

Every part of the form, in order — the application summary, 17 sections, and the office-use panel.

  • Application summary The reasonable-accommodation contact line, property applied for, requested move-in date, offered rent, and stated security deposit.
  • 1. Application Money Disclosure Completed by the owner/manager before the application is handed out: the New York application-fee election under Real Prop. Law § 238-a, with the printed twenty-dollar cap and the deliver-before-you-collect sequencing note.
  • 2. About You Identity, contact channels, an electronic-notice election with a paper-mail alternative, and identity-document choices (SSN, ITIN, government-issued ID, or a lawful alternative) — no date-of-birth field anywhere on the form.
  • 3. Other Proposed Occupants Household composition with a separate-signed-application election for each person and the Real Prop. Law § 235-f roommate/occupant note — ages, birth dates, and adult/minor classifications are never collected; every other adult completes and signs a separate application.
  • 4. Pets and Assistance Animals Household pets only; service and assistance animals are handled as fair-housing accommodations, never as pets.
  • 5. Residential History Current and prior addresses, housing payments, owner/manager contacts, and an optional neutral move reason.
  • 6. Employment & Income Employment plus any lawful source of income, with the New York source-of-income protections note (Exec. Law § 296(2-a)).
  • 7. Banking or Asset Verification An optional verification election; the form never collects account numbers.
  • 8. References and Emergency Contact An optional personal reference and an emergency contact that is not used for screening.
  • 9. Vehicle Information Vehicle details where parking is requested.
  • 10. Additional Information An open area for lawful qualification information.
  • 11. Screening Criteria Election The New York screening-criteria election with the criteria-provided acknowledgment, signed and dated by the applicant.
  • 12. Reusable or Portable Tenant-Screening Reports The mandatory-waiver block: if a qualifying report is supplied, the fee is waived; the owner/manager records the tender.
  • 13. Screening Information and Legal Limits No criminal-history self-reporting on the face; New York City properties defer any criminal-history review to the post-conditional packet, and other New York properties use the statewide rider’s protective process.
  • 14. Consumer Report Disclosure How consumer reports are obtained and the adverse-action notice commitment.
  • 15. Privacy, Retention, and Disposal Data-minimization commitments under the FCRA and its Disposal Rule.
  • 16. Applicant Declaration The signed certification of accuracy with a verification-contact authorization; electronic and copied signatures honored.
  • 17. Screening Report Disclosure and Authorization The standalone signed authorization, investigative-report notice, agency identification, free-report-copy election, and the federal Summary-of-Your-Rights package insert.
  • For Office Use Only An unnumbered, clearly marked owner/manager-only panel: the deliver-before-you-collect sequencing record, the § 238-a cap tracking, refund record, and adverse-action checklist.

About this form

A residential rental application is the landlord's first line of protection: it collects the applicant's identity, household composition, rental history, employment and income, and references, and it carries the disclosures and signed authorizations that make lawful tenant screening possible before a lease is signed.

New York law shapes three things this edition builds in. First, the application-fee cap of Real Property Law § 238-a: the total of all application and background/credit-check fees may not exceed the lesser of the actual cost of the checks or twenty dollars, and the printed cap appears on the face of the form so the limit is unmistakable. Second, the sequencing duty the FARE Act and General Business Law article 25 create: an applicant who is charged for a report must receive a copy and the supporting receipt, and the office-use panel records delivery before collection. Third, New York’s source-of-income protections (Exec. Law § 296(2-a)) and the Real Property Law § 227-f limit on eviction-history inquiries, which the form reflects by never asking an applicant to self-report eviction history.

The New York Tenant Selection Criteria sheet in this kit supports consistent, documented screening, and the New York Completion & Compliance Guide covers the fee cap and refund duties, the delivery-before-collection rule, the security-deposit cap (Gen. Oblig. Law § 7-108), source-of-income and fair-chance limits, and recordkeeping. For New York City properties, the kit adds the Fair Chance Housing post-conditional packet, the FARE itemized fee disclosure, and the City’s official notice; a New York adverse-action notice rounds out the screening workflow.

100% satisfaction guarantee

ILRG provides self-help legal forms and download support. PublicLegal landlord forms are provided for you to complete with your own property and screening information. Screening rules vary by state and change frequently — the Completion & Compliance Guide explains the rules in your state and the steps that keep this application within them. If you are not 100 percent satisfied after purchasing from us, contact us for a refund.

Frequently Asked Questions About New York Rental Applications

The New York residential rental application in fillable Word (.docx) with a fillable PDF, the New York Tenant Selection Criteria sheet, the New York Completion & Compliance Guide, the statewide criminal-history screening rider, the New York adverse-action notice, and — for New York City properties — the Fair Chance Housing post-conditional packet, the FARE itemized fee disclosure, and the City’s official notice. A completed sample is available as an optional add-on.

Real Property Law § 238-a caps the total of all application and background/credit-check fees at the lesser of the actual cost of the checks or twenty dollars. The cap is printed on the face of the application so the limit is clear, and the office-use panel tracks the actual cost against it.

When an applicant is charged for a background or credit check, New York law and the FARE Act require that the applicant receive a copy of the report and the supporting receipt. The application’s office-use panel records the date and time the report and receipt were delivered and the date and time the fee was collected, so the compliant sequence is documented.

Real Property Law § 227-f limits eviction-history inquiries, so the application never asks an applicant to self-report eviction history. Criminal-history screening is handled separately and lawfully: the statewide rider governs non-NYC properties, and New York City properties use the Fair Chance Housing post-conditional packet, which defers any criminal-history review until after a conditional commitment.

If a consumer report contributed to the denial or a conditional approval such as a higher deposit, federal and New York law (Gen. Bus. Law § 380-i) require an adverse-action notice identifying the reporting agency and the applicant’s rights. This kit includes a combined New York adverse-action notice, and the guide explains the refund duties.