Brooklyn HR Deposit Form

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
4
Image Field
5
Terms and Conditions* This field is required.PLEASE READ TERMS AND CONDITIONS BEFORE APPLYING. The GOOD FAITH DEPOSIT will commit the applicant to the apartment. Applicant will forfeit their deposit in case of: 1. Failure to complete the application and submit the required paperwork within 24/48 hours (Unless approved otherwise by our office) 2. Applicant’s failure to sign the lease by the fifth day of being approved. (unless approved otherwise by our office) 3. Applicant(s) withdraws the application before or after being approved. Once Applicant(s) are approved the good faith deposit shall be credited to a first month's rent. If for any reason the Applicant(s) is not approved, the good faith deposit shall be refunded in the same manner it was received. (Unless cash, then a check will be issued)
Yes, I agree
6
Today's Date* This field is required.
Date
Year
Month
Day
7
Building and Unit you are placing a Deposit for:* This field is required.Include Full Address and and Unit number (Found on Listing)
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Deposit Amount* This field is required.As a reminder: $750 full apt | $350 for a room
prevnext( X )
USD
+ OR enter a custom value
Credit Card or Debit Card
First Name
Last Name
Credit Card Number
Security Code
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Expiration Month
2025
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
Expiration Year
Billing Address
Street Address
Street Address Line 2
City
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Postal / Zip Code
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Marshall Islands
Martinique
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Mexico
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Mongolia
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Montserrat
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Namibia
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Nigeria
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Norway
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Suriname
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eSwatini
Sweden
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Tanzania
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Tokelau
Tonga
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Trinidad and Tobago
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Vatican City
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Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
9
Monthly rent for apartment* This field is required.
10
Move-in date* This field is required.
Date
Year
Month
Day
11
Number of people applying* This field is required.Leave 1 if applying solo
12
Names of all applicants* This field is required.Please separate with commas, or leave blank if applying solo
13
Number of guarantors* This field is required.Leave blank if not using a guarantor(s)
14
Names of all guarantors* This field is required.Leave blank if not using a guarantor(s)
15
Specific terms agreed upon (if applicable)* This field is required.
-
Huge
Large
Normal
Small
Ok
Ok
16
Please select the agent that showed you the apartment and is handling the process.* This field is required.If unknown, select the Office Admin email.
Rachel Stern - rachel@brooklynhr.com
Tuly Wolkowids - nat@brooklynhr.com
Joseph Kenig - usher@brooklynhr.com
Peter Diaz - peter@brooklynhr.com
Can't find your agent? Choose me! Office Admin - Info@bkhr.live
17
Pipeline
Deposit
Please Select
Deposit
Should be Empty: