Release Form

  • MM slash DD slash YYYY
  • I (we) the undersigned, give authorization for JR PROPERTIES, LTD, to do a reference and credit search and to verify and confirm the information on the application. I warrant that all the statements on the application are true. I further represent that I am not renting a room or an apartment under any other name, nor have I ever been dispossessed from any apartment, nor am I now being dispossessed. I hereby give my permission to conduct an investigation and obtain a consumer report, credit reports and agree to pay a nonrefundable application fee per applicant and guarantor. If this application is approved I further authorize Owner or its Agent to conduct future credit inquiries. I hereby hold Owner, JR Properties, Ltd, CoreLogic SafeRent, and all its Agents free and harmless of any liability in conjunction with this application. No representations or agreements by any third party are binding on Owner/Agent, unless included in an executed lease. Owner makes no guarantee regarding the status of this application or the availability of any apartment. If a lease is approved and executed, this completed application form becomes part of that certain lease.
  • Enter your full name separated by dashes. (for example, Donald-A-Duck) This is a binding electronic signature.
  • After clicking on submit your release form will be submitted. The PDF version of your release form will appear on your screen for you to print for your records. If you prefer you can print, sign and fax your application to 212.463.9988.