If you plan on renting or creating a residence in New York City, you must first submit an Apartment Registration Form (RP-5217) to the NYC Department of Housing Preservation and Development. This form is essential for completing the admissions process, as it requires detailed information about both tenants and landlords including income levels, real estate taxes, utility costs, and more. In this blog post, we will be breaking down the entire registration process step-by-step with helpful tips along the way so that you can successfully complete your apartment rental paperwork in no time!
Question | Answer |
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Form Name | Nyc Apartment Registration Form |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | HRA, fillable dhs nyc broker fee, dhs registration form, Bldg |
Apartment Registration Form
Submit completed form by faxing to (917)
*This mailbox is not set up to respond to messages. Please contact the Customer Service Center at (212)
1. Program Information
a) Check One: |
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□ Flip or Transfer - existing apartment |
□ Other/unknown |
□ Advantage NY |
□ Flip or Transfer - new apartment |
b) Is this unit being offered through the Department of Homeless Services shelter system or the Human Resources Administration shelter system?
□ DHS Shelter System |
□ HRA Shelter System |
□ TBD |
□ Unknown |
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c) Do you have a potential tenant linked to this apartment? |
□ Yes |
□ No |
Tenant Name (if known):_______________________________ |
2. Building Information
Borough: |
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Block #: |
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Lot #: |
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Zip Code: |
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Building Address: |
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# of Units in Bldg: |
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AKA |
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Is the unit rent controlled or rent stabilized? |
□ No |
□ Yes |
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3. Unit Information
Unit #: |
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Floor: |
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# Rooms: |
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# Bedrooms: |
Unit #: |
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Floor: |
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# Rooms: |
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# Bedrooms: |
Unit #: |
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Floor: |
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# Rooms: |
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# Bedrooms: |
Unit #: |
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Floor: |
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# Rooms: |
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# Bedrooms: |
4. Landlord Information
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Please note, legal ownership will be verified prior to lease signing. |
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Landlord First/Last Name: |
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Tax ID #: |
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Landlord Legal Name as Listed as Deed Owner(s): |
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Landlord Address: |
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Apt. #: |
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City: |
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State: |
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Zip Code: |
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Phone #: |
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Email: |
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5. Real Estate Broker Information (if applicable)
License Name: |
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License #: |
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Broker Name: |
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Business Name: |
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Business Address: |
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City: |
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Alt. Phone #: |
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Fax #: |
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6. Inspection Contact Information
Check One: □ Landlord |
□ Broker |
□ Other |
If other, please complete contact information below: |
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Contact Name: |
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Phone #: |
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Alt. Phone #: |
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