Nyc Apartment Registration Form PDF Details

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!

QuestionAnswer
Form NameNyc Apartment Registration Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesHRA, fillable dhs nyc broker fee, dhs registration form, Bldg

Form Preview Example

Apartment Registration Form

Submit completed form by faxing to (917) 637-7378 or emailing to OORintake@dhs.nyc.gov*.

*This mailbox is not set up to respond to messages. Please contact the Customer Service Center at (212) 607-5310 to speak to a representative.

1. Program Information

a) Check One:

 

□ 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

c) Do you have a potential tenant linked to this apartment?

□ Yes

□ No

Tenant Name (if known):_______________________________

2. Building Information

Borough:

 

 

Block #:

 

Lot #:

 

Zip Code:

 

Building Address:

 

 

 

 

 

# of Units in Bldg:

 

AKA

 

 

 

 

 

 

 

 

Is the unit rent controlled or rent stabilized?

No

Yes

 

 

 

 

3. Unit Information

Unit #:

 

Floor:

 

# Rooms:

 

# Bedrooms:

Unit #:

 

Floor:

 

# Rooms:

 

# Bedrooms:

Unit #:

 

Floor:

 

# Rooms:

 

# Bedrooms:

Unit #:

 

Floor:

 

# Rooms:

 

# Bedrooms:

4. Landlord Information

 

 

 

 

Please note, legal ownership will be verified prior to lease signing.

 

 

 

 

 

 

Landlord First/Last Name:

 

 

 

 

Tax ID #:

 

 

 

 

 

 

 

Landlord Legal Name as Listed as Deed Owner(s):

 

 

 

 

 

 

 

 

 

 

 

 

Landlord Address:

 

 

 

 

 

 

 

 

 

Apt. #:

 

City:

 

 

State:

 

 

Zip Code:

 

Phone #:

 

Email:

 

 

@

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. Real Estate Broker Information (if applicable)

License Name:

 

 

 

License #:

 

 

 

 

 

 

Broker Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

Business Name:

 

 

 

 

 

 

 

 

 

 

 

 

Business Address:

 

 

 

 

 

 

 

 

Apt. #:

 

City:

 

 

 

State:

 

 

Zip Code:

 

Phone #:

 

 

Email:

 

 

@

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alt. Phone #:

 

 

Fax #:

 

 

 

 

 

 

 

6. Inspection Contact Information

Check One: □ Landlord

□ Broker

□ Other

If other, please complete contact information below:

 

 

Contact Name:

 

 

 

 

 

 

 

 

Phone #:

 

 

 

 

Email:

 

@

 

 

 

 

 

 

 

 

 

 

 

Alt. Phone #: