Lease Application

Please note all units are NON-smoking. If you have questions or require assistance please call (716) 345-0430.

A non-refundable $25.00 credit report fee is required to process this application. To protect the safety of your personally identifiable information, one of our representatives will follow up with you by phone to collect your social security number and payment details for your credit report fee. Please do not share these especially sensitive pieces of information in the form below. Thank you!

"*" indicates required fields

Applicant Information

Name*

E-Mail Address*

Phone Number*

Do You Have Pets?*

Yes

If Yes, How Many?*

Targeted Move-In Date*

Present Address

How long have you lived at this address?*

Have you lived at this address 2 or more years?*

Yes

Current Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Current Landlord Name

Current Landlord Phone

Previous Address

How long did you live at this address?*

Previous Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Previous Landlord Name

Previous Landlord Phone

Present Employer

Present Company*

Present Position*

Employer Phone*

Annual Gross Income*

Employer Address*

How long have you been with this employer?*

Is this length of time 2 or more years?*

Yes

Previous Employer

Previous Company*

Previous Position*

Previous Employer Phone*

How long were you with your previous employer?*

Banking References

Bank*

Account Type*

Additional Bank

Account Type

Credit Card References

Other Income

Vehicle Information

Vehicle 1 Make

Vehicle 1 Model

Vehicle 1 Year

Vehicle 1 Plate

Vehicle 2 Make

Vehicle 2 Model

Vehicle 2 Year

Vehicle 2 Plate

Emergency Contact

Contact Name*

Relationship*

Contact Phone*

Emergency Contact Address*

Occupancy

Number of Persons to Occupy Apartment*

Application Submitted By:*

THIS APPLICATION MUST BE SIGNED BY ALL PROSPECTIVE APPLICANTS FOR AN APARTMENT PRIOR TO BEING CONSIDERED AND PROCESSED BY THE LANDLORD AND/OR COORDINATOR.

ACCEPTANCE OF THIS APPLICATION AND ANY MONEY DEPOSITED HEREWITH IS NOT BINDING UPON LANDLORD UNTIL A FORMAL LEASE AGREEMENT HAS BEEN EXECUTED BETWEEN LESSOR AND LESSEE. IF APPROVED, ALL MONEY DEPOSITED WITH THIS APPLICATION (EXCLUDING APPLICATION FEE) WILL BE HELD AS A RESERVATION DEPOSIT TO BE CREDITED TOWARDS ANY SECURITY DEPOSIT (NORMALLY ONE MONTH'S RENT) WHICH IS TO BE PAID IN FULL BY APPLICANT NO LATER THAN EXECUTION OF THE LEASE.

BY SIGNING BELOW, APPLICANT(S) AUTHORIZES THE LANDLORD AND/OR COORDINATOR TO INVESTIGATE THE INFORMATION SUPPLIED BY APPLICANT AND OBTAIN FULL DISCLOSURE OF PERTINENT INFORMATION INCLUDING INVESTIGATION OF MY CREDIT HISTORY, CHARACTER AND REPUTATION. A CREDIT REFERENCE REPORT FROM AN AUTHORIZED AGENCY IS REQUIRED BY THE LANDLORD. THERE IS A $30.00 FEE FOR ANY RETURNED CHECKS.

YOU WILL ALSO NEED TO PROVIDE PHOTO ID AND PROOF OF INCOME TO YOUR LEASING AGENT.

Applicant Signature*

Applicant Signature

Applicant Name

Roommate Signature

Roommate Name

Name

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