Apply to Rent in Buffalo, NY

RENTAL APPLICATION

You must submit this FREE online application before requesting to view a property. This WILL NOT automatically result in a credit check. We screen applicants for the best qualified tenant. If you do not provide valid references, you will automatically be disqualified. DO NOT SUBMIT MORE THAN ONCE!
Desired Date of Occupancy*

MonthDayYear
What is the property address? *
How did you find the listing?*

Contact Information
Applicant Full Name*

First NameLast Name
Other names you used in the past:*
Applicant Email*
name@email.com
Applicant Phone *
123-456-7890
Birthday*
01/02/1980
# of Occupants - A separate application is required for each occupant over the age of 18.*

1234+

Current Address
Current Complete Address*
Street, City, State & Zip
Move In Date*
01/02/2000
Rent*
Name of Current Landlord*
Current Landlord Phone *
123-456-7890
Current Landlord Complete Address*
Street, City, State & Zip
Current Landlord Email*
name@email.com
Rent current?*

YesNo
Security Deposit*
Amount Paid
# late payments*
Current Reason for Moving*

End of LeaseEvictionBad Living ConditionsWork / EducationMore SpaceMarriage / DivorceOther
If "Other" please explain:
Explain any reoccurring issues with your current landlord.

Previous Address
Previous Complete Address*
Street, City, State & Zip
Previous Rent*
Move In Date*
01/02/2000
Move Out Date*
01/02/2000
Name of Previous Landlord*
Previous Landlord Phone *
123-456-7890
Previous Landlord Email*
Previous Reason for Moving*

End of LeaseEvictionBad Living ConditionsWork / EducationMore SpaceMarriage / DivorceOther
If "Other" please explain:
Explain any reoccurring issues with your previous landlord.
Explain if you did not receive a full refund of your security deposit.
Explain if you have ever been delinquent in paying rent or other financial obligations.
Explain if you ever failed to perform any obligations of a rental agreement or have been a defendant in an eviction lawsuit?

Personal References
In the event of an emergency that would prevent you from paying rent when it's due, is there a relative, person, or agency that could assist you with rent payments?*

YesNo
Emergency Contact*

First NameLast Name
Emergency Relationship to Applicant*
Emergency Contact's Email*
example@example.com
Emergency Contact's Phone *
123-456-7890
Name of Nearest Living Relative*

First NameLast Name
Relative's Relationship to Applicant*
Relative's Email*
Relative's Phone *
123-456-7890
PROFESSIONAL REFERENCE CANNOT BE A RELATIVE!
Name of Professional Reference*

First NameLast Name
Professional Relationship to Applicant*
Professional's Email*
example@example.com
Professional's Phone *
123-456-7890
Explain if there may be anything negative we may find when we run your background check.

Other Information
What appliances do you already have?*
Do you have any issues signing a Lead-Based Paint Disclosure (built prior to 1978)?*

YesNo
Are you able to handle any MINOR maintenance and upkeep in the property?*

YesNo
Do you do have any of these property maintenance skills:

ElectricalPaintingPlumbingRoofingHeatingOther
Pets (describe in detail)*

	YES	NO
You have a water bed
You have renter’s insurance
You or any occupants smoke
Have any utilities in your name
Can put utilities in your name
Have cell phone in your name

	YES	NO
You have broken a lease
Refused to pay rent for any reason
Been evicted or asked to leave
Filed for bankruptcy
Been convicted of a crime

Final Submit
The information on this application is true and correct to the best of my knowledge. I hereby authorize to verify the above information through consumer or investigative credit report, criminal background report, and/or eviction records.*

I Agree
Signature*

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Thank You!

You will be contacted if your information meets our qualifications. DO NOT SUBMIT MORE THAN ONCE!
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RENTAL APPLICATION