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?

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.

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
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?

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?
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.

What appliances do you already have?
Do you have any issues signing a Lead-Based Paint Disclosure (built prior to 1978)?
Are you able to handle any MINOR maintenance and upkeep in the property?
Do you do have any of these property maintenance skills:

Other
Pets (describe in detail)

Rows	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

Rows	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

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.
Signature
Thank You!

You will be contacted if your information meets our qualifications. DO NOT SUBMIT MORE THAN ONCE!
Should be Empty:

RENTAL APPLICATION