Rental Application Form

Application for Apartment Leasing

Notice: Co-applicant and co-signer must complete a separate Rental Application form.
Property Address & Apartment Number
Rent ($)
Rent Includes
Date Apartment Viewed
Viewed With
Move-In Date
How did you hear about us?
Craigslist, Google, RentRochester.com, etc.

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Tell Us About Yourself
Name
First Last
Date of Birth*
Social Security Number*
Phone Home
Phone Work
Mobile Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Name of Co-Applicant
Number of Occupants (Adults)
Number of Occupants (Children)

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Emergency Contact (family preferred)
Emergency Contact
Relationship
Email
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

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Landlord Reference
Current Landlord
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Length of Lease
Lease Expires

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Employment Information
Place of Employment
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Supervisor Name
First Last
Phone
Ext (if needed)
Occupation/Title
Monthly Net Income
Length of Employment (if less than 12 months, co-signers mandatory)

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Have you ever filed for bankruptcy?
- Yes
- No
Have you ever been evicted?
- Yes
- No
Are there any judgements outstanding on your credit?
- Yes
- No
Have you been convicted of a crime in the past ten years, excluding misdemeanors and summary offences, which have not been annulled, expunged or sealed by a court?
- Yes
- No
Reason for leaving present location
Please give any additional information, which might help management evaluate this application

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The acceptance of this application and/or a deposit does not constitute approval of the application or an agreement to lease on the part of the landlord.

If the application is not approved the sum deposited shall be returned to the applicant and his/hers rights hereunder shall thereupon cease.

If the application is approved, the security deposit will "hold" the apartment. The apartment will not be advertised or shown to others during this time period.

If the applicant decides not to rent the apartment, after being approved, the deposit will not be returned.

Authorization to Release Information:
I/We hereby authorize Flower City Management to obtain any information contained in my application including rental history, employment history, student status and a credit report from a consumer reporting agency.

I/We hereby authorize the release of any information pertaining to the above listed items.
Thank you,
Copy of your driver's license
Please Sign Your Initials
Today's Date
How will you pay?
- Cash
- Check
- M.O
Vehicle
Make Model
Vehicle
Year Plate
Please complete application to avoid a delay in processing. Thank you
Email
This field is for validation purposes and should be left unchanged.

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Start your rental process today