RENTAL APPLICATION Apply Form DATE: MM slash DD slash YYYY Place an "X" in the space below indicating which property and apt# you are interested in applying for.SelectSelect305 West Utica Buffalo, NY297 West Utica Buffalo, NY4261 North Street Blasdell, NY1010 Elmwood Ave, Buffalo, NY1006 Elmwood Ave, Buffalo, NYDistrict West Lofts, Buffalo, NYApt #SelectA-101A-201A-202A-203A-204A-301A-302A-303A-304B-101B-202B-203B-204B-301B-302B-303B-304Apt #Select101201202203204301302303304Apt #Select"The Highland" 201"The Norwood" 202"The Bidwell" 203"The Breckenridge" 204"The Utica" 205"The Anderson" 206"The Lexington" 207"The Auburn" 208"The Forest" 209"The Highland" 301"The Norwood" 302"The Bidwell" 303"The Breckenridge" 304"The Utica" 305"The Anderson" 306"The Lexington" 307"The Auburn" 308"The Forest" 309"The Ferry" 401"The Lafayette" 402"The Ashland" 403"The Claremont" 404"The Dorchester" 405"The Potomac" 406"The Bird" 407"The Richmond" 408Apt #Select201202203301 The Premises are to be used as a residence not occupied by more than what is agreed to and signed by the established tenant(s) in the final lease. The tenant agrees that all furniture and personal property placed in the premises shall be at tenants' risk. Each tenant within the dwelling is required to obtain a Renters Insurance Policy. The tenant will be responsible for applying for all utility services before taking occupancy, paying all required utility deposits, and for monthly usage. A completed and signed W9 (IRS Form) and picture of Drivers License will also be required for all Tenants. Proof of the above documents must be provided prior to move-in. Please note that this is a non-smoking complex. A Security Deposit equal to one-month rent is required. A non-refundable fee of $29 will be administered and managed by Apartments.com for standard screening for EACH tenant. An email from Apartments.com will be sent after application is reviewed. The security deposit is due upon execution of the lease. The first month's rent payment is due and payable to the Landlord prior to occupancy. If the applicant should fail to execute a Lease and/or fail to occupy the premises, the entire deposit herein shall be forfeited to compensate the Landlord for vacancy and/or damages.STATEMENTS (Please check if you agree to the following statements.) Name I agree to the following I represent that the information provided in this application is true, complete and accurate to the best of my knowledge. I understand that any misrepresentation or omission of information is grounds for denial of this application and/or eviction from said premises. I agree to the following: The Landlord is authorized to verify all the information given in this application, including past rental history, personal references and employment. I authorize the Landlord to obtain a current credit and criminal background. I agree to the following: I understand that this application is not a lease agreement and this application does not create any obligation on the Landlord. I agree to the following: After approval and acceptance of this application by the Landlord, the applicant agrees to execute a lease in accordance with the terms of this application together with such other terms, conditions and rules outlined in the Lease Agreement. Why are you leaving your current address? Applicant Information: Name of Applicant (Last, First, MI)(Required) Date of Birth MM slash DD slash YYYY State Present Address City, State, Zip Telephone NumbersHomeCellEmail Address(Required) Name of Present Landlord Telephone #Do You: (please check one) Rent Own Parent's Home Student Housing Move-in Date MM slash DD slash YYYY Proposed Move-out Date MM slash DD slash YYYY Monthly Rent $Previous Address City, State, Zip Name of Previous Landlord Telephone #Did You: (please check one) Rent Own Parent's Home Student Housing Move-in Date MM slash DD slash YYYY Move-out Date MM slash DD slash YYYY Monthly Rent $ Applicant's Employment Information: Name of Current Employer Address, City, State Supervisor Position / Title Monthly Salary $How Long? (Yrs. & Mos.) Telephone #Other Sources of Income Name of Previous Employer Address, City, State Supervisor Position / Title Monthly Salary $How Long? (Yrs. & Mos.) Telephone #List other persons to occupy the apartment List other persons to occupy the apartment VehiclesState Plate # Make Model Color Year State Plate # Make Model Color Year State Plate # Make Model Color Year PetsType Breed Weight Has your pet ever bit someone (yes/no) Type Breed Weight Has your pet ever bit someone (yes/no) Have you ever been convicted of a criminal offense / crime? Yes No Date of Conviction / Details: Any Litigations:Sults Judgements Bankruptcies Foreclosures Evictions Details: Reference Information:1. Name Telephone #2. Name Telephone #3. Name Telephone #Emergency Contact Address, City, State, Zip Telephone #Why are you leaving your current address?