Grace Ave. Apartments

121-123 Grace Avenue

Newark, NY, 14513

Phone Number

Your Custom Text Here

Grace Ave. Apartments

APPLICATION

Application

Name

First Name

Last Name

Phone Number

(###)

###

####

Email Address

When are you looking to move?

YYYY

Are you interested in a 2-Bedroom Apartment upstairs or a 2-bedroom apartment downstairs?

How many people will be occupying the apartment?

Person(s) who will occupy apartment

Person 1

First Name

Last Name

Age

Person 2

First Name

Last Name

Age

Person 3

First Name

Last Name

Age

Person 4

First Name

Last Name

Age

Previous Address (Past 3 years)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Reason for Leaving

Current Rent (+Utilities)

Name of Owner/Landlord

First Name

Last Name

Landlord Phone

(###)

###

####

Are you able to provide a rental reference?

Do you own a pet?

Do you or any other occupant smoke?

EMPLOYMENT

Present Employer

How long have you been employed?

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

(###)

###

####

Gross Salary and Other Income

PERSON 2 EMPLOYMENT

Present Employer

How long have you been employed?

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

(###)

###

####

Gross Salary and Other Income

Do you own an automobile?

Emergency Contacts and Nearest Relatives

References

PLEASE READ ABOUT PAGE BEFORE APPLYING

Submitting this application will serve as written permission for us to obtain credit history, previous landlord references, and income/employment verification. The applicant(s) also affirm(s) that all information in this application is true and complete. Should any information prove to be false in this application, we reserve the right to refuse the application and/or cancel the rental agreement at any time.