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The Granite Works @ 846 Main St, Buffalo NY - Apartments Commercial Space First Amherst Development Group LLC
Maintenance Requests
Please fill out the following form to be considered for residency at Granite Works.
Alternately, you may download the form in pdf format and mail it in.
Personal Information
Full Name* Home Phone*
SSN* Alt Phone
Co-Applicant Dependants
SSN Email Address*
Residential History
Current Address Apt Rent
City State Zip
Month / Year Moved Reason for Leaving
Owner / Agent Owner / Agent Phone
Previous Address Rent
Owner / Agent Owner / Agent Phone
Credit History
Have you ever declared bankruptcy in the past seven (7) years? Yes No
Have you ever been evicted from a rental residence? Yes No
Have you had two or more late rental payments in the past year? Yes No
Have you ever willfully or intentionally refused to pay rent when due? Yes No
Employment Information
Status Employer
Dates Employed Job Title
Office Phone Annual Income
If employed less than 12 months, give name & phone of previous employer or school:
If you have other sources of income that you would like us to consider, please list income, source, and person (banker, employer) who we may contact for confirmation. You do not have to reveal alimony, child support, or spouses's annual income unless you want us to consider it in this application.
Income Source Phone
Income Source Phone
Income Source Phone
Personal Reference or Emergency Contact
Name Address
Phone Relationship
Vehicle Information
License # State
Make Model
Year License Plate State
Additional Information
Please give us any additional information that might help owner/management evaluate this application.
Where may we reach you to discuss this application?
Day Phone: Night Phone:
Authorization
I hereby apply to lease the above described premises for the term and upon the set conditions above set forth and agree that the rental is to be payable the first day of each month in advance. As an inducement to the owner of the property and to the agent to accept this application. I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset the agent's cost, time, and effort in processing my application.

I hereby deposit as earnest money to be refunded to me if this application is not accepted in 3 business banking days. Upon acceptance, this deposit shall be retained as part of the security deposit and this amount is non-refundable otherwise.

When so approved and accepted, I agree to execute a lease for months before possession is given and to pay the balance of the security deposit prior to the move in date. If the application is not approved or accepted by the owner or agent, the deposit will be refunded, the application hereby waiving any claim for damages by reason off non-acceptance which the owner or agent may reject. I recognize that as a part of your procedure for processing my application, and investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living.

The above information, to the best of my knowledge, is true and correct.*

I agree to permit an investigation of my credit, tenant history, banking and employment for the purposes of renting an apartment with this owner/manager.*
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