Apply Online

Apply Online

Thank you for your interest in our apartments!  In order to screen potential tenants for our apartments, we ask that a rental application be completed in its entirety.

Our leasing agents carry applications to every showing, but you can also download the rental application  as a PDF file, or fill it out below for electronic submission.

This is a secured form, and your results are transmitted in an encrypted format.

If you have any questions, please call our leasing office at (716) 608-3200.

 

Applicant Name *
Property of Interest
Social Security Number *
Current Address *
Street Address
Address Line 2
City State / Province / Region
Postal / Zip Code

Country
Phone Number *
### - ### - ####
Alternate Phone Number
### - ### - ####
Email
Applicant Date of Birth *
Applicant Drivers License State & ID Number

Employment Information

Please provide us with information regarding your employment.
First Employer *
Address
Street Address
Address Line 2
City State / Province / Region
Postal / Zip Code

Country
Phone Number *
### - ### - ####
Monthly Income (Gross)
Second Employer
Address
Street Address
Address Line 2
City State / Province / Region
Postal / Zip Code

Country
Phone Number
### - ### - ####
Monthly Income (Gross)

Previous Residence History

Please provide us with information regarding your previous residence history.
Landlord’s Name *
Phone Number *
### - ### - ####
Address of the Rental *
Street Address
Address Line 2
City State / Province / Region
Postal / Zip Code

Country
Lived Here From: *

MM

 /

DD

 /

YYYY
Lived Here To:

MM

 /

DD

 /

YYYY
Use today’s date if currently living at this address.
Monthly Rental Amount *
Reason For Moving *
Previous Landlord’s Name
Address
Street Address
Address Line 2
City State / Province / Region
Postal / Zip Code

Country
Phone Number
### - ### - ####
Date

MM

 /

DD

 /

YYYY
Date

MM

 /

DD

 /

YYYY
Monthly Rental Amount
Reason For Moving

General Information

Please provide us with some general information.
Emergency Contact *
First Last
Phone Number *
### - ### - ####
How many, and what type, of pets will you be keeping? *
Vehicle Make  

Ford, Chevy, Buick, etc
Vehicle Model  

Ranger, Taurus, Mustang, etc
Vehicle Year
Vehicle Plate
Vehicle Color
How is your credit? *
Credit score (if known)

Have you ever…
Been evicted or asked to move out of a property?
Been sued or have a judgement against you?
Been sued for not paying rent?
Broken a rental agreement or lease?
Declaired bankruptcy?
I hereby make application for a property and certify that this information is correct. I authorize Prism Realty Group, LLC to contact any references, landlords,
and employers listed on this application. I also authorize Prism Realty Group, LLC to obtain my consumer credit report or score from any credit reporting agency, which may appear as an
inquiry on my file, and may be transmitted to the property owner at their request.
Certification *  

Please type “I agree” in this box to confirm that you have read and understand the above information.