MAGUIRE PROPERTIES, INC. ,770 ROCK BEACH ROAD, ROCHESTER, NY 14617
585-338-2269
PREMISES TO BE RENTED:
1. Location_________________________# of Occupants?___________________________
2. Term to Commence_________________ 3.Term of Rental_________________________
4. Monthly Rent_________________ Premises to be used for:__________________________
APPLICANT INFORMATION:
5. APPLICANT NAME___________________________________ DATE OF BIRTH_____________
6. ADDRESS______________________________________________ ZIP___________________
7. TELEPHONE HOME________________________ WORK_______________________________
8. ID: Social Security #_____________________ 9. Driver's Lic.#__________________
E_MAIL ADDRESS______________________________________________
APPLICANTS RENTAL HISTORY:
10. Length of time at Current Address_________________________________________
11 Present Landlord___________________________________________________________
12. Previous Address__________________________________________________________
13. Length of Time at Previous Address________________________________________
14. Previous Landlord_________________________________________________________
15. Telephone____________________
EMPLOYMENT/FINANCIAL BACKGROUND:
16. Current Employment_________________________________________________________
17. Employer's Name/Address____________________________________________________.
18. Employer Contact/Telephone_________________________________________________.
20. Name of your Bank & Address________________________________________________.
21. Checking Acct#___________________________ Savings Acct.#____________________
23. Other Sources of Income/Resources____________________________________________
VEHICLES:
24. Number of Vehicles to be parked at Rented Premises_________________.
25. Description of All Vehicles:
Make/Model Year Color State License Plate MISCELLANEOUS:
26. Have you ever been evicted? Yes No
27. Failed to timely pay rent? Yes No
28. Filed for bankruptcy? Yes No
Please explain If you checked "yes" for any of the above:_____________________________________________________________