1 bed, 2 bed, Townhouse, Single Family Home

Address with CITY, STATE, & ZIP CODE

dd/mm/yyyy – dd/mm/yyyy

Phone/Email

By typing my name above, I agree that my electronic signature is the legal equivalent of my manual signature. I certify that all statements made on this application are true and complete and are for the purpose of evaluating my rental credit worthiness. I understand that you will retain this application whether or not it is approved. I authorize you, your agent or manager, to make whatever credit, criminal history and employment history inquiries are deemed necessary in connection with this application. Genesee Landlords Association is providing a service to its members and may provide the credit report and criminal report. This report is only to be used in the selection process by said Landlord. I hereby give permission for the Genesee Landlords Association to obtain this credit report and furnish it to the Landlord who agrees to use this report only for the above stated purposes.