Application for Creekside Manor Apartments, LeRoy, NY: Offering One and Two Bedroom Apartments

Apply via email, fax, or US mail as follows:

Download the application PDF to your computer.
Open the PDF with Adobe Reader. (Download Adobe Reader here.)
Once you've filled out the application, save the file to your computer.
Return it to us in one of the following ways:

E-mail the saved PDF to: mschmitt@universalprecision.com
Print the PDF, and then fax it to: 585-321-9828, or,
Mail it to:
Creekside Manor Apartments
61 Myrtle Street
LeRoy, New York 14482

Or apply Online below

Apply Form

First Name*

Last Name*

Email*

Phone*

Alt. Phone

Date of Birth

Social Security No

Driver's License #

Current Living Situation

Present Address

How long at this Address?

Monthly Rent

Reason for Moving

Owner/Manager

Owner/Manager Phone

List name, relationship, and age of every person that lives with you:

Do you have a waterbed?
Yes
No

Any Pets?
Yes
No

Describe Your Pets

Have you ever filed bankruptcy?
Yes
No

Have you ever been evicted?
Yes
No

Explain Bankruptcy

Explain Eviction

Current Occupation

Current Employer

Current Employer's Phone:

How long with this employer?

Current Supervisor

Current Supervisor's Phone

Previous Occupation

Previous Employer

Previous Employer's Phone

How long with this employer?

Previous Supervisor

Previous Supervisor's Phone

Current Income

Income/month (After deductions)

Income from social services?
Yes
No

How much? (per month)

Alimony/Child Support Paid (per month)

Alimony/Child Support Received (per month)

Personal Finances

Savings Account Bank

Account #

Account Balance

Checking Account Bank

Account #

Account Balance

Major Credit Card

Account #

Account Balance

Credit Reference #1

Company

Account #

Balance Owed

Monthly Payment

Credit Reference #2

Company

Account #

Balance Owed

Monthly Payment

Vehicle

Vehicle(s) Make(s)

Model

Year

License Plate

Personal Reference

Name

Phone

Address

Emergency Contact

Name

Phone

Address

Legal History

Have you ever been convicted of a felony?
Yes
No

Have you ever been convicted of a misdemeanor?
Yes
No

Explain Felony

Explain Misdemeanor

Are you or anyone living with you required to register as a sex offender at any level?
Yes
No

How did you hear about Creekside?

If this application is accepted I would like to move in on:

Please list any other information that you feel is relevant to this application:

It is the policy of the Creekside Manor Apartments not do discriminate on the basis of sex, race, religion, national origin, physical disability, age or marital status.

I declare that the statements above are true and correct and I understand that any false statements given will be grounds for either denial of my application or, in the event that I am already a tenant, that false statement(s) will be grounds for immediate termination of my tenancy. I authorize the landlord to verify all information supplied by me and I further authorize verification of all references given, a background check, and a credit report.

Signed

Date

Signed