- Online Rental Application -
*NOTE A separate application form must be submitted for each individual who is a non-spouse adult or co-tenant (over 18) who will share or occupy this rental. Co-tenant is anyone at least 18 yrs, related/non-related, who will occupy household premises in any capacity.
*INSTRUCTIONS: Place your pointer at end of each information line__(type in information) - Do not hit ‘Return’- Go to next line - Repeat.
Property Address you are applying for_
Your Name__ Spouse/Co-Tenant Name___
Present Address__
Your Home Phone / Cell Phone(s)__ Spouse/Co-Tenant Phone(s)___
Rent Paid Present Address $__ . Utilities Included: Yes:__ No:__
Reason for Moving ___
Current Landlord/Manager (Explain if None)__
Current Landlord Address & Phone__
Previous Rental Address(s)__
Previous Landlord-Name & Address Phone (explain if none)__
Previous Reason for Moving__ Previous Rent Paid__
Previous Landlord Day Phone__
Name(s) & Birth Dates of those to reside__
Pets-if yes-describe: Yes__ No__
Water Bed (yes or no)__Do you carry Renters Insurance__
Your Current Occupation__
Your Current Employer (name, address, phone)__
Length of time employed by current employer__
Former Work Occupation__Former Work Employer Name__
Length of time employed by former employer__
Employer of Spouse or Co-Tenant__Length of time employed___
Employer of other household members (over 18)___
MONTHLY INCOME) $__ Check here if in excess of $3,000___
Does Spouse or Co-Tenant income contribute to Monthly Income___ If yes-amount___
Other Sources of Income to be used to pay rent (Voluntary)__
Name of Agency subsidizing household income and/or rent (Section-8, Soc. Svcs, etc.)___
Credit References-Name(s)/Business, etc.____
Length of time you anticipate renting this property__
Vehicles to be parked at the property & Plate No.__
Business References, Rent-to-Own, etc. (address & phone)__
Does any household member smoke (This may be a SMOKE FREE building)___
PERSONAL REFERENCE – We require a minimum of four and two of them must be relatives
Reference #1 (non family) Name/Address/Phone__
Reference #2 (non family) Name/Address/Phone__
Reference #1 (family) Name/Address/Phone__
Reference #2 (family) Name/Address /Phone __
Contact in Emergency___
Emergency Contact Phone & Address__
Does any household member require handicap access (ramp, etc.)__ Have you ever been evicted__
Name(s) in which Utilities will be established__
DISCLOSURE, NOTIFICATION AND AUTHORIZATION
I understand that Gabriel American Realty is an Equal Opportunity Rental Provider and I have not been coerced, forcibly instructed or intimidated in any manner to provide any information in this application. Gabriel American Realty Co. will submit this application to the Owner/Landlord, without prejudice. In accordance wit the New York Fair Credit Reporting Act, with my signature, I acknowledge that an investigative consumer report may be made in connection with this form. Individual/separate application forms must be completed for each applicant responsible for full/partial rent and/or utility payments. Co-Tenant (non-spousal or adults 18 yrs and older), responsible for full/partial rent and/or utility payments. My (Our) signature(s) below indicates that I have knowingly and voluntarily waived the protection of state, federal and common law right to privacy laws for the limited purpose of providing address application information to Gabriel American Realty Co. and Landlord/Client(s) represented by same. I acknowledge that the signatures below (typed) represent the individuals and information stated in this application, and that no one other than the applicant(s) below has affixed their name to this rental application.
Name of Applicant No.1 __ Applicant No.1 Email__
Name of Applicant No.2 __ Applicant No.2 Email__
PLEASE READ CAREFULLY:
I certify that the information on this form is accurate to the best of my knowledge. I authorize verification of the truthfulness of all information contained herein, including contact with any person or firms listed above, and agree to release and hold harmless all parties from any liability or damage that may result. I understand that any false statement made above may result in Landlords not renting to me at this time.
Applicant Name__ Co-Tenant Name__
* Actual signatures will be obtained when this document is submitted as a print-out to our office..
* Landlords are solely responsible for evaluation, acceptance and/or rejection of any information provided on this form.
*** NOTE: Landlords may request tenants provide proof of ‘Tenants Insurance’ to cover Liability & Personal Property.
Email Instructions:
Now that you have completed the form……………………..
1. Go to FILE (upper left corner)
2. Click on FILE (you will see a drop-down box with options)
3.Click on either…SEND TO…..’MAIL RECEIPANT’ or AS ‘ATTACHMENT’
4.Type in the ‘To’ Box the following Email Address:
5.Click on SEND.
*NOTE A separate application form must be submitted for each individual who is a non-spouse adult or co-tenant (over 18) who will share, occupy and/or be responsible for rent/utilities payments. Incomplete applications may be rejected by landlords without further notice to applicants.
If you have any problems sending an online rental application, you can stop at our
Rental Application pick-up/drop-off location at the following address:
Gabriel’s
514 West State St.
Olean, NY 14760
Or mail to…………………….. Gabriel American Realty
c/o 316 South 4th St.
Olean, NY 14760
Use this Space for Additional Comments or Information: