Preliminary Questions

First and Last Name

Which unit or room are you interested in?

Where did you hear about it?

Are you looking for a furnished or unfurnished place?

Why are you moving (or seeking temporary accommodation)?

By what date are you hoping to occupy a place?

What is your planned departure date?

If staying a year or more, How long have you lived at your current address?

Guest agreements for temporary stays do not include access to the property's mailbox for regular USPS mail. Packages delivered outside the mailbox are allowed. Will you be able to arrange for USPS mail delivery at a different address (e.g., your permanent residence, a PO Box, or general delivery) for the duration of your guest agreement stay?

yes no NA, this will be my permanent address

If staying less than a year, Do you have a permanent address?

Do you currently reside in the Rochester Area

yes no

What is your source of income?

Is your total monthly income at least three times the monthly amount?

Will you be bringing any animals? If yes, what kind? breed? weight/size? spayed/neutered?

Will there be smoking of any kind in or around the unit?

yes no

Is your credit score generally 700 or above? If not please explain.

Have you had and collections or late payments in the last five years?

Are you willing to provide a credit and criminal background check at your cost?

yes no

Are you willing to maintain a renter's insurance policy and name the housing provider as an additional insured?

yes no NA for room only

Can you pay a security deposit?

For a year of more equal to one months rent For a furnished unit less than a year $1000 For a room $500 No

Can you provide at least 2 references from places where you have lived?

For Furnished under a year, are you willing to receive mail elsewhere

Yes No Long Term

Do you understand and agree that any inaccurate, misleading, or incomplete information provided in this Preliminary Application Questionnaire, or discovered during the verification process, will be cause for denial of your application and/or termination of any future occupancy agreements? Due to the volume of inquiries, only applicants who meet the criteria will receive a response.

yes no

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