• NameDOBRelation 
  • MakeModelYearColorLicense Plate 
  • (Rents are set and due based on established date, and can only be confirmed upon acceptance.)
    Date Format: MM slash DD slash YYYY
  • All references for income, landlord and credit will be verified. Credit is checked through the CBC of Rochester, and a favorable report free of collections, judgments, bankruptcy, and delinquencies is necessary for acceptance.

    No pets, waterbeds, boats, trailers, campers, snowmobiles, motorcycles, vans, trucks, and either commercially licensed or registered vehicles are permitted on the Clintwood Apartment premises.

    The above information is correct to the best of my knowledge. I (we) have no objection to inquiries for the purpose of verifying the facts herein stated, by means of a credit report, landlord, and income verification.

    The deposit agreement on the back of this application is an integral part of this application and must be signed in the appropriate area.

  • This field is for validation purposes and should be left unchanged.