Executive Suite Lease Application

Property Name
Applicant Information
Name
First Middle Last
Email
Phone
Social Security Number
Date of Birth
Date Format: MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Employment
Employer
Employer's Phone
Position
Occupation
Employer's Address
Street Address City State ZIP Code
Length of Employment
Gross Monthly Income
How Did You Hear About Us?
Credit Inquiry Authorization*
- I hereby make application for an executive suite and certify that this information is correct. I authorize you to contact any reference that I have listed. I also authorize you to obtain my consumer credit report from your credit reporting agency, which will appear as an inquiry on my file.
Application Fee
Buckingham Properties requires a payment of $20 to cover administrative and credit check costs. Upon submitting your application below, you will be redirected to PayPal to pay the application fee.
Application Fee
Email
This field is for validation purposes and should be left unchanged.

After submitting this application and paying the application fee, please send a follow-up email to Diana Williams at dwilliams@buckprop.com with your proof of business. This may include your business plan, your website address, and/or your LLC certificate. We may require a copy of your driver’s license during the application process. Landlord reserves the right to deny a lease based on use.

Use the form to submit your application and pay the required $20 application fee.

Alternatively, you may download a printed copy of the application which you may complete and submit via email to Diana Williams or via fax (585-295-9505) or in person (259 Alexander Street, Rochester NY 14607). If submitting a hard-copy application, the $20 fee can be paid online via the button below or by check mailed to or dropped off at our office (Attn: Residential, 259 Alexander Street, Rochester NY 14607). Please make checks payable to Buckingham Properties. Your application will not be processed until we receive your payment. Download Application

Executive Suite Lease Application

Applicant Information

Employment

Application Fee

Use the form to submit your application and pay the required $20 application fee.