Residential Rental Application

  • Applicant Information

  • Co-Applicant Information

  • Residence History

  • Employment

  • Emergency Contact

  • Vehicle Information

  • Landlord Reference Sign-Off

  • Download and fill out the top gray portion of this Landlord Reference Request Form. Re-upload the signed document below. You can re-upload the PDF or take a photo with your phone of the entire form and upload the JPEG.
  • Application Fee

  • Buckingham Properties requires a payment of $25 to cover administrative and credit check costs. Upon submitting your application below, you will be redirected to PayPal to pay the application fee.
  • This field is for validation purposes and should be left unchanged.
Use the form to submit your application and pay the required $25 application fee.
Alternatively, you may download a printed copy of the application which you may complete and submit via email to Diana Williams or Olivia Fici or via fax (585-295-9505) or in person (259 Alexander Street, Rochester NY 14607). If submitting a hard-copy application, the $25 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