LJH Management

Providing Rentals in Wayne & Ontario Counties of Western New York

Rental Application

We require a completed rental application for each potential renter over the age of 18. 

The applications must be processed before any property viewing, and there is no cost for submission. 

Personal references cannot be a family member.

We offer an online application or you can choose to print the PDF file below and mail it to us:

LJH Management
660 Marbletown Rd.
Newark, NY 14513

Online Rental Application

Notice: All adult applicants (18 years or older) must complete a separate application for rental consideration.

Personal Information

Yes    No
Emergency Contact

Emergency Contact #2
List all persons that will occupy the unit

Current Residence
Previous Residence

Employer #2 or Previous Employer
Additional Income

Yes    No
Yes    No

Vehicle #2
Yes    No
Yes    No

Please Note: We do not accept any pets over 20 pounds.
Yes    No  
Yes    No
Yes    No
Yes    No
Yes    No
Yes    No
Personal References

Agreement & Authorization (Please read carefully)
BY MY SIGNATURE BELOW I AUTHORIZE Scott Hartman, LJH Holdings, LLC and its agents to obtain an Investigative Consumer Credit Report including but not limited to credit history, landlord/tenant court record search, criminal record search and registered sex offender search. This authorization is valid for purposes of verifying information given pursuant to employment, leasing, rental, business negotiations, or any other lawful purpose covered under the Fair Credit Reporting Act (FCRA).

BY MY SIGNATURE BELOW I AUTHORIZE the release of information from previous or current landlords, employers, and bank representatives. This investigation if for resident screening purposed only and is strictly confidential. This report contains information compiled from sources believed to be reliable, but the accuracy of which cannot be guaranteed. I hereby hold Scott Hartman and LJH Holdings LLC, Landlord and its agents free and harmless of any liability for any damages arising out of improper use of this information.

This authorization shall be valid in original or copy form.