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Sunday, May 19th, 2013
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Connecticut
Connecticut
Black Rock Gardens Apartments
Coleman Apartments
Colonial Village Apartments
Cypress Apartments
Pennsylvania
Pennsylvania
Brittany Springs Apartments
New York
New York
Dutchess Apartments
Ridgefield Apartments
*Apartment Application
:
download application
$Electronic Funds Transfer
*ACH Letter to Residents
:
download
*ACH Payment Application
:
download application
How did you hear about us?
Name
Age
Single
Married
CURRENT ADDRESS
Reason of leaving
Yrs There
Street
City
State
Zip
Phone
Email Address
Current Landlord Name
Address
Phone
Nearest relative not living with you
Address
Phone
Name of property interested
[SELECT]
Connecticut
Pennsylvania
New York
[SELECT]
OCCUPANTS CONSIST OF
NAME
AGE
SOCIAL SECURITY#
P1)
P2)
P3)
P4)
P5)
NO DOGS...NO MOTORCYCLES...NO WATERBEDS
PLATE
MAKE
MODEL
COLOR
YEAR
AUTO #1 -
AUTO #2 -
EMPLOYMENT OR BUSINESS
--------- Select ---------
Employed full time
Part time
Student
Retired
Other
Empolyer's Name
Weekly Earnings
Position
Tel#
Years There
Street
City
State
Zip
CO-TENANT EMPLOYMENT OR BUSINESS
--------- Select ---------
Employed full time
Part time
Student
Retired
Other
Empolyer's Name
Weekly Earnings
Position
Tel#
Years There
Street
City
State
Zip
SOURCES OF INCOME OTHER THAN EMPLOYMENT
Amount $
Source
Contact
Amount $
Source
Contact
BANK REFRENCES TENANT
Bank Name
Saving Acct#
Check Acct#
Street Address
City
State
Zip
CO-TENANT BANK REFRENCES
Bank Name
Saving Acct#
Check Acct#
Street Address
City
State
Zip
REMARKS OR OTHER COMMENTS
REMARKS OR OTHER COMMENTS
1. THE LANDLORD WILL EITHER ACCEPT OR REJECT THIS APPLICATION. IF ACCEPTED, THE DEPOSIT ABOVE SPECIFIED WILL BE CREDITED ON ACCOUNT OF THE APPLICANT IF REJECTED FOR ANY OTHER REASON OTHER THAN LISTED IN PARAGRAPH 4, THE DEPOSIT WILL BE RETURNED LESS THE COST OF THE EXPERIAN CREDIT REPORT. THE TENANT HEREBY WAIVING ANY CLAIM FOR DAMAGES BY REASON OF NON-ACCEPTANCE OF THIS APPLICATION, WHICH THE LANDLORD MAY REJECT WITHOUT STATING ANY REASON WHATSOEVER FOR SO DOING. 2. NO DECORATIONS OR ALTERATIONS WILL BE MADE OTHER THAN STATED ON THIS APPLICATIONS OR ANY FORM SIGNED AND ATTACHED HERE TO. LANDLORD AND AGENT WILL NOT BOUND BY ANY REPRESENTATIONS, AGREEMENTS OR PROMISES MADE BY REPRESENTATIVES OR AGENTS UNLESS CONTAINED IN THE FORM LEASE SIGNED BY LANDLORD OR REPRESENTATIVE OF LANDLORD. 3. AGENT AND LANDLORD OR ITS REPRESENTATIVES CANNOT BE HELD RESPONSIBLE OR LIABLE FOR THE OCCUPANCY, ANY DELAY, INCONVENIENCE, CONSTRUCTION PROMISES OR GUARANTEES MADE TO TENANT BY EMPLOYEES OF AGENCY IS NOT THE RESPONSIBILITY OF LANDLORD OR HUB REALTY ASSOCIATES L.I.C. 4. I HEREBY CERTIFY THAT THE FACTS SET FORTH IN THE ABOVE RENTERS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. YOU ARE HEREBY AUTHORIZED TO MAKE ANY INVESTIGATION TO MY FINANCIAL AND CREDIT RECORD THROUGH ANY CREDIT REPORTING AGENCIES OR BUREAUS OF YOUR CHOICE. 5. IF AFTER SIGNING APPLICATION FOR THE ABOVE APARTMENT, APPLICANT CHANGES THEIR MIND AND GIVES US NOTICE THEY WILL NOT RENT THE APARTMENT, OR DOES NOT TAKE OCCUPANCY ON OR BEFORE THE OCCUPANCY DATE, OR IF ANY STATEMENT MADE ABOVE WAS MISREPRESENTED OR NOT A TRUE STATEMENT OF FACTS, APPLICANTS DEPOSIT WILL BE RETAINED TO COVER RENTAL FEE. CREDIT CHECK, AND HANDLING BY AGENCY AND THE LANDLORD AND AGENT WILL HAVE NO FURTHER OBLIGATON TO THE APPLICANT. ___________ PLEASE INITIAL. 6. APPLICANTS TRW CREDIT HISTORY MUST BE FREE OF DEROGATORY CREDIT INFORMATION, APPLICATIONS MUST HAVE VERIFIABLE WEEKLY GROSS INCOME EQUAL TO OR GREATER THAN ONE MONTHS RENT TO MEET THE MINIMUM FINANCIAL REQUIREMENTS. APPLICANTS MUST HAVE STABLE EMPLOYMENT FOR A MINIMUM OF ONE YEAR OR OTHER SUITABLE EMPLOYMENT STABILITY VERIFICATION.
I hearby agree that I have read all the terms and conditions and agree with them
I Do Not Agree
Have you ever
Filed for bankruptcy?
Yes
No
Have you ever been evicted?
Yes
No
Intentionally not paid rent for any reason?
Yes
No
Have you been convicted of any crime of a personal or moral nature?
Yes
No
Application Signature
Leasing Consultant
Co-Application Signature
All Applications subject To Owner's Approval
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