Erie Station Village Online Application Form

On-Line Application Form

		PERSONAL INFORMATION
Name:
Cell or Home Phone:	Work Phone:
Email:
Social Security No:	To protect your privacy, please call us and provide your SS No.
Driver's License No:	To protect your privacy, please call us and provide your Driver's License No.

Name of Co-Applicant:
Cell or Home Phone:	Work Phone:
Email:
Social Security No:	To protect your privacy, please call us and provide your SS No.
Driver's License No:	To protect your privacy, please call us and provide your Driver's License No.

RENT	AL HISTORY FOR THE PAST THREE YEARS
Current Address:
Month & Year Moved In:
Reason For Leaving:
Landlord, Owner Or Agent's Name:
Phone No:
Monthly Rent Payment: $

Previous Address:
Month & Year Moved In:	Moved Out:
Reason for Leaving:
Landlord, Owner or Agent's Name:
Phone No:
Monthly Rent Payment: $

	EMPLOYMENT & INCOME INFORMATION
Your Employment Status:	Full Time Part Time Student Retired Not Employed
Current Or Most Recent Employer:
Address:
Phone No:
Dates Employed From:	To:
Position:
Supervisor's Name:
Your Net Monthly Income: $
Household Net Monthly Income: $
	If there are other sources of income you would like us to consider, please list source of income and person (banker, employer, etc.) who we can contact for confirmation. You do NOT have to reveal alimony, child support, or spouse’s annual income unless you want us to consider it in this application.
Source:	Amount $:
Confirmation Contact:	Phone No:
Source:	Amount $:
Confirmation Contact:	Phone No:
Source:	Amount $:
Confirmation Contact:	Phone No:
	Please note: We will require proof of all income listed in this section.

		COSIGNER INFORMATION
Cosigner Name:
Social Security No:	To protect your privacy, please call us and provide your SS No.
Driver's License No:	To protect your privacy, please call us and provide your Driver's License No.
Current Address:
Cell or Home Phone:	Work Phone:
Email:
Employment Status:	Full Time Part Time Retired
Employer:
Employer's Address:
Supervisor's Name:
Position:
Annual Income: $

		APARTMENT OCCUPANTS
Name and Relationship of all Apartment Occupants:

		VEHICLE INFORMATION
Make and Model:
Plate No:	Color:
Make and Model:
Plate No:	Color:

OTHER INF	ORMATION ABOUT YOUR RENTAL HISTORY
Have you e	ver been sued for non-payment of rent? Yes No
Have you e	ver broken a rental agreement or lease? Yes No
Have you e	ver been evicted or asked to move-out? Yes No
Have you	ever been sued for damage to property? Yes No
Please include any additional information that will help us evaluate your application.

EMERGENC	Y CONTACT OR NEAREST LIVING RELATIVE
Name:
Relationship:
Emergency Contact's Address:
Cell Phone:	Home Phone: Work Phone:

SIGNATURE AND	CONSENT TO INCOME AND CREDIT VERIFICATION
	Your name, typed in the box below on this application, authorizes us to request and review a credit report and an investigative consumer report containing information obtained through personal interviews with your neighbors, friends, and others with whom you may be acquainted. This report includes information concerning your character, general reputation, and personal characteristics. You acknowledge that you have the right to make a written request within a reasonable period of time to receive additional detailed information about the nature and scope of this investigative report. Our acceptance and review of your Rental Application does not constitute an approval of your Application or an agreement to lease. If we approve your Application and enter into a Lease Agreement however, the information and representations on this Application will become part of our Lease. This Deposit Agreement forms part of your Rental Application for Erie Station Village. A deposit equal to one month’s rent is due at the time you submit your Application. If we approve your Application and enter into a Lease Agreement, we will keep your deposit and treat it as your security deposit under the Lease. If we do not approve your Application, we will keep $50 of your deposit as an application fee and return the balance to you. Once we approve your Application, you still have 48 hours to change your mind and request a return of your deposit. If you notify us within this 48-hour period that you do not want to sign a Lease Agreement, we will retain $50 of your deposit as a processing fee and return the balance of your deposit to you. If you notify us after this 48-hour period has passed that you will not enter into a Lease, we will retain the full deposit received along with this Application and will release you from any further obligation to us. If, after reviewing your Application, we inform you that we cannot approve it unless you provide a guarantor, you may withdraw your Application and receive a refund of your deposit less $50, which we will keep as an application fee. If you agree to provide a guarantor you must do so within three business days or you will forfeit your entire deposit. Our acceptance of your deposit under this Deposit Agreement does not constitute our approval of your Application or an agreement to enter into a Lease with you.
I Agree To The Above:
Type Signature of Applicant:
Click Submit Button Once:
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