Rental Application

EXECUTIVE HOUSE APARTMENTS
411 Waupelani Drive, State College, PA 16801
phone (814) 238-7211 fax (814) 238-8143
ExecutiveHouseInfo@Apt-SC.com

Rental Application

Property:

Apartment Type:

Expected Move In Date:

Name: (Full Legal Name):

Date of Birth:

Street (Current Address):

City:

State:

Zip:

Cell Phone #:

E-mail:

Social Security #:

PSU Student?
YES NO

Current Year Standing:

How did you hear about us?

If Other or Referral, please specify:

Spousal Information (If Applicable)

Spouse: (Full Legal Name):

Date of Birth:

Age:

Street (Current Address):

City:

State:

Zip:

Cell Phone #:

E-mail:

Social Security #:

PSU Student?
YES NO

Current Year Standing:

Anticipated Graduation Date:

Current Living Arrangements?

Home On-Campus Off-Campus

Present Landlord:

Phone #:

Qualifying for Apartment:

Parent(s)/Guardian(s) Employment Other (I-20, F-1, etc.)
(If qualifying with employment, please provide the following information)

Position/Title:

How Long:

Yearly Income from Employment:

Employer:

Supervisor:

Phone #:

Additional Income (Spouse):

Other Information:

NOTE: If your answer is "Yes" to any question(s), please explain

Broken a Lease?
YES NO

Been Evicted?
YES NO

Convicted of a Felony?
YES NO

Filed for Bankruptcy?
YES NO

(If your answer is "Yes" to any question(s), please explain why in the supplied text box)

Cat(s) to be on Premises?

YES NO

How Many?

Vehicle Information:

Please complete if applicable

Make:

Model:

Color:

License Plate #:

Make:

Model:

Color:

License Plate #:

Occupants:

(Please include any roomates, spouse, and children, if applicable)

Name:

Relationship:

Max. Occupancy Per Unit: 1 Bedroom - 2 people, 2 Bedroom - 4 People, 3 Bedroom - 4 People

Emergency Contact Information:

Name:

Relationship:

Email:

Cell Phone #:

Street:

City:

State:

Zip:

Lead-Based Paint Disclosure - Executive House Apartments Applicants

Federal Law requires Landlords to disclose the presence of known lead-based paint and/or lead-based paint hazards in any housing built before 1978. This is to advise that Landlord has no knowledge if the property contains lead-based paint & that prior to move-in Landlord will provide new residents a federally approved pamphlet on lead poisoning hazards & prevention.

APPLICATION CONDITIONS

CONSUMER NOTICE: Staff of Executive House Apartments are direct employees of the owner/landlord. By signing below, the applicant acknowledges and understands that Executive House Apartments employees are working on behalf of the owner/landlord. Applicant understands that any security deposit received will be cashed immediately. The security deposit will be held in escrow until the lease is terminated and the applicant vacates the apartment. Applicant shall not apply the deposit towards any rent owed. I hereby warrant that the information provided on this application is true and correct to the best of my knowledge. Should any statement be a misrepresentation or untrue, the deposit submitted with this application shall be retained to offset the costs, time and effort in obtaining and processing my application. In the event that I withdraw my application prior to acceptance or rejection of it by the agent or owner, I understand this deposit is not refundable. After being notified of the approval, I agree to fully execute the lease and return it to the Landlord WITHIN 5 DAYS. Failure to do so will result in the forfeiture of the deposit. If the application is not approved, the deposit will be refunded. I hereby give Executive House Apartment permission to obtain my credit report. I also authorize any past or present landlords, employers or other references to release any facts necessary to confirm the information provided in this application.

Type your name to digitally sign your application

Date of Completion:

If you want a copy for your records, print before submitting.