Rental Application

NEVINS REAL ESTATE MANAGEMENT
214 South Allen Street, State College, PA 16801
http://www.ApartmentsStateCollege.com
phone (814) 238-3153
Leasing@Apt-SC.com

Rental Application

Property Applying For:

Style of Unit:

First Name:

Middle Initial:

Last Name:

Date of Birth:

Street (Home Address):

City:

State:

Zip:

Cell Phone:

E-mail:

Social Security #
(if applicable):

PSU Student?
YES NO

If yes, current year standing:

Anticipated Graduation Date:

How did you hear about us?

If Other or Referral, please specify:

Have You Ever:

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)

Qualifying for Apartment:

Parent(s)/Guardian(s) Pay Full Year in Advance Employment (Rent can not exceed 40% of the TOTAL income) Other

Please provide the following information:

Name:

Relationship:

Email:

Cell Phone:

Is the Parent or Guardian Married? YES NO

If "Yes" please provide their partners information below

Name:

Relationship:

Email:

Cell Phone:

Position/Title:

How Long?

Yearly Income from Employment:

Employer:

Supervisor:

Phone #:

Scholarship/
Grant:

Amount

Per

I20:

Amount

Per

Current Living Arrangements?

Home On-Campus Off-Campus

If Off-Campus, then who is your present landlord?

Roommates:

Please print the names of the people you will be living with

Emergency Contact Information:

Please fill in the blanks accordingly

Name:

Relationship:

Cell Phone #:

E-mail:

Street:

City/State/Zip:

Consumer Notice

Staff of Nevins Real Estate are direct employees of the owner/landlord. By signing this application, the applicant acknowledges that they have been informed by Nevins Real Estate employee’s that they are working on behalf of the owner/landlord.

Application Conditions

Applicant understands that security deposit payments received will be cashed immediately. The security deposit will be held in an escrow account until the lease is terminated and the applicant vacates the apartment. Applicant may not apply this deposit towards rent. All units are required to qualify financially and complete the proper paperwork. If the applicant and/or cosigner fail to sign the contract when it is tendered to them and/or provide the proper qualification paperwork requested by Nevins Real Estate, the security deposit may be forfeited, and the apartment may become available for rent again at the discretion of Nevins Real Estate. If an entire unit wishes to cancel a Residential Lease Contract prior to the start date of the lease they will forfeit the security deposit and the apartment will go on the open market. Should the lease commence before the apartment is re-rented, applicant will be held responsible for the terms of the Residential Lease Contract.

I hereby warrant that the information provided on this application is true and correct to the best of my knowledge and give Nevins Real Estate Management permission to obtain my credit report as well as verify any information provided on this application. I also authorize any past or present landlords, employers, or other references to release any facts necessary to verify this information.

Type your name to digitally sign your application

Date of Completion:

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

Have You Ever:

Qualifying for Apartment:

Scholarship/Grant:

I20:

Current Living Arrangements?

Roommates:

Emergency Contact Information:

Consumer Notice

Application Conditions

Scholarship/
Grant: