Applicant Information
Residential Lease Application
Each adult, 18 years and older, must complete a separate application. Incomplete
applications cannot be processed. A $25.00 non-refundable application fee (money order
or certified bank/ cashier’s check) must be submitted with each application. Along with the
completed application, a deposit of 1 month’s rent MAY be made to place the apartment
on hold for you while these materials are being reviewed. Should you decide NOT to move
forward prior to lease signing, this deposit is non-refundable to help offset the financial
loss of stopping future showings. You are not required to put down the deposit, but
showings will continue and applications will be accepted until a deposit is received on the
apartment you desire. Deposit will be credited toward funds due at lease signing. Deposits
are only returned if the application is NOT approved.
Other names you have used in the past
All other proposed occupants
Relationship to Applicant
Apartment Desired
Parking Spaces Desired Length of Lease (2 year minimum) Rent per Month
None 1 space 2 spaces 3 spaces 2 years 3 years 4 years 5 years
$_________________
Current Residence
Were you asked to move? / Why?
Current Billing Name(s) for Utilities?
Previous Residence
Were you asked to move? / Why?
Billing Name(s) for Utilities?
Prior Residence
Were you asked to move? / Why?
Billing Name(s) for Utilities?
601 North 2nd. Street, Philadelphia, PA 19123
PLEASE PRINT Form: 15075
4
15099
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