Present Address & Telephone
Parent or Nearest Relative Information
(This information may be used as an emergency contact.)
Landlord and Credit History
Student Applicants Only
Agreement and Waiver
By submitting this form, I represent to you that I have read this entire application and that all of the information is true and correct. I further represent that my rental and credit records are in good standing with no judgements or liens against me. If any of the above information is false, I hereby agree that my entire deposit may be forfeited to you. I also agree that if I am accepted and fail to complete this transaction by submitting your lease, my entire deposit will be forfeited to you. I understand that this application is subject to your approval. If for any reason whatsoever you are unable to make the apartment which is the subject of this application available at the beginning of the lease term, I hereby waive any and all rights to seek to recover any damages whatsoever against you, including without limitation, actual, punitive or consequential damages. IT IS POLICY NOT TO DISCRIMINATE ON THE BASIS OF RACE, CREED, COLOR, NATIONAL ORIGIN, RELIGION, AGE OR SEX. Provisions of the Fair Credit Reporting Act are applicable. You are hereby authorized to make any investigation of my/our personal and financial and credit record through any investigative or credit agencies or bureaus of your choice and hold them harmless from any information they may find.
* This signature is required *