P.O. Box 233
State College, PA 16804
E-mail: info@housingstatecollege.com

Fax: 814-238-1038

Rental Application
Fee: $20.00 non-refundable separate check
Print application and mail with deposit

Premises Applied For:
_________________________________________________________

Tenant Information

Name of applicant:____________________________________ Social Security number:_______________
                                                (first, middle, last)
Current Address:_____________________________________________________ Phone:______________
                                Street address                           city           state              zip code
Names of Co-applicants: 1.__________________ 4._________________
2.__________________ 5._________________
3.__________________

Co-applicants must file separate applications. Please circle the name of your lead person.

Current Landlord:________________________________________________ Phone:___________________
If dormitory resident, Resident Assistant's name:________________________ Phone:_________________
Current semester in school:____________ Department:__________________ Advisor:_________________

Present Employer:_________________________________________ Supervisor:______________________
Employer's Address:_______________________________________________ Phone:__________________
Salary: $_______________ per __________ Additional Source of Income:___________________________
New Employer:________________________________ Supervisor:__________________________________
New Employer's Address:_______________________________________________ Phone:______________

Applicant's Bank(s):
Checking Account #:______________ Name of bank:______________
Address:_______________________________ Phone________________
Savings Account #:______________ Name of bank:_______________
Address:_______________________________ Phone________________
Credit Reference:____________________________________________
                                  Credit card                                  Name of Account Holder

Character Reference:___________________________________________
                                         Name                    Address                          Phone
Applicant's Drivers License #:___________________ State Issued:_____________
Automobile License #:__________________ State:___ Color:_______ Make:________ Model:_________

Parent Information
Father's Name:___________________________ Present Yearly Salary:_____________________________
Father's Address:___________________________________________________ Phone:________________
                                Street address       city           state              zip code
Mother's Name:___________________________ Present Yearly Salary:_____________________________
Mother's Address:___________________________________________________ Phone:________________
                                Street address       city           state              zip code
Which parent do you live with?:_______________________________
Father's Employer:___________________________________________________ Phone:_______________
                                Street address       city           state              zip code
Mother's Employer:___________________________________________________ Phone:_______________
                                Street address       city           state              zip code

Parent's Bank(s):
Checking Acct #:___________ Name of Bank:__________ Address:_________________ Phone:____________
Savings Acct #:____________ Name of Bank:__________ Address:_________________ Phone:____________

THIS APPLICATION IS SUBMITTED BY APPLICANT(S) AND ACCEPTED BY A.W.G. FOR PROCESSING UPON THE FOLLOWING TERMS AND CONDITONS:
1.) This application is not an Agreement to Lease by A.W.G. and Applicant is not bound to accept any lease offered.
2.) Applicant(s) shall deposit the sum of one month's rent when applicant applies. Deposit is payable in one check. This deposit shall be returned to Applicant(s) if the application is not accepted. (The $20 application fee is a non-refundable credit report processing fee.) If the application is accepted, the deposit shall be retained and applied as the security deposit upon the execution and delivery of a written lease agreement with one signature.
3.) Applicant(s) acknowledges that in processing this application, A.W.G. had the right to make personal and credit inquiries of individuals and companies concerning Applicant(s) character, creditworthiness, general reputation, personal characteristics and mode of living.
4.) A.W.G. shall not be liable to Applicant(s) for refusal to accept this application to lease. Applicant(s) acknowledges that A.W.G., its agents and employees have made no written oral representation whatsoever that this application would be accepted or that Applicant(s) would be given a lease agreement for any dwelling unit. This deposit does not guarantee you an apartment at this time.
5.) If the application to lease is accepted, Applicant(s) shall be notified and a written lease agreement will be prepared. Upon notifications, Applicant(s) shall have 24 hours to execute the lease. After lease is executed, Applicant(s) shall have ten days to return it to A.W.G. complete with mandatory parental cosignature. Applicant(s) acknowledges that failure to execute and deliver the written lease agreement within the prescribed time may be grounds for termination of A.W.G. offer to lease. This time limit shall apply to all leases and A.W.G. shall not be obligated to enter any lease agreement which is not delivered within this time limit.
APPLICANTS HAVE READ AND UNDERSTOOD THE ABOVE TERMS AND CONDITIONS AND CERTIFY THAT THE INFORMATION INCLUDED IN THIS APPLICATION IS TRUE AND CORRECT TO THE BEST OF THE APPLICANT'S KNOWLEDGE AND BELIEF.

Signature of Applicant:________________________________________________________________
Security Deposit of $:____________ Date Paid:____________ Application received by:______________



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