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Application
- You may print this application by clicking the printer icon on your internet browser
- Please complete application, sign and submit with the following:
- Copy of Driver's License or other form of Identification.
- Copy of Most recent paystub or other proof of income.
- Check or Money order for Application Fee, $15.00 per applicant.
Prospect Leasing & Management, LLC
3545 Marietta Avenue, Suite P, Lancaster, PA 17601 Phone: 717-285-4555 Fax: 717-285-4504 Property Applied For: ______________________________________ Move-in Date Requested: ___________________________________ Rent for Unit: ___________ Security Deposit Required: __________ Utilities included in rent amount: _____________________________ Appliances provided: ______________________________________ APPLICATION FEE: $15.00 (per adult) X ________=__________
Applicant #1 Name_______________________________ S.S. #_____-___-_______ Cell Phone_______________ Address_________________________________________ Home Phone( )________________ _________________________________ Zip____________ Email: _______________________ How Long?________ Landlord/Agent_______________________ Phone( )________________ Previous Address_________________________________________________Zip________________ How Long?________ Landlord/Agent_______________________ Phone( )________________ Applicant #2 Name______________________________ S.S. #_____-___-_______Cell Phone_________________ Address__________________________________________ Home Phone( )_______________ ____________________________________ Zip__________ Email: ______________________ How Long?________ Landlord/Agent________________________ Phone( )_______________ Previous Address__________________________________________________ Zip______________ How Long?________ Landlord/Agent________________________ Phone( )_______________ Employment Information: Applicant #1 Applicant #2 Employer ______________________/_____________________ Phone Number ______________________/_____________________ Position Held ______________________/_____________________ Supervisor ______________________/_____________________ How Long? ______________________/_____________________ Monthly Income (attach most recent pay-stub) ________________/_____________________ Other Occupants: Names____________________________________ Ages________ Relationship_________________ Do you have any pets? _____ How many? _____ Type _________ Breed _________ Weight _____ Age _____ Applicant #1 Applicant #2 Have you ever applied with Prospect Leasing & Mgmt? __________ __________
Have you ever been evicted from a rental property? __________ __________
Have you ever filed for bankruptcy? If yes, when? __________ __________ Have you ever been convicted of a crime? __________ __________ Are you 18 years of age or older? __________ __________ Drivers License State and Number (attach copy of I.D.) _________________/__________________ I declare that the foregoing information is true and correct, and authorize its verification and the obtaining of a consumer credit report. I agree that the landlord may terminate any agreement entered into in reliance on any misstatement made above. I further acknowledge that any security deposit monies paid by me will be forfeited should I choose not to complete the lease signing process. ______________________________(Applicant) ____________________________(Applicant)
_______________(Date) __________________(Date)
How did you find out about the property you are applying for?
_____ Lancaster Newspaper _____ Advertiser/Merchandiser _____ Apartment Finder
_____ Sign _____ Yellow Book _____ Referral from a current resident _____ Other_________ CONSUMER NOTICE THIS IS NOT A CONTRACT _________________________________ Hereby states that with respect to this property, ____________________________ I am acting in the following capacity: _____(I) Owner/Landlord of the Property; _____(II) A Direct Employee of the Owner/Landlord; or _____(III) An Agent of the Owner/Landlord Pursuant to a Property Management or Exclusive Leasing Agreement. I acknowledge that I have received this notice: Date:____________ Print (consumer):_______________________ Print (consumer):______________________ Signed (consumer):____________________ Signed (consumer):_____________________ I certify that I have provided this notice: ________________________________ Date:_____________
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