SSN:

Present phone number and/or email address where we can reach you:

Drivers License #: State:

Residence applied for:

Lease start date: Lease end date:

Rent per month:

Anticipated date of graduation:

Other persons to occupy the apartment on a regular basis:

Current Rental Information

Present residence:

Lease dates at present residence:

Rent paid per month:

Landlord:

Landlord phone number:

Employment Information

Present employer:

Phone #:

Position:

Length:

Present income: Other income:

Parent/Guardian Information

Name:

Email:

Address:

Phone: Home Phone: Work

Emergency Contact

Name:

Relationship:

Phone:

Conditions of Application and Agreement to Lease

This deposit paid by applicant will be held in an Escrow Account at Citizens Bank - Account Number 6100007219 for located in State College, PA, as a Security Deposit until such time as the lease is terminated and the premises is vacated. The cost of necessary cleaning, repairs or replacements shall be deducted from the Security Deposit at termination of the lease.

THIS IS A LEGALLY BINDING OFFER TO ENTER INTO A LEASE AGREEMENT FOR THE PREMISES ON THE FORM IN CURRENT USE BY WESTSIDE VILLAGE AND CONTAINING THE ABOVE TERMS. I UNDERSTAND THAT I AM OBLIGATED TO EXECUTE SUCH A LEASE AFTER IT HAS BEEN TENDERED TO ME. If I refuse to execute such a lease, Westside Village will make reasonable efforts to relet the premises on my behalf. If Westside Village is successful, I understand and agree that the said deposit will be forfeited and retained as liquidated damages by Westside Village for its efforts in processing this application, holding the premises open on my behalf pending approval of this application, and making the necessary investigation of my character and reputation. However, until such time as Westside Village is able to relet the premises, I understand and agree that I shall remain liable for the monthly rental payments and other charges imposed in accordance with the terms of the proposed lease, which is agreed to be binding whether executed by me or not. No agreement except contained herein will bind applicant, agent, or owner.

I agree and understand that the lease I will be signing is a JOINT AND SERVERAL Lease. This means all Tenants and Guarantors hold joint liability for the entire amount due on the lease, as well as, the care and condition of the premises. I understand that in the event that one or more tenant(s) fail to make good on their obligation that the remaining tenant(s) will be held legally responsible.

I WARRANT THAT THE ABOVE INFORMATION IS TRUE AND CORRECT AND AGREE TO THE TERMS AND CONDITIONS PRINTED ON THIS APPLICATION. BY THE SIGNING OF THIS RENTAL APPLICATION, I AUTHORIZE WESTSIDE VILLAGE TO MAKE ANY INVESTIGATIONS ON MY BEHALF, WHICH MAY INCLUDE: CHARACTER REFERENCES, BANK REFERENCES, PRIOR RENTAL VERIFICATIONS, CREDIT HISTORY, EMPLOYMENT HISTORY AND INCOME VERIFICATIONS.