Yardley Flats

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"(Required)" indicates required fields

Home Floor Plan

Studio

One Bedroom

Two Bedroom

Earliest Move-in Date

Latest Move-in Date

Applicant's Name(Required)

First Last

Hometown Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Your e-mail Address(Required)

Date of Birth(Required)

Applicant Social Security Number(Required)

Your Driver's License Number

Primary Phone Number(Required)

Work Phone

Alternate Phone

Spouse's Name

First Last

Spouse's Driver's License Number

Spouse's Date of Birth

HOUSING INFORMATION

Present Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

How long have you lived here?

Monthly Rent Payment

Current Landlord or Mortgage Holder

First Last

Landlord's Phone Number

Landlord's Fax Number

Reason for moving

Previous Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

How long did you live there?

Monthly Rent Payment

Landlord (Company or Person)

First Last

Previous Landlord's Phone Number

Previous Landlord's Fax Number

Reason for moving

EMPLOYMENT INFORMATION

Present Employer

Present Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

How long employed

Position

Supervisor's Name

First Last

Supervisor's Phone Number

Human Resources Phone Number

Salary

(Please Indicate Annual or Per Hour)

Overtime? Bonus?

Previous Employer

Previous Employer's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

How long employed? (Previous Employer)

Previous Position

Supervisor's Name: (Previous Employer)

First Last

Salary: (Previous Employer)

Please indicate Annual or Per Hour

Overtime? Bonus? (Previous Employer)

OCCUPANTS

Occupant One's Name:

First Last

Occupant One's Relationship

Occupant One's Driver's License Number

Occupant One's Date of Birth

Occupant Two's Name:

First Last

Occupant Two's Relationship

Occupant Two's Driver's License Number

Occupant Two's Date of Birth

Occupant Three's Name

Occupant Three's Relationship

Occupant Three's Driver's License Number

Occupant Three's Date of Birth

Credit References

Applicant Social Security Number

Reference One (Bank or Other Name)

Account Number (Reference One)

Phone (Reference One)

Address (Reference One)

Reference Two (Bank or Other Name)

Account Number (Reference Two)

Address (Reference Two)

Phone (Reference Two)

Reference Three (Bank or Other Name)

Account Number (Reference Three)

Address (Reference Three)

Phone (Reference Three)

Reference Four (Bank or Other Name)

Account Number (Reference 4)

Address (Reference Four)

Phone (Reference Four)

Automobiles

Please list the Make, Model, Year, Color, Tag # and State registered of each vehicle

Please enter one auto per line in the text area.

Total Number of Automobiles (Including Company Cars)

Give descriptions and tag numbers of any boats, motorcycles, campers, vans, etc. that you own:

Give descriptions of any pets, their type, weight, and age

Do you own a waterbed?

(It is agreed and understood that this office must be provided with a copy of insurance for a waterbed prior to move-in.)

Are you a member of the Military or Reserve? If so, what branch?

Have you ever been convicted of a felony?

Yes

Emergency Contacts

Cancelation Policy(Required)

I understand and comply to Yardley Yardley Flats Apartments' Cancelation Policy*

*I understand and comply to the fact that Yardley Flats Apartments requires a completed application and proof of income or an offer letter from each applicant to be submitted to our leasing center within 24 hours of this reservation agreement. If we have not received a completed application and 2 consecutive current pay stubs or 30 days most recent proof of income within this 24 hour period, the Administrative Payment is non-refundable and the apartment will no longer be reserved for the listed applicants. We require two (2) separate checks at the time of reservation including a check for application processing ($50 each) and a separate check for the administrative payment ($250). If an application is denied, your administrative payment is refundable and will be refunded to you within 30 days. If your application is approved and you decide to cancel, the administrative payment is non-refundable and forfeited at that time. The Application Payment(s) is non-refundable under any circumstance.

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Lease Form

HOUSING INFORMATION

EMPLOYMENT INFORMATION

OCCUPANTS

Credit References

Automobiles

Now Leasing at Yardley Flats!