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Printable Student Rental Application

Rental Application - Full Time Student
Email
______________________________
Applicant
______________________________
Social Security Number
______________________________
Date of Birth
______________________________
University attending
______________________________
Major / Date of Graduation
______________________________
Present Address
______________________________
______________________________
______________________________
Name & Address of Landlord
______________________________
______________________________
______________________________
______________________________
Phone # of Landlord
______________________________
Dates of Occupancy
______________________________
Permanent Home Address
______________________________
______________________________
______________________________
Permanent Home Phone #
______________________________
Cell Phone #
______________________________
Other #
______________________________
Parent / Guardian Name & Address
______________________________
______________________________
______________________________
______________________________
Parent / Guardian Phone #
______________________________
Names of Prospective Roommates
______________________________
______________________________
______________________________
Applicant's Preferences (if any) as to type/location of apt.
______________________________
______________________________
1 Bed or 2 Bed
______________________________
Applicant
Preferred Date of Occupancy
______________________________
I have read and fully understood the Rules and Regulations Yes No
I have read and fully understood the Lease Agreement
Yes No

A cosigner will be required if minimum credit cannot be established. Credit is usually established by proof of regular and reliable income which is at least equal to four times the total rent of the unit.

Pets are not allowed.

No more than 2 parking permits will be issued for an apartment.

It is understood that the landlord has permission to check any references or information on this application.

Thank you for choosing Brandywine!

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Brandywine Apartments - 16G Brandywine Drive - Amherst, MA 01002
Tel. (413) 549-0600 • Fax (413) 549-1319 • E-mail: info@brandywine-apts.com
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