RENTAL APPLICATION Tom Tudek Memorial Park Trust

3147 Research Drive State College, PA 16801

APPLICATION PROCEDURE Please fill out the application completely and accurately. Please complete your current and prior landlord information and two-year employment history, including names and telephone numbers. Social security number disclosure is voluntary and your application will not be denied on the basis that it is not provided. If your application is otherwise not complete, one telephone call will be placed to the applicant to obtain the information in order to further the process. If this call does not provide the needed information, rejection may be based upon an incomplete application. Falsification of information is grounds for denial. Please list all sources of income. Applicants must demonstrate an ability to pay the monthly rent. Employment references may be checked to verify income. If an applicant receives an income subsidy, the applicant must provide verification when turning in the completed application. If an applicant has a payee or other contact person at a specific agency, please provide their name and telephone number. If an applicant does not demonstrate the ability to pay the monthly rent, a cosigner may be required to guarantee the financial obligations of the lease. A credit check may be conducted on your application. Poor credit does not always result in application disapproval, however it may be a factor used in processing an application, and may be grounds for disapproval. A rental history check may be conducted on your application. Applicants are required to have at least two years of satisfactory housing history. Satisfactory housing history does not include time residing in student housing, or residing with parents or relatives. Applicants with less than two years of housing history may be required to obtain a co-signer to guarantee the financial obligations of the lease. If an applicant owes money to another Landlord, the money must be paid in full before the application will be processed.

Applicant’s First Name __________________M __ Last_________________________ Date of Birth ____/____/____ Social Security #_________-_______-__________ DL#_____________________ Phone #______________________ Cell Phone #______________________ E-mail _______________________ Other persons to occupy residence Y / N ______________ Y / N_______________

Adult Relationship ____________________________ ____________________________

2-YEAR EMPLOYMENT HISTORY (Please complete 2 years in full) Current Employer ________________________________ From ________ to ________ Phone ( )__________________________ Address ___________________________ City/State ______________________ Zip ___________ Fax ________________________ Supervisor ______________________ Position ______________________________ Income $__________________ / Month Previous Employer _______________________________ From ________ to ________ Phone ( )___________________________ Address ___________________________ City/State ______________________ Zip ___________ Fax ________________________ Supervisor ________________ Position ______________________________ Income $__________________ / Month Other income sources and amounts: (Verification must be provided) ____________________________________ In case of an emergency, contact: ____________________________________ Phone ( )___________________________________ Address __________________________ City/State/Zip ______________________________ Relation _______________ HOUSING HISTORY (Please complete both current and previous information – All information is required) Current Address _______________________________________ City/State ______________________________ Zip ________ Current Landlord _______________________________ Landlord Phone (

)_________________

Fax _________________________ Landlord’s Address ____________________________________ City/State _______________________________Zip ________ Rent paid / Month $_______________ From ______/______/______ to __________________ Utilities you pay _________________________________________ Previous Address ______________________________________ City/State _______________________________Zip ________ Previous Landlord ______________________________ Landlord Phone (

)_________________

Fax _________________________ Landlord’s Address ____________________________________ City/State ___________________________ Zip ________ Rent paid / Month $_______________ From ______/______/______ to _____/_____/_____ Utilities you paid _________________________________________

Has an eviction action ever been filed against you or someone you were living with at the time? Yes ____ No ____ If yes, by whom, when, and for what reason? ________________________________________________________ Have you been convicted of a crime involving violence to persons or property in the last two years? Yes ___ No ___

If yes, please state when and describe ______________________________________________________________ Have you been convicted of any drug-related offenses in the last two years? Yes ____ No ____ If yes, please state when and describe ______________________________________________________________ In the event that your housing history or credit history is not adequate, please name a co-signer below. Co-signer’s Name _______________________________ Address _______________________________________ City/State________________________ Zip ___________ Phone ( )__________________ Relationship ________ PETS (There is no guarantee pets are permitted.) Will you have a pet? Y / N Dog _______ Cat _______ SMOKING No smoking is permitted in the home. Experience with care of Horses The Tom Tudek Trust is seeking a person or family that owns horses. The property includes a 4 stall horse boarding facility that is integral to the rental of the farmhouse. The selected tenant will currently own horse(s) and be open to the possibility to caring for additional horses that may be boarded at the facility including the daily feeding, watering and pasturing up to four horses that may be boarded at the horse stables. Please explain your experience with the care of horses. ___________________________________________________________________________ ___________________________________________________________________________ __________________________________________________________________________. I, the undersigned, hereby acknowledge that I have read and understand this application, and all information that has been submitted, including the information listed on this application, is true and correct. I understand that all application information and materials are being relied upon in application processing and are a pre-condition to approval by the Tom Tudek Memorial Park Trust. Any false statements or omissions are grounds for immediate application rejection, or future termination of any lease signed pursuant to this application. I hereby authorize management to conduct routine housing references, employment verification, criminal background checks, public records checks, financial reference investigations, and to obtain and rely on credit agency reports for the purpose of processing this application. I understand and acknowledge that my performance under any lease agreement I may enter into with the landlord may be reported to such credit-reporting agency, and authorize management to obtain my credit report for the purpose of collecting any amounts due pursuant to any future lease agreement with the landlord. Applicant’s Signature ______________________________________ Date ____________________ Co-Applicant’s Signature _______________________________ Date__________________

rental application

Please complete your current and prior landlord information and two-year employment history, including names and telephone numbers. Social security number ...

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