Rental Application

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Select A Location

Check One Box.

Green indicates rental property that is currently available to rent.

1209 Main Street Aliquippa Pa 15001

227 13th Street Beaver Falls Pa 15010

512 15th Street Beaver Falls Pa 15010

1014 Third Avenue New Brighton Pa 15066 (Store)

1014 Third Avenue New Brighton Pa 15066 (Apartment)

383 Vermont Avenue Rochester Pa 15074 (2nd Floor Apartment)

Personal Information

Your Email

Example: john@smith.com

Spouse Email

Example: jill@smith.com

Your Full Legal Name

Example: John R Smith Jr.

Spouse Full Legal Name

Example: Jill E Smith

Your Current Address

Example: 1234 8th Street, Hawk City Pa 15000

Previous Address You Rented

Example: 1234 8th Street, Hawk City Pa 15000

Your Phone Number

Example: 123-123-1234

Spouse Phone Number

Example: 123-123-1234

Your Facebook Name

Example: Johnnyboy

Spouse Facebook Name

Example: Barbiegirl

Rental Occupant Totals
Number Of Occupants Five Years Old, And Under :
Number Of Occupants Ten Years Old, And Under:
Number Of Occupants Seventeen Years Old, And Under :
Number Of Occupants Eighteen Years Old, And Over :

Is Your Credit Score Below 650?

Check One Box.


Yes                                  No

Is you Spouse's Credit Score Below 650?

Check One Box.


Yes                                  No

Your Income Source?

Check One Box.


Employed                    HUD\SSI                    Both

Your Spouse's Income Source?

Check One Box.


Employed                    HUD\SSI                    Both

Do You Have Pets?

If Yes, Describe Pets.

Have you or your Spouse ever been evicted?

Check One Box.



Yes                                  No

Comments



Click Yes, that you understand if you have entered any inaccurate information in the above form, your application will be automatically be disqualified.