Application Form

Application Form
IF MORE THAN 1 ADULT WILL BE ON THE LEASE, THEY WILL NEED TO COMPLETE A SEPARATE RENTAL APPLICATION FORM.
Number of Adult Occupants*
This application is made to rent:

116 Cider Drive
York Springs, Pennsylvania 17372

For a term of Month-to-month.

2 off-street parking spots

The rent shall be $1,400.00 or $1,450.00(with a pet) per month, payable in advance. Utilities paid by tenant.

Pet Rent is to be 50$ per pet on a monthly basis (max of 2 pets).

Utilities are to be paid by the tenant

The following deposits are required:

Security Deposit of $1,400.00 or $1,450.00(with a pet)
Pet Deposit of $250.00 (If applicable)

The total amount of $1,400.00(No pet) or $1,450.00 (with a pet) shall be due upon signature of the lease.

An application deposit of $50.00 is due with this application.

*The application fee will be reimbursed to the applicant when a lease agreement is signed.*

The applicant understands that the landlord may perform a credit check to verify the applicant's credit references and credit history in connection with the processing of this rental application. The applicant understands that the landlord may also perform a background check.
Number of Children (under 18) Occupants*
Do you or any other occupants smoke?*
Please provide names of other tenants, including anyone who will live with you, even if on a temporary basis. If none put "N/A"*
IF MORE THAN 1 ADULT WILL BE ON THE LEASE, THEY WILL NEED TO COMPLETE A SEPARATE RENTAL APPLICATION FORM.
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Please enter a valid phone number.
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Landlord's name and number. "N/A" if not applicable*
Current rent. “N/A” if not applicable*
Social Security Number:*
Drivers License Number. "N/A" if not Applicable: *
License Plate Number(s). "N/A" if not applicable:*
Are you currently employed?*

YesNo
Current Employer*
Business Number*
Length of Employment*
Position*
Monthly Salary/Wage*
List all other sources of income (ex. Government Assistance, Child Support/Alimony)*
Prior Employer*
Business Number*
Length of Employment*
Position*
Preferred Move in Date*

MonthDayYear
Do you have pets?*

YesNo
Please list all pets: breed/weight & indoor/outdoor. (If none put "NA")*
Have you ever been evicted?*

YesNo
If you answered yes, please explain (if none put "NA"):*
Have you ever been convicted of a felony?*

YesNo
If you answered yes, please explain (if none put "NA"):*
Have you ever willfully and intentionally refused to pay rent when due?*

YesNo
If you answered yes, please explain (if none put "NA"):*
Are there any circumstances that may interrupt your income or ability to pay rent? If yes, please explain in the box below.*

YesNo
If you answered yes, please explain (if none put "NA"):*
Have you ever declared bankruptcy?*

YesNo
If you answered yes, please explain (if none put "NA"):*
By submitting this application you agree: 1) To pay the application fee of $50. 2) The information provided herein is complete and accurate. Providing incomplete and/or false information could result in the rejection of the application. 3) Submission of this application does not guarantee a lease agreement, which is reserved only upon signing of a completed lease agreement by all parties. Additionally, no other agreements, either written or oral, are binding on applicant, owner or owner's agents until the completed lease agreement is signed by all parties. 4) Additional information may be required in order to process your application. Our management team will contact you upon receipt of this online application to obtain any additional information necessary to complete the processing of your application. 5) Optimal Investments is authorized to verify the references and employment information given in this application and to request a credit check.
Confirm*

I Agree
Signature*

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Payment Amount*

USDDescription

Payment Methods

Credit Card

Cash App Pay

IF MORE THAN 1 ADULT WILL BE ON THE LEASE, THEY WILL NEED TO COMPLETE A SEPARATE RENTAL APPLICATION FORM.
Should be Empty:

Application Form

IF MORE THAN 1 ADULT WILL BE ON THE LEASE, THEY WILL NEED TO COMPLETE A SEPARATE RENTAL APPLICATION FORM.

Payment Methods

IF MORE THAN 1 ADULT WILL BE ON THE LEASE, THEY WILL NEED TO COMPLETE A SEPARATE RENTAL APPLICATION FORM.