On-line Application Form

We do business in accordance to the Federal Fair Housing Law

Upon submitting this applcation you will be forwarded to a secure website and will need to register and pay your portion of the application fee in the amount of $250 (Note: The total required application fee from all 3 applicants is $750).


Personal Info

Applicant

xxx-xx-xxxx
(xxx)xxx-xxxx

Parent or Guardian

(xxx)xxx-xxxx

Address

Local Address

Permanent Address


Income

How do you plan to pay for your portion of the monthly rent? (please complete all that apply)

Employment

or provide your

Student Loan

Parent or Guardian


Credit Balances

Do you have any credit balances that currently require monthly payments? (fill in amount)


Questions

DCR = Disruptive Conduct Report

General Information

Each occupany must complete and submit a separate Online Application

Payment

Payment can be made by E-check or by a credit or debit card shown below

Go to payment screen

Once you have submitted your application, you will be automatically redirected to our secure payment processor so you may pay for the required $250.00 Application Fee.

Under NEW USER REGISTRATION you will need to provide your name, email address and phone number. (Please be sure you enter the same information as on your application)

Select "Application Payments Only" and choose a password. You will then be able to make your payment.

The undersigned declares that the information on this rental application is ture and correct, and understands that false statements may result in rejection of this and any future applications.

I also hereby authorize Prospect Leasing & Mangement, LLC to verify my past and present employment earning records, bank statements, previous residences, and/or any information given for the purpose of renting including, but not limited to a credit check.

By selecting "I Agree" and submitting this form, you agree to the following Terms and Conditions:
I declare that the foregoing information is true and correct, and authorize its verification and the obtaining of a consumer credit report. I agree that Prospect Leasing & Management may terminate any agreement entered into in reliance on any misstatement made above. I further acknowledge that any deposit monies paid by me will be forfeited should I choose not to complete the lease signing process. I understand that Prospect Leasing & Management and its agents are acting as an agent of the Owners/Landlord pursuant to a Property Mangement or Exclusive Leasing Agreement and may in some cases retain an ownership interest in the properties listed.

Please enter your full name to signify your digital signature

-An application fee in the amount of $250 ($750 total for the group) is hereby deposited to reserve an apartment at Cottage Place Apartments for the upcoming shool year.

- If this application is rejected by Cottage Place Apartments for any reason, the full application fee will be returned to the applicant(s).

- If no units are available at Cottage Place Apartments, the full application fee will be returned to the applicant(s).

- If this application is accepted by Cottage Place Apartments, the application fee will be credited toward the Security Deposit with a balance of $250 ($750 total for the group) due upon lease signing.

- The total Securtiy Deposit amount of $1,500 will be held in an escrow account until the termiation of the lease, The Security Deposit is refundable upon move-out in accordance with Pennsylvania Law.

- If any of the applicants request to cancel this application prior to signing a lease, Cottage Place Apartments shall be entitled to retain the full application fee. In addition, the applicants will be required to reimburse Cottage Place Apartments for any rent loss as a direct result of the cancellation.