2500 Federal Ave Suite 357, Williamsport, PA 17701
 
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Apply for an Apartment in Williamsport, Pennsylvania

 
1. List each person in your household starting with yourself. Information will be added to the property's waiting list. Incomplete applications will not be processed.
 
LAST NAME
 
FIRST NAME
 
BIRTHDATE
 
SEX
 
RELATIONSHIP TO YOU
 
ANNUAL INCOME
 
SOCIAL SECURITY NO.
 
STUDENT STATUS F or P/T
 
 
2. Does anyone live with you now who is not listed above?
 
 Yes  No 
 
 
3. Do you expect any change in your household composition?
 
 Yes  No 
 
 
4. If you answered yes to either #2 or #3, please explain:
 
 
 
5. What type of income do you have:
 
 
 
6. Current Address Street Address:
 
 
 
 
 
 
 
7. Are you a US Citizen?
 
 Yes  No 
 
 
8. Please identify any special housing needs that may be required by you or any of the members in your household
 
 
 
9. Are you currently residing in subsidized housing or do you have a Section 8 voucher?
 
 Yes  No 
 
CERTIFICATION
We hereby certify that I/We do/will not maintain a separate subsidized rental unit in another location. I/We further certify that this will be my/our permanent residence. I/We understand I/We must pay a security deposit for the apartment prior to occupancy. I/We understand that our eligibility for housing will be based on applicable income limits and by management's selection criteria. I/We certify that all information in this application is true to the best of my/our knowledge and I/We understand that false statements or information are punishable by law and will lead to cancellation of this application or termination of tenancy after occupancy. I/We further consent to have the Owner/Management Agent verify all of the information contained in this Rental Application as well as my/our credit, landlord, criminal background and personal references.

Any changes in family household income or student status changes are required to be reported to the management office within 10 days of the change.