Apartment size requested *
Request garage parking
Number of Persons Living in Apartment *

Rental History
Dates of Occupancy:

Dates of Occupancy:

Employment History
Length of Employment:

Length of Employment:

Length of Employment:

Vehicle Information

In Case of Emergency

Are you or any other person who will be occupying the Property required to register as a sex offender or child-victim offender? *
Have you or any other person who will be occupying the Property ever been convicted of a sexually-oriented offense or child-victim offense? *

Resident Acknowledgement
I hereby agree to rent this suite for the lease term stated above in accordance with the information above.  I understand that the Holding Fee Payment made on this date is not a security deposit but will be re-designated as a payment toward the Security Deposit when I sign the Lease and take possession of my unit.  Any amount of the Holding Fee Payment or Security Deposit not returned to me shall be considered liquidated damages, it being specifically understood and agreed by me that the damages suffered by The Levin Group due to my election not to sign the Lease or take possession of my unit after I sign the Lease are difficult to ascertain and prove.
Upon completing this application, you will be redirected to PayPal to finalize your holding fee payment. Additionally, a one-time online convenience fee of $25.00 for a one bedroom apartment and $30.00 for a two bedroom apartment will be added to your first month's rent.

I understand that if my application is approved and I sign a lease for the apartment, I will be required to obtain and maintain throughout my tenancy renter’s insurance coverage for my personal property located within the Premises and be required to provide proof of renter’s insurance to Management at move-in and at each renewal.  I further understand that I will be required to obtain and maintain throughout my tenancy property damage liability coverage in the minimum amount of $100,000.00 per occurrence either through a provider of my choice or by electing to participate in the property damage loss waiver option program offered by Management.

Fair Credit Reporting Act Pre-Notification

This is to advise you that part of our processing your application may include an investigative report (for example credit report, criminal report) whereby information is obtained through personal interviews with third parties, such as business associates, financial sources or friends. This inquiry includes information as to your character, general reputation, personal characteristics, mode of living. You have the right to make a written request within a reasonable period of times for a complete disclosure of information concerning the nature and scope of the investigation. 

By clicking "I Agree" below, applicant warrants and represents that he/she has read this application and that all statements herein are true and agrees if accepted to execute upon presentation a lease agreement in the usual form and on the terms and conditions therein stated, which lease or agreement may be terminated by the Lessor if any statement made herein is not true.