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2400 Chestnut Associates
Apartment Rental Application


Please fill out the following form, print it, sign it and fax it to us at 215-561-5536. Thank you!

Personal Information:

Name: Cell #:

E-Mail:

Birthdate: SSN:

Spouse: Cell #:

Birthdate: SSN:

Marital Status:   Single   Married   Divorced   Separated   Widowed

Additional Occupants in Apartment:

Name: Cell #:

Age: Relationship:

Name: Cell #:

Age: Relationship:

Present Residence:

Street:

Apt/Suite:

City: State: Zip:

Country: How long?

Rent: Phone:

Landlord's Name:

Landlord's Phone:

Previous Residence:

Street:

Apt/Suite:

City: State: Zip:

Country: How long?

Rent: Phone:

Landlord's Name:

Landlord's Phone:

Reason for Moving:


Permanent/Parent's Residence (i.e., for students):

Street:

Apt/Suite:

City: State: Zip:

Country:

Phone:

Employment:

Employer/School:

Supervisor:

Street:

City: State:

Phone:

Occupation:

Income: How long?

Spouse's Employer:

Supervisor:

Street:

City: State:

Phone:

Occupation:

Income: How long?

School Attending:

How long?

Graduate Program:

Level: Year Graduating:

Banking Information:

Bank Name: Account Type:

Bank Name: Account Type:

Reference (Other than a relative):

Name: Phone:

Address:

Credit Cards:

Company/Bank:

Card Type:

Company/Bank:

Card Type:

Car Information:

Will you have a car?: License Plate #:

Year/Make: Model/Color:

Referred By:

Phone:

Address:

Have you or anyone who is included in this apartment rental application ever been:

Evicted from any residential or business occupancy?    Yes   No  

The owner of real estate which was foreclosed?    Yes   No  

Convicted of a felony?    Yes   No  

Placed under a restraining order?    Yes   No  

Is your personal property encumbered by judgment or lien?   Yes   No  

If your answer is "Yes" to any of the above questions, please explain below:



We understand that waterbeds are not permitted and keeping pets is prohibited without specific advance written approval and agree that we will not maintain or keep pets or waterbeds while we are occupants of 2400 Chestnut Street. We further understand that failure to comply herewith shall constitute a lease violation.

If applicant has misstated the number of persons in family or the number of persons intended to occupy the apartment or if applicant(s) made any misstatements of fact in this application, 2400 Chestnut Associates may reject the application and retain as liquidated damages, for the reasons set forth, all monies paid pursuant to this application. Any such misstatement shall also constitute a breach of a lease entered into pursuant to this application.

Applicant(s) represent(s) that no real estate broker or any other person is entitled to any commission whatsoever for this rental.

If application is accepted, leases for the apartment designated, ready for signature, will be available to applicant(s) at 2400 Chestnut Street rental office. Applicant agrees to sign the said lease within ten days after date of notice of approval and pay the balance due for security deposit and first month's rent plus whatever other monies may be due.

Applicant further agrees that 2400 Chestnut Street Associates may retain, as liquidated damages, monies paid pursuant to this application, in the event that applicant fails to execute said lease within the ten day period. In the latter event, 2400 Chestnut Associates acceptance of this application shall be automatically withdrawn and leases shall be deemed null and void.

Applicant(s) hereby authorizes the agents of 2400 Chestnut Associates to make investigation as to applicant(s) character, reputation, credit, personal characteristics, and mode of living. The nature of any investigation will be furnished upon applicant's written request within a reasonable time. Said investigation will be without charge to applicant if application is approved.

Applicant(s) intends to be legally bound hereby.

   
Applicant Signature Date

   
Applicant Signature Date


- All applicants must provide proof of identification (photo I.D.)
- Proof of employment and/or verification of graduate school is required

Fax To: 2400 Chestnut Associates, 215-561-5536


2400 Chestnut Leasing Office Hours:
Mon - Fri: 9:30 AM - 5:00 PM; Sat - Sun: By Appointment Only
Phone: (215) 561-2700
Fax: (215) 561-5536
E-mail: apartments@2400chestnut.com