Application | Lancaster Apartments

Personal Information

Apartment Unit*

Date*

Name*

First Middle Last

Phone*

Email*

Where did you hear of Lancaster Apartments?

Date of Birth*

MM

DD

YYYY

Social Security Number/Passport Number

If you are an International Student and do not have a Social Security Number, a Passport Number is required.

Driver's License Number

Issuing State

Previous Housing/Background Information

Current Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Current Landlord/Rental Company

Landlord/Rental Company Phone

How long at this address?

Total number of occupants?

Current Rent

Address Prior to Current Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Have you ever been evicted or had rent payment problems?*

Yes
No

Yes, Please Explain*

Have you ever been convicted of a crime?*

Yes
No

Type of conviction?*

Misdemeanor
Felony

Conviction*

State of Conviction*

County of Conviction*

Do you have a pet?*

Yes
No

Employer/Bank Information

Current Employer

Current Salary

Phone

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Bank Name

Bank Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credit Card Type

Issuing Bank

If Different From Above

Guardian/Emergency Contact Information

Parent(s)/Guardian(s)*

First Name	Last Name	Relationship

Parent(s)/Guardian(s) Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent(s)/Guardian(s) Phone*

Parent(s)/Guardian(s) Email*

Emergency Contact(s)

Name	Relationship	Phone

I hereby agree that if any information herein contained is false, the Lease made on the strength of this application, may, at the option of the Owner and/or Agent, be terminated at any time. This application is taken subject to approval of Owner and/or Agent. I authorize Lancaster Apartments to run any credit, criminal and previous landlord check that they deem necessary.

Name of Applicant*

Signature of Applicant