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Landlord Contact Information  \nIf the applicant wishes to have more information about the rental unit, please contact   [Landlord Name] at:  \nEmail Address:   [Contact Email]  \nPhone:   [Contact Phone]  \n2. Applicant Information  \nName of Applicant: ____________________[Name of Applicant]  \nDate ofBirth: ____________________[Date ofBirth]  \nSocial Security Number:    \nDriver's license number or any valid ID:   State:   Expires:    \nAddress:   [Applicant Address]  \nEmail Address:   [Applicant Email]  \nPhone:   [Applicant Contact Phone]  \n3. Property Information  \nThe property is located at the following address:  \n___________________________________________________________________________________  \n_______________________________________________________________________________  \nThe property will be available for the potential Tenant to move in on   [Date of Availability] .  \n[RentAgreementForm.com](RentAgreementForm.com) Page 1 of 5  \nThe applicant proposes to move in on the following date:☐ Date of Availability as assigned by the Landlord.  \n☐ Proposed move-in date on   [Move-in Date] .  \n4. Lease Term  \nType of Lease Term:  \n☐ Fixed Term [Fixed Term beginning on the   and ending on the   ] .☐ Month-to-Month  \n☐ Year-to-Year  \n☐ Unspecific  \n5. Payment  \nThe applicant shall pay $   [Rent Amount] as rent. The rental payment shall be made as follows:  \n☐ Weekly ☐ Monthly  \n6. Security Deposit  \n☐ The applicant shall pay an initial deposit in the amount of $   [Security Deposit Amount] .☐ The applicant shall not pay any amount for a security deposit  \n7. Other Occupant’s Information  \nName:     \nRelation to Applicant:   Date ofBirth:    \nName:     \n[RentAgreementForm.com](RentAgreementForm.com) Page 2 of 5  \nRelation to Applicant:   Date ofBirth:    \nName:     \nRelation to Applicant:   Date ofBirth:    \nName:     \nRelation to Applicant:   Date ofBirth:    \n8. Application Fee  \nThe Applicant shall pay a Non-Refundable Application Fee in the following amount of $   [Application Fee Amount] .  \nThis Non-Refundable Application Fee is not a deposit and does not apply toward rent unless specified, should the applicant, after the qualifying process, be accepted as a Tenant. The application fee is to cover the costs of qualifying the applicant as a prospective Tenant.  \nThe applicant will pay the application fee through the following methods:☐ Cash  \n☐ Credit Card  \n☐ Paypal  \n☐ Money Order  \n9. Previous Residence Information  \nPresent Address:   [Present Address]  \nDuration of the Lease: years  months    \nPayment: __________[Payment Amount]  \nLandlord Name:   [Landlord Name]  \nTelephone Number: ____________________[Landlord Telephone Number]  \nPrevious Address:   [Present Address]  \nDuration of the Lease: years  months    \n[RentAgreementForm.com](RentAgreementForm.com) Page 3 of 5  \nPayment: ____________________[Payment Amount]  \nLandlord Name:   [Landlord Name]  \nTelephone Number: ____________________[Landlord Telephone Number]  \n10. Credit and Financial Information  \n1. Bank:  \nAccount Type:  \nAccount Number:  \nBranch Location:  \n2. Bank:  \nAccount Type:  \nAccount Number:  \nBranch Location:  \n3. Bank:  \nAccount Type:  \nAccount Number:  \nBranch Location:  \n11. Emergency Contact  \nEmergency Contact Name: ____________________[Contact Name] Emergency Contact Address: ____________________[Contact Address]  \nEmail Address:   [Contact Email]  \nPhone:   [Contact Phone]  \n[RentAgreementForm.com](RentAgreementForm.com) Page 4 of 5  \nPlease state any further information you would like the owner/ agent to consider:  \n\n|  |\n| --- |\n|  |\n|  |\n| . |\n\nAuthority for Release of Information  \nThis release will constitute my consent and authority to examine statements and information regarding my background.  \nI authorize you to contact my/our present and previous landlords, law enforcement agencies, credit agencies, and other references listed above.  \nI hereby authorize the release of any and all data or recor","cbCaio6thboFzLlV","https://ap.wps.com/l/cbCaio6thboFzLlV","pdf",10421,"English","# Landlord Contact Information\n# Applicant Information\n# Property Information\n# Lease Term\n# Payment and Security Deposit\n# Other Occupant’s Information\n# Application Fee\n# Previous Residence Information\n# Credit and Financial Information\n# Emergency Contact\n# Authority for Release of Information","[{\"question\":\"What information does the form collect from the applicant?\",\"answer\":\"It collects the applicant’s name, date of birth, Social Security number, driver’s license/valid ID details, address, email, and phone.\"},{\"question\":\"How does the form handle lease terms and move-in dates?\",\"answer\":\"It asks for the lease term type (fixed term, month-to-month, year-to-year, or unspecified) and the property availability and/or proposed move-in date.\"},{\"question\":\"What does the “Authority for Release of Information” section authorize?\",\"answer\":\"It authorizes the verification of background statements and information, including contacting current and previous landlords, law enforcement, credit agencies, and releasing data/records for the rental history investigation.\"}]","PENNSYLVANIA RENTAL APPLICATION FORM | PDF",1789834742]