139.pdf - PO BOX 883 W EST C HESTER PA 19380 P H 610.696.0953 F AX 610.696.0117 WWW ZUKINREALTYINC COM STUDENT RENTAL APPLICATION Date The information

139.pdf - PO BOX 883 W EST C HESTER PA 19380 P H...

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PO BOX 883. W EST C HESTER , PA 19380 ± P H : 610.696.0953 ± F AX : 610.696.0117 ± WWW . ZUKINREALTYINC . COM STUDENT RENTAL APPLICATION Date: Rental Agent: The information in this section is to be filled out by a rental agent The undersigned hereby makes application to rent the unit located at Apartment Location (Premises): Lease Commencement: Lease Expiration: Monthly Rent: Extra Tenant Fee: Utility Budget (if applicable): Misc.: Total payable to landlord (monthly): Student Information Ful l Nam e: Soc ial S ec ur it y # DOB : Your Status (check all that apply): ± Full Time Student ± Part time Student ± Full Time Employee ± Part Time Employee Anticipated date of graduation: Employ e r : Ti m e at pos iti on: Supervisor Nam e: Phone : Salary: $ per Previous e mploy e r : If there are other sources of income you would like us to consider, please list income, source and person (banker, employer, or etc.) who we could contact for confirmation. Amount : $ Sour ce/ Cont act nam e: HOW DID YOU HEAR ABOUT US?: _____________________________________________________________ Nonrefundable $100.00 Application Fee Per Tenant Applicant : PAID $2000.00 Retainer Fee Total Per Group :
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