Application For Rental

Proposed Property Information

Property Name*

Property Name*
928-30 Ackerman Avenue
303-05 Beech Street
308 Beech Street
105 Comstock Avenue
107 Comstock Avenue
113 Comstock Avenue
115 Comstock Avenue
201 Comstock Avenue
117-19 Comstock Place
125-27 Comstock Place
137 Comstock Place
1005 East Colvin Street
1014 East Colvin Street
1022 East Colvin Street
1110 East Colvin Street
1111 East Colvin Street
1124-26 East Colvin Street
918 East Colvin Street
928 East Colvin Street
1308 East Fayette Street
1310 East Fayette Street
1407 East Fayette Street
1408 East Fayette Street
1412 East Fayette Street
1316 East Genesee Street
1322 East Genesee Street
1400 East Genesee Street
1406-08 East Genesee Street
1412-14 East Genesee Street
1418-20 East Genesee Street
1505 East Genesee Street
1929 East Genesee Street
2005 East Genesee Street
203 Harriette Avenue
244 Harriette Avenue
101 Lorraine Avenue
120 Lorraine Avenue
124 Lorraine Avenue
232 Lorraine Avenue
240 Lorraine Avenue
286 Lorraine Avenue
1201 Madison Street
1316-18 Madison Street
315 South Beech Street
408 South Beech Street
205 Westcott
316 Westcott Street
318 Westcott Street
320 Westcott Street
321 Westcott Street
321.5 Westcott Street
327 Westcott Street
410 Westcott Street
417 Westcott Street
421 Westcott Street
535 Westcott Street
618 Westcott Street
416 Westcott Street
412 Westcott Street
147 Jamesville Avenue
233 Amherst Avenue
539-41 Columbus Avenue
147 Cambridge Street
856 Lancaster Avenue
854 Lancaster Avenue

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Property Type*

Apartment*

Apartment*

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First Name*

Applicant Information

Last Name*

SSN or Passport#

Driver's License#

State Issued

Birth Date*

Home Phone*

Cell Phone*

Email*

Parent's Information

Mother Name

Address

Phone*

Father Name

Address

Phone*

Current Address

Street Address

City

State

Zip

Date In*

Date Out*

Landlord Name

Landlord Phone

Monthly Rent $*

Reason For Leaving

Student Information

What College Do You Attend?

Current Year or Status

Begin Date*

End Date*

Student ID

I the undersigned, authorize University Hill Apartments, Landlord and its agents to obtain an investigative consumer credit report including but not limited to credit history and landlord/tenant court record search. I authorize the release of information from previous or current landlords, employers, and bank representatives. This investigation is for resident screening purposes only, and is strictly condential.

NOTE: Please provide a copy of Driver’s License or Passport with this application.

Signature*

License/Passport's Copy*

Date*

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(315) 642-2000

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Application For Rental

Proposed Property Information

Applicant Information

Parent's Information

Current Address

Student Information

NOTE: Please provide a copy of Driver’s License or Passport with this application.

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