The Roosevelt Building | Pittsburgh Apartments

Standard Application

Application fee: $100

Upon submitting your application, you will be contacted to collect the application fee.

Today's Date

Desired Floor Plan

Desired Move-In

PERSONAL INFORMATION

First Name

Last Name

Phone

Birthdate

Social Security #

Driver's License #

ADDRESS HISTORY

Current address

How Long?

Reason for Leaving

Monthly rent

Landlord's name

Landlord's Phone

Previous address

How Long?

Reason for Leaving

Monthly rent

Landlord's name

Landlord's Phone

EMPLOYMENT INFORMATION

Employer

Phone

Employer Address

Monthly Income

Name employed as

Start date

End date

Supervisor's Name

Previous Employer

Start date

End date

CO-APPLICANT INFORMATION (leave blank if N/A)

First Name

Last Name

Birthdate

SS#

Driver's License

Employer

Employer Phone

Employer Address

Monthly Income

Employed as

From date

End date

Supervisor

Previous Employer

From date

End date

OTHER OCCUPANTS (Separate by commas; Leave blank if N/A)

Other occupants

CREDIT INFORMATION

Creditor 1

Monthly Payment 1

Acct #

Creditor 2

Monthly Payment 2

Acct #

EMERGENCY CONTACT INFORMATION

Emergency contact

emergency phone

I hereby apply to lease the aforementioned premises for the term set forth. I warrant that all statements set forth are true and correct.

I hereby waive any claim for damages by reason of non-acceptance. Owner or agent may reject without stating any reason for doing so.

I understand that submitting this application does not hold the apartment and that if I wish to hold the apartment, I must submit one month’s rent as a security deposit after the approval of this application.

I recognize that as part of the procedure for processing my application, an investigative consumer report may be prepared and verified through personal interviews. I authorize those sources to release information to NDC Asset Management, Inc. and/or LWE Roosevelt, LP. The lease may be cancelled if any of the enclosed information proves inaccurate.

Acceptance

I understand and accept these terms.

Standard Application

Application fee: $100

Upon submitting your application, you will be contacted to collect the application fee.

MOVE IN
NOW!

Ask for Dana 412-434-1425

Standard Application

Application fee: $100Upon submitting your application, you will be contacted to collect the application fee.

MOVE INNOW!

Ask for Dana 412-434-1425

Application fee: $100

Upon submitting your application, you will be contacted to collect the application fee.

MOVE IN
NOW!