~ ECM Realty ~

870 West Fourth Street, Suite 1

Williamsport, PA 17701

Phone: 570-320-0459

E-mail: office@ecmrealty.com

"PROVIDING DISTINCTIVE and SECURE HOUSING"

"Welcome to your new Home"

 

  HOME       ABOUT US          CONTACT US          QUICK APPLY 

 * Our Offices are located on the First Floor

 

  SEARCH BY UNIT TYPE  

  VIEW PROPERTIES 

  OUR LOCATIONS 

  TENANT AREA 

  FAQ 

  CAMPUS MAP 

  PROFESSIONAL UNITS 

  VICTORIAN CHRISTMAS 

 

 EPA LEAD Brochure

RESIDENTIAL APPLICATION

Please provide us with the following information.

For general questions, please visit the FAQ or feel free to CONTACT US .  Thank You!!

Which Property you are Applying for?     Apt No.:

1.  APPLICANT INFORMATION:

First Name:    Middle:   Last Name:

       Phone: (xxx-xxx-xxxx)         E-mail Address:

         SSN.: (xxxxxxxxx)                Date of Birth:  (MMDDYYYY)

Drivers License No.:      State:

 

First Name:    Middle:   Last Name:

       Phone: (xxx-xxx-xxxx)         E-mail Address:

         SSN.: (xxxxxxxxx)                Date of Birth:  (MMDDYYYY)

Drivers License No.:      State:

2.  CURRENT LANDLORD INFORMATION:

 Landlord's Name:    Phone: (xxx-xxx-xxxx)

 Current Street Address:    Apt No.:

                   City:     State:     Zip:

               Dates:       to   

 Monthly Rent:  Utilities You Pay:  (Press & Hold Shift for Several Selections)

 Why are you moving?:    

 Number of Occupants?  Adults      Children    Children Ages?

3.  VEHICLE(S) INFORMATION:

Vehicle 1:  Make:     Model:     Year:     

 Color:   License Plate No.:     State:

Vehicle Registered To: First Name:    Last Name:

Vehicle 2:  Make:     Model:     Year:     Color:

License Plate No.:     State:

Vehicle Registered To: First Name:    Last Name:

4.  EMPLOYMENT & INCOME INFORMATION:

Name of Current Employer:

         Address of Employer:  

              Supervisor Name:   Supervisor Phone: (xxx-xxx-xxxx)

 Dates of Employment:   to    Monthly Net Income: $

Name of Current Employer:

         Address of Employer:  

              Supervisor Name:   Supervisor Phone: (xxx-xxx-xxxx)

 Dates of Employment:   to     Monthly Net Income: $

Other Type of Income:           Monthly Net Income: $

Other Type of Income:           Monthly Net Income: $

Other Type of Income:           Monthly Net Income: $

5.  CREDIT INFORMATION:

Have you ever been evicted?

Have you ever declared Bankruptcy?

May we conduct a Background Check?

Do you have a Credit Card?

Bank Name:  Phone:

    Address:     State:     Zip:

   Checking Account Number:    Savings Account Number: 

 Do you object to a 1-year lease agreement?  

 What date are you looking to move in?  (MMDDYYYY)

6. Please let us know how you heard about us.

                                        (NOTE: HOLD down the CTRL key for multiple selections)

7.  Please list any additional questions or comments you may have: (80 characters max per line)

 Line 1:

 Line 2:

 Line 3:

 

8.  Applicant understands there is a $25 application fee which must paid to ECM Realty before this application will be considered.

   Applicant understands ECM Realty will conduct a complete financial, civil, and criminal background check.

   Signature (Required): By typing my name below, applicant agrees that all information is true, complete, and correct.

 

Full Name:      Date:  (MMDDYYYY)

Full Name:      Date:  (MMDDYYYY)

 

Please check the form for errors and completion before submitting.

Thank You.