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Online Student Lease Application

To download a PDF version of this application, Click Here

Personal Information
First Name
Middle
Last
Date of Birth
Social Security No.
Email
Cell Phone
Phone 2
Current Street Address
City
State
Zip
Country
Monthly Rent
How Long There?
Landlord
Landlord Phone
Student Status
Educational Institution
Major
What year Student?
Type of Student
Fraternity/Sorority
Student ID No
Vehicle Information
Driver's License No.
License State
Auto Make/Model/Year
Auto Color
Auto Tag Number
Tag State
Property Preferences
1.
2.
3.
4.
5.
6.
Roommates

(Separate applications required for non-dependent occupants over age 18)

Name
Name
Name
Name
Name
Name
Name
Name
Name
Emergency Contact
Contact Name
Relationship
Phone 1
Phone 2
Street Address
City
State
Zip
How did you learn about our properties?
Friend / word of mouth cbsrentals.com Daily Progress
Visited property BRAC.com The Hook
Sprint Yellow Pages Cavalier Daily Other (explain below)
UVa Phone Directory Drive by / Curb appeal
Equal Housing

Our properties will be shown and made available to all persons without regard to race, color, religion, national origin, sex, familial status, disability, or elderliness in compliance with all applicable federal, state and local housing laws and regulations.

Terms & Conditions
  1. Rental rates are subject to change without notice pending full lease execution.
  2. A non-refundable $35.00 application fee is charged to cover our expenses incurred in verifying the information you provided on this application. Applicants filing this information electronically must either mail applicable fees and copy of photo identification to: CBS Rentals LLC, PO Box 1414, Charlottesville, VA 22902 or bring the fees and photo identification to the rental office at 120 13th Street NW, Charlottesville, VA 22903. Applications received without fees and copies of photo identification are deemed incomplete and will not be processed.
  3. Inquiries are made to obtain information regarding applicant's credit history, rental or mortgage history, and student or employment status. I hereby authorize CBS Rentals LLC's agents to make these inquiries and verifications. I also authorize my employer, landlord and creditors to furnish any information as requested by CBS Rentals LLC for the purposes of processing this application.
  4. I certify that I am above legal age and the above information is true and correct to the best of my knowledge. I understand that any lease agreement made on the basis of the above information may be terminated at any time at CBS Rentals LLC's option if this information is found to be false.
  5. A copy of the criteria used to determine your eligibility to rent (Statement of Rental Policy) is available to you upon request.
  6. In lieu of an original signature to this agreement, landlord will accept a valid and legitimate electronic and/or facsimile signature of the resident. In doing so, resident hereby acknowledges his/her endorsement and acceptance of this agreement, and he/she waives any challenge to the validity of this agreement based on residents endorsement by electronic and/or facsimile signature.

By checking this box, you agree to the terms and conditions contained in this application.

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