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Online Universal 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
Are you a U.S. Citizen?
Yes  No *
Property Requested
When Needed?

If not a U.S. Citizen, CBS Rentals LLC requires you to fill out the Non-U.S. Citizen Information Sheet.

Other Occupants
Name
Age
Relationship
Name
Age
Relationship
Name
Age
Relationship
Residences
Present Address
How Long
Monthly Rent
Monthly Mortgage
Landlord/Mortgagor
Previous Address
How Long
Monthly Rent
Monthly Mortgage
Landlord/Mortgagor
Employment/Income Information
Current Employer
Business Address
City
State
Zip
Position
Salary
How Long?
Phone
Supervisor
Previous Employer *
Business Address
City
State
Zip
Position
Salary
How Long?
Phone
Supervisor

* Required only if present employment is less than 18 months.

Other Income
Amount
Source
Vehicle Information
Driver's License No.
License State
Auto Make/Model/Year
Auto Color
Auto Tag Number
Tag State
Emergency Contact
Contact Name
Relationship
Phone 1
Phone 2
Street Address
City
State
Zip
Legal
Are there any outstanding judgments or collections against you? Yes  No
Have you declared bankruptcy within the past 14 years? Yes  No
Have you been evicted for non-payment of rent or lease violations? Yes  No
Have you ever been charged with or convicted of a crime?
(not including traffic violations)
Yes  No
If so, please provide details including nature of charge, date, city/county and state, and sentence if convicted:
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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