Rental Application

1091 Carmalt St, Dickson City, PA 18519

Ready by: January 21st, 2025
Monthly Rent: $1,375
Parking: Private Parking
Includes: Water, Sewer, Garbage & In-Unit Laundry
Details: 2 Bedrooms, 1 Bath
location: Dickson City, PA

Ready to fill an application?

Fill out your application to be considered for this available apartment.

Desired Move in Date

Name of Applicant

Phone Number

Email Address

Social Security #

Driver License #

State

Date of Birth

Name of Spouse

Social Security #

Driver License #

State

Date of Birth

Children

Ages

Applicants Employment

Start Date

End Date

PT/FT

Position

Rate Per Hour

Hours Per Week

Address

Phone

Other Income

Proof of income - Pay Stubs or Bank Statements

Present Address

From

Monthly Rate $

Reason for Leaving

Current Landlord

Phone Number

Are you presently receiving welfare or unemployment benefits?

Have you ever filed bankruptcy?

If so, Please give details

Have you ever received a request to vacate, or been evicted from any apartment or other rental property within the last five years?

Applicant represents that above information is true and correct and hereby authorizes investigation and verification of information supplied by applicant via methods which may include, but are not limited to, tenant screening and credit checking. By checking this box, applicant affirms that has read and understands the renting policies included with the application.