Lease Application • CBC Syracuse // Copper Beech Commons

Lease Application Form

Name*

Email*

Cellphone #*

Home Address*

College or University Affiliation If Applicable

Current Class Standing*

Sex*

Date of Birth*

Anticipated Move-in Date*

Requested Apartment Type*

Have you ever filed for bankruptcy? *

Yes

Have you ever been convicted of and/or pled "guilty" or "no contest" to any felony regardless of whether such action resulted in jail or prison time served and/or deferred adjudication?*

Yes

Have you ever been convicted of and/or pled "guilty" or "no contest" to any misdemeanor involving theft, burglary, pornography, physical assault, indecent exposure, sexual molestation and/or any unlawful conduct involving a minor?*

Yes

Are you currently on probation, parole or suspended sentence for any conviction?*

Yes

Parent/Guarantor Information:

Name*

Relationship to Applicant*

Parent/Guarantor Phone Number*

Parent Address **

Parent Email*

Are you human?*

This field should be left blank

CBC

300 University Ave,

Syracuse, NY 13210

Phone: (315) 565-7555
Toll Free: (855) 277-7555

Questions?

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