Rental Application

Landlord:
YWCA Lancaster
110 N. Lime St
Lancaster, Pennsylvania 17602

This Application is made to rent a room in:
YWCA Lancaster
110 N. Lime St
Lancaster, Pennsylvania 17602

For a term of Month to Month rental.

Single Rooms, and shared living space, kitchens and bathrooms.

Applicant must have $800 or more monthly income to qualify.

The following is required at move in day:

  • ID, SS card, Birth Cert and proof of income
  • Security deposit of the first month’s rent of $540.00
  • First month’s rent of $540 (we do not pro-rate the first month’s rent)

The total amount of $1080.00 shall be due upon occupancy of the premises.

  • Date Format: MM slash DD slash YYYY
  • Applicant Information

  • Date Format: MM slash DD slash YYYY
  • Sources of income - Monthly

  • Employment Information

  • Personal References

  • IT IS AGAINST THE LAW TO DISCRIMINATE AGAINST PROSPECTIVE TENANTS ON THE BASIS OF RACE, RELIGION, NATIONAL ORIGIN, AGE, DISABILITY OR FAMILY STATUS. LOCAL OR STATE LAWS MAY INCLUDE ADDITIONAL CLASSES WHICH ARE PROTECTED FROM DISCRIMINATION IN HOUSING.