Westover Station Apartments
805 Roam Court
Newport News, Virginia 23605
Toll Free Telephone:  1-877-247-7956
Web:  www.RentWithWestoverStation.com       E-mail:  westover@perrel.com

Westover Station Apartments does not discriminate against any prospective resident or employee because of their race, creed, age, religion, sex, familial status, or disability.

Any misrepresented, misleading, incorrect or untrue statement discovered at any time will result in application rejection or lease termination.

Application Fee: $32 per Application
Security Deposit: Is based on credit worthiness/not to exceed the equivalent of two months rent but not less than $300
Applicant type: Individual   Co-Applicant
Applicant Information
Personal Information
Date of Birth:
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Phone Number:
Cell Number:
Automobile Information
Driver License #:
Expires: Click Here
License plate#

Marital Status:
Single     Married    

Residential History
Current Address
State: Zip:
Ownership: Rent   Own
Previous Address
Rent   Own
Employment Information
Phone Number:
Do you have more than second job?
Yes     No
Supervisor Name:

Supervisor Phone Number:

Title/ PayGrade:
Monthly Income:
Hire Date:
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Length of Employment:
years     months

Unit Type Requested
Unit Type:   1 Bedroom   2 Bedroom   3 Bedroom      
Date Desired:
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Applicant Questions
Have you ever lived at Westover Station Apartments? Yes   No
If so, date of tenancy? 

Have you ever been evicted from any tenancy?
Yes   No

Have you or any member of your household been convicted of any felonies or misdemeanors (other than routine traffic offenses)? Yes   No

List all States lived in since age of 18:

Emergency Contact (Nearest relative not residing in the apartment.):
Name: Relationship: Phone Number:

Where did you hear about Westover Station Apartments?
Sign on Street

Westover Station Apartments Web Site


Financial Information   **You must enter an amount in each box.  If it doesn't apply to you enter a zero (0).
Household Eligibility
ObligationMonthly PaymentBalanceName
Child Support

Cash on Hand
Cash in your possession today: $   Cash you receive as gifts: $  
How often you receive cash gifts: 

Bank AccountsBank NameBalance
Checking Acct  Yes   No
Savings Acct    Yes   No

Income SourceMonthly IncomeBook Value or Balance
Stock/Bond Dividends
Interest Income (all sources)
Social Security and/or SSI 
Child Support 
AFDC/Government Assistance 
Unemployment Compensation 
Value of all Assets including Stocks, Bonds, Trusts, Pension Contributions,
IRAs, Keogh Accounts and Certificates of Deposits
Do you own a home or other real estate? Yes   No
Did you have any assets in the last two years not listed above?   Yes   No
If yes, did you dispose of the assets for less than fair market value?   Yes   No

If yes, list asset, market value at time of disposition, amount received and date disposed in the fields below.

AssetMarket ValueAmount ReceivedDate Disposed

Are all members of your household full-time students?   Yes   No
Does any member of your household work for an organization that pays them in cash?   Yes   No
Is any member of your household on leave of absence from work due to lay-off, medical, maternity or military leave?   Yes   No
If yes, fill in the fields below.
Name of person on leaveType of LeaveLeave Start DateLeave End Date
I hereby certify that I am   am not entitled to child support payments from any person or agency for the children listed above.
Indicate Amount Entitled To: $ Source:
Indicate actual amount received if more than amount entitled to: $

If I am not entitled to support, the reason is:
Please list all people, including children, who will reside in the apartment:
First: MI: Last: Relation: DOB: SS#: Gender:

Application Completion
All Signatories to this application understand and agree to the following:
  1. I hereby authorize Westover Station Apartments to obtain consumer reports, and any other information it deems necessary, for the purpose of evaluating my application. I understand that such information may include, but is not limited to credit history, civil and criminal information, records of arrest, rental history, employment/salary details, vehicle records, licensing records, and/or any other necessary information. I understand that subsequent consumer reports may be obtained and utilized under this authorization in connection with an update, renewal, extension or collection with respect or in connection with the rental or lease of a residence for which application was made. I hereby expressly release Westover Station Apartments, and any procurer or furnisher of information, from any liability whatsoever in the use, procurement, or furnishing of such information, and understand that my application information may be provided to various local, state and/or federal government agencies, including without limitation, various law enforcement agencies. I further certify that the statements made in this application are true and complete to the best of my knowledge and belief and are aware that false statements may result in rejection of your lease or lease agreement termination at a later date and are punishable under Federal law.
  2. Rents are promptly due on the 1st of each month. Rents paid after the fifth will incur a late charge. Two late payments constitute grounds for automatic eviction under Virginia law.
  3. Pets, other than small birds and fish, are not allowed for any reason. Any resident introducing a pet into their apartment will pay a pet assessment charge of $200 and their lease will be terminated.
  4. Proof of renter's insurance with a minimum of 100,000.00 General Liability is required prior to occupancy, naming Westover Station Apartments as additional certificate holder.  Refer to the Resident Guide for additional requirements.
  5. Subletting is never permitted. Only those residents who have specifically executed a lease agreement with Westover Station Apartments are permitted occupancy. Residency by others is grounds for immediate termination of the lease agreement and forfeiture of security deposit.
  6. All apartments are to be kept clean, safe and quiet. Management reserves the right with prior notice to make an inspection of any apartment.
  7. The holding fee submitted with this application will reserve your apartment for occupancy on the move-in date. At that time, the holding fee will be applied as the Security Deposit. Applicant(s) may cancel this application within seventy-two hours of application submittal without penalty for full return of the holding fee. Upon approval of this application and after the initial seventy-two hour grace period, applicant(s) are irrevocably bound to the full term of the lease. Should the applicant(s) elect to cancel or fail to move-in after the seventy-two hour grace period, the applicant(s) shall continue to be responsible for the rental payments during the term of the lease or until the apartment is re-rented. Similarly, applicant(s) shall also be responsible for reimbursement of all marketing costs until the apartment is otherwise assigned or re-rented to another applicant(s).
  8. Recreational and commercial vehicles are prohibited on the premises; motorcycles are allowed by conditional permit only.
  9. The application fee of $32.00 is non-refundable and shall be paid by credit/debit card or money order payable to: Westover Station Apartments.
  10. This application along with all supporting documentation will expire ninety (90) days from the date this application is signed.  If you are on a waiting list, we will re-verify all information provided at no additional charge to applicant.


As provided by the Government Data Collection and Dissemination Practices Act anyone who is requested to provide personal information about himself must be informed whether he is legally required to provide such information, or whether he may refuse to supply the information requested. As an applicant for housing financed to the Virginia Housing Development Authority, you are requested to provide certain information that will enable Westover Station Apartments to complete Virginia Housing Form, "Tenant Income Certification."

The information requested will be used to determine an adjusted annual income which you and your family receive from all income sources. This is necessary because the Rules and Regulations adopted pursuant to the Authority conferred on the Virginia Housing Development Authority limit eligibility for initial occupancy to families whose adjusted income does not exceed certain established limits. In addition, it is necessary to know the composition of your family (number of dependents) so that the proper size of dwelling unit may be authorized for you and your family.

Although you are not legally required to provide the information requested, your failure to do so will result in our inability to determine your eligibility for housing in this development.

Copies of the completed "Tenant Income Certification"are sent by this management agent/owner to the Virginia Housing Development Authority, 601 South Belvidere Street, Richmond, VA 23220. It is possible that information provided by you will be revealed to others for the purpose of confirmation or for other purposes in accordance with the Virginia Freedom of Information Act, but any information so supplied is subject to the safeguards of the Government Data Collection and Dissemination Practices Act.

Valid Photo Identification must be presented prior to final approval of this application.

I, the undersigned Applicant, agree to the above terms and do hereby swear (or affirm) that the information supplied herein is true and complete, to the best of my knowledge and belief.  By clicking "Apply Now" you agree to the terms stated above.  Please enter your full name to signify your digital signature, thereby confirming that you have read and agree with all the above statements and have provided complete and accurate information.  Applicant authorizes verification of references given and declares that the statements made in this application are true and correct and agrees that the landlord may terminate the contract entered into in reliance on any misstatement made in this application.


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