Rental Application Form

RENTAL APPLICATION

Equal Housing Opportunity

Please take a few extra moments to review your application before submitting it for processing.

Please check to make sure we have complete information and phone numbers so we may expedite your application quickly.

Incomplete applications will delay processing. Owner/Manager may require additional information.

The undersigned hereby makes application to rent unit # located at beginning on at a monthly rent of $ and security deposit of $ .

Anticipated move in date of .

PLEASE TELL US ABOUT YOURSELF

Full Name    Home Phone ( )

Date of Birth    Social Security #

Email Address    Other Phone ( )

Name of Co-Applicant    Names of Dependents

Co-Applicant Date of Birth    Social Security #

Dependents date of birth

List All Pets

PLEASE GIVE RESIDENTIAL HISTORY (past 3 years, list current first)

Current Address   Apt#   City   State   Zip

Month & year moved in   Reasons for leaving   Rent $

Current Landlord /Agent   Phone ( )

Previous Address (last 3 years)   Rent $

Previous Owner/Agent   Phone ( )

PLEASE GIVE YOUR EMPLOYMENT INFORMATION

Your Status Full Time Part Time Student Unemployed

Employer/ School

Dates employed   Employed as

Supervisor Name   Phone ( )

Salary $ per If employed by above less than 12 months, give name & phone of Previous Employer / School

If there is other sources of income you would like us to consider, please list income, source, and person (banker, employer, or etc) who we could contact for confirmation. You do not have to reveal alimony, child support, or spouse’s annual income unless you want us to consider it in this application.

Amount $   Source/Contact Name

Other annual income $   Source/Contact Name

PLEASE LIST YOUR REFERENCES

Banking Accounts:

Name   Type of Account   Account Number

Name   Type of Account   Account Number

Personal Reference or Emergency Contact:

Name   Address   Phone   Relationship

Your Driver’s License Number   State

Vehicle information   Make/Model   Year   License Plate   State

HAVE YOU EVER:

FILED FOR BANKRUPTCY? YES NO

BEEN EVICTED FROM TENANCY OR BEEN IN A FORCLOSURE? YES NO

WILLFULLY OR INTENTIONALLY REFUSED TO PAY RENT WHEN DUE? YES NO

Please give any additional information that might help the owner/management evaluate this application:

Where may we reach you to discuss this application?

Day Phone #   Night Phone #

Cell Phone #   email address:

I hereby apply to lease the above described premises for the term and upon the set conditions above set forth and agree that the rental is to be payable the first day of each month in advance. As an inducement to the owner of the property and to the agent to accept this application, I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, all of the deposit will be retained to offset the agent’s cost, time, and effort in processing my application.

The credit check fee will be $ , Any credit check fees are not refundable.

I hereby deposit $ as earnest money to be refunded to me if this application is not accepted in 3 business banking days. Upon acceptance of this application, this deposit shall be retained as part of the security deposit. When so approved and accepted, I agree to execute a lease for months before possession is given and to pay the balance of the security deposit prior to the move in date.

The above information is true and correct.

Please sign X Name of Applicant Date

AUTHORIZATION

Release of Information

I agree to permit an investigation of my credit, tenant history, banking, employment, criminal background, and any other screening for the purposes of renting this apartment, and for the building owner/manager to provide our rental referral service your name and other required rental close out information.

Name (please print)

Overnight Parking: Except in areas specifically designated by the Village for on-street overnight permit parking, night parking is prohibited on all Village streets from 2:30am to 6am. The tenant is responsible for providing a legal parking space for tenant’s vehicle during these hours to the extent such parking is not provided by the building owner. Call (708) 358-PARK for more info.

APPLICANT: PLEASE DO NOT WRITE BELOW Office use only

Deposit of $ received by date

Office NOTES:

Sign Now