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Jennifer Niederbrach ePro

Direct: (630) 393-2051
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Lease Application

 

Property Address:____________________________________________________________ __

Estimated Occupancy Date: ______________________________________________________

 

Personal Information:

Name of Applicant:______________________________________________________________

Telephone #:_____________________________ Cell #:________________________________

Date of Birth:___________________________________________________________________

Social Security #_________________________Drivers License #:_________________________

Marital Status: Married________  Single________  Divorced________ Separated____________

 

Other Occupants:

ALL ADULT OCCUPANTS ARE REQUIRED TO BE ON LEASE AGREEMENT (18+ years)

Dependants Name________________________     Age_________________________________

                                     ________________________Age__________________________________

                                     ________________________Age__________________________________

                                     ________________________Age__________________________________

 

Current Address:________________________________________________________________

                                City:___________________State:_______________Zip:________________

                                Landlord:______________________________________________________

                                Landlord?s Phone:_______________________________________________

                                Landlord?s Address:_____________________________________________

                                Lived here from:_________________to______________________________

Monthly Rent:___________________________________________________

                                Why are you moving? _____________________________________________

                               

Past Address:___________________________________________________________________

                                City:__________________________________________________________

                                Landlord:______________________________________________________

                                Landlord?s Phone:_______________________________________________

                                Landlord?s Address:______________________________________________

                                Lived here from:_________________to______________________________

Monthly Rent:___________________________________________________

 

Employment History:

Company Name:________________________________Phone:____________________________

Address:______________________________________Employed from______to:______________

Salary:________________________________________Position:___________________________

Supervisor Name:_______________________________Phone:_____________Ext:____________

 

Employment History:

Company Name:________________________________Phone:_____________________________

Address:______________________________________Employed from______to:______________

Salary:________________________________________Position:___________________________

Supervisor Name:_______________________________Phone:_____________Ext:_____________

 

Co-Applicants Employment

Company Name:________________________________Phone:_____________________________

Address:_______________________________________Employed from:______to:_____________

Salary:________________________________________Position :___________________________

Supervisor Name:________________________________Phone:_____________Ext:____________

 

 

 

 

 

 

 

Co-Applicant?s Employment History Continued:

Company Name:________________________________________________________________________

Address:_______________________________________Employed from:______to:__________________

Salary:________________________________________  Position :_______________________________

Supervisor Name:________________________________Phone:_____________Ext:_________________

 

Bank References:

Name of Bank:__________________________________Branch:_________________________________

Checking Account #:_____________________________Savings Account #:________________________

 

Credit References:

Name:_______________________________Acct #_________________________Tel #_______________

Name:_______________________________Acct #_________________________Tel #_______________

Name:_______________________________Acct #_________________________Tel #_______________

 

Vehicles:

Year:__________Make:__________ Model:_________Color:________Plate:__________State_________

Year:__________Make:__________ Model:_________Color:________Plate:__________State_________

Tenant warrants all vehicles are licensed and operate. This property shall not be used for RV or boat storage. Landlord permits 2 vehicles per property. Variances can be made per written request.

 

Has Applicant or Spouse or any other proposed Occupant:

Filed for Bankruptcy?                                                          Yes__________                  No_______________

Been Evicted?                                                                       Yes__________                  No_______________

Willfully or intentionally refused to pay rent?                Yes__________                  No_______________

Had a criminal record?                                                         Yes__________                  No_______________

Been arrested for drug usage or trafficking?                   Yes__________                  No_______________

Explain:

 

Pets:                       Yes___________No__________#__________

                                Type:________________________________ Weight:_________________________

                               

Smoking:                Yes:__________No___________

 

In Case of Emergency, please notify:

Name:___________________________Relationship:______________________Phone:_______________

 

I/We do hereby consent to and authorize_____________________________________________ to obtain,

verify and exchange information on any report concerning me as are maintained by, but not limited to

city, county, state, federal law enforcement agencies, credit reporting agencies, present or past employers,

present or past residences. I understand that any information obtained may be considered by the landlords

in their sole discretion, as a factor in the decisions they make with respect to the dwelling for which I am applying. I/We do hereby certify that the information in this application for lease is accurate, full and

complete. Any discrepancy or lack of information will result in immediate rejection of this application and

termination of the tenants right to possession any subsequent lease agreement. I/We understand that this is

an application and not a lease agreement in whole or part. The $_____________holding Security deposit

is a not refundable if the application is accepted and I/We fail to move in. I/We hereby acknowledge a

Non-Refundable application fee of $35.00 to be used in the processing of this application

 

Signature__________________________________________________________Date:________________

Signature:_________________________________________________________ Date:________________

 

 

 

 

                           

AUTHORIZATION TO ACCESS CREDIT

(PLEASE PRINT AND SIGN WHERE INDICATED)

 

 

_________________________                                  _________________________

Last Name                                                                   Last Name

 

_________________________                                  _________________________

First Name                                                                   First Name

 

_________________________                                  _________________________

Street Address                                                             Street Address

 

_________________________                                  _________________________

City                  State       Zip                                        City                  State        Zip

 

Social Security #_____/_____/_____                           Social Security #_____/_____/_____

 

Are The Applicants Married? _______Yes                   _______No

 

***Note: If you have resided at the above address for less than 2 years, please provide your prior

                residency information:

 

______________________________                                          ______________________________

Street Address                                                                                     Street Address

 

______________________________                                          ______________________________

City                         State              Zip                                                   City                         State              Zip

 

 

 

I hereby authorize access to my/our credit file from national data repositories

as directed in conjunction with my application for rental of real estate.

 

 

 

___________________________________                                              _________________________________

APPLICANT SIGNATURE                DATE                                     CO-APPLICANT SIGNATURE         DATE

 

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