Fillable Printable Illinois Rental Application
Fillable Printable Illinois Rental Application
Illinois Rental Application
2
Page 1 of 2
,//,12,6
APPLICATION FOR LEASE &
AUTHORIZATION FOR CREDIT/BACKGROUND CHECK
LEASE TERMS (If Available) 1
Premises Address
2
Monthly Rental $ Security Deposit $
3
Lease Term From To
4
APPLICANT 5
Name Contact Phone
6
Submit separate applications for each co-applicant. Indicate here the number of additional applications, if any: 7
Present Address
8
E-Mail Address
9
Social Security # Date of Birth
10
Number to Occupy Premises: Adults Children Under 18 Pets
11
Type & Weight of Each Pet
12
Nearest Relative (other than any co-applicant) Relation
13
Address Phone
14
Current Landlord Phone
15
Address
16
Current Rent $ Lease Expires
17
# of Years at Current Address Sharing Premises?
(check one) Yes No How Long? 18
Reason for Moving
19
Previous Address How Long?
20
Previous Landlord Phone
21
Address
22
Do You Smoke?
(check one) Yes No 23
EMPLOYMENT 24
Employer Years
25
Address
26
Position Gross Annual Income $
27
Supervisor's Name Phone
28
Previous Employer
(if current em ployment is under 2 years) 29
Address Years
30
Position Gross Annual Income $
31
Supervisor's Name Phone
32
Applicant Initials:
33
Page 2 of 2
OTHER INCOME 34
Source Amount $ Frequency 35
Source Amount $ Frequency 36
FINANCIAL OBLIGATIONS (debt payments, credit cards, judgments, alimony, child support, etc) 37
Description Amount $ Frequency 38
Description Amount $ Frequency 39
Description Amount $ Frequency 40
Description Amount $ Frequency 41
BANK ACCOUNTS 42
Bank Checking Savings 43
Bank Checking Savings 44
Bank Checking Savings 45
VEHICLES 46
Make/Model Year License Plate # State 47
Make/Model Year License Plate # State 48
Make/Model Year License Plate # State 49
Yes No (check one) Have you ever been asked to leave or been denied the renewal of a lease? If yes, give details: 50
51
52
Yes No (check one) Any litigation, prior or pending, such as ev ict ions, suits, judgm ents, ban kruptcies , forecl osures, 53
criminal proceedings, etc? If yes, give details:_________________________________________________________ 54
55
Yes No (check one) Are you or any intended occupants a sex offender, sexual predator or otherwise subject to 56
reporting requirements of the Illinois Sexual Offender Registration Act or any similar law in any other jurisdiction? 57
$ has been paid for this credit/background check. THIS SUM IS NOT REFUNDABLE. 58
I authorize a credit check, investigation and criminal background check to be made whereby information is obtained 59
about my credit history and by interviews with landlords and/or others with whom I am acquainted. This inquiry may 60
include infor mation as to my character, and general reputation. I expressly authorize the results of the credit check and 61
criminal bac k grou nd ch eck to be provided to the Land lo rd. I understand I have a right to make a written request within a 62
reasonable period of tim e to receive addit i ona l, detailed information about the nature and scope of this investigation, 63
including copies of any reports obtained by the Landlord in connection with this application. 64
I certify that I have read the above application and that the information contained therein is true and correct. I understand 65
that this application shall be incorporated into and become a part of the lease for the Premises sought, and that any false 66
information provided by me shall be grounds for cancellation of the lease. 67
I expressly authorize this application, the credit report and related information to be provided to the Landlord, who may 68
use it to determine my suitability as a Tenant as permitted or required by law. 69
70
Signature of Applicant Date 71
72
Print Applicant's Name 73
74
Print Premises Address 75
