IMPERIAL TOWER APARTMENTS
RENTAL APPLICATION
805 Baldwin Ave.Waukegan, Il. 60085
(847)244-9222 FAX#(847)244-9286
Date:______________ Apt. Address & #_______________________________ Security Deposit $_________
Rent Amount______________________Requested move-in date_________________ APPROVED/DENIED
APPLICANT INFORMATION:
Name:
(First):____________________________ (M)__________(Last)_____________________________________
DATE OF BIRTH:_______________________________ SS#_______________________________________
DRIVERS LICENSE# & STATE______________________________________________________________
CURRENT ADDRESS:_______________________________________________APT#__________________
CITY:____________________________________________STATE:______________ZIP:_______________
PHONE #:__________________CELL#__________________ EMAIL________________________________
RENT:_________OWN:_______
HOW LONG AT THIS ADDRESS ? FROM:___________________________TO_____________________
MONTHLY RENT OR MORTGAGE PAYMENT: $___________________________________________
LANDLORD’S NAME OR MORTGAGE HOLDER: ____________________________________________
PHONE#:___________________________________
IF CURRENT ADDRESS IS LESS THAN 3 YEARS LIST
PREVIOUS ADDRESS:______________________________________________APT#__________________
CITY:____________________________________________STATE:______________ZIP:_______________
HOW LONG AT THIS ADDRESS? FROM:_________________________TO:________________________
LANDLORD’S NAME OR MORTGAGE HOLDER:_____________________________________________
PHONE #___________________________________
APPLICANT EMPLOYMENT INFORMATION:
PRESENT EMPLOYER:_____________________________ADDRESS:________________________________
POSITION:________________________________________MONTHLY WAGE:_________________________
DATES OF EMPLOYMENT: FROM________________TO _______________________
SUPERVISOR’S NAME:_____________________________PHONE #_________________________________
PAYROLL VERIFICATION NAME:____________________________PHONE#_________________________
IF PRESENT EMPLOYMENT LESS THAN 3 YEARS
LIST PREVIOUS EMPLOYER:______________________________ADDRESS:_________________________
POSITION:____________________________MONTHLY WAGE$:___________________________________
DATES OF EMPLOYMENT: FROM___________________TO _________________________________
PERSONAL REFERENCES:
NAME: PHONE# LOCATION: HOW LONG:
1._________________________________________________________________________________________
2._________________________________________________________________________________________
IMPERIAL TOWER APARTMENTS
RENTAL APPLICATION
805 Baldwin Ave.Waukegan, Il. 60085
(847)244-9222 FAX#(847)244-9286
APPLICANT :
WHY ARE YOU LEAVING YOUR PRESENT RESIDENCE?:_______________________________________
DO YOU HAVE PETS?:__________IF SO WHAT KIND?:__________________________________________
HAVE YOU EVER BEEN EVICTED?:_____NO ______YES IF SO, WHEN AND WHERE:______________
HAVE YOU EVER LEFT OWING RENT?:_____NO _____YES IF SO WHEN & WHERE:_______________
DO YOU HAVE ANY OUT STANDING DEBT?:_____NO ______YES IF SO LIST:____________________
___________________________________________________________________________________________
DO YOU HAVE ANY LATE PAYMENTS OR BAD CREDIT RATING?:______NO ________YES
EXPLAIN:__________________________________________________________________________________
HAVE YOU EVER BEEN ARRESTED OR CONVICTED OF A CRIME?_______NO________YES
IF SO EXPLAIN:____________________________________________________________________________
CO-APPLICANT:
WHY ARE YOU LEAVING YOUR PRESENT RESIDENCE?:_______________________________________
DO YOU HAVE PETS?:__________IF SO WHAT KIND?:__________________________________________
HAVE YOU EVER BEEN EVICTED?:_____NO ______YES IF SO, WHEN AND WHERE:______________
HAVE YOU EVER LEFT OWING RENT?:_____NO _____YES IF SO WHEN & WHERE:_______________
DO YOU HAVE ANY OUT STANDING DEBT?:_____NO ______YES IF SO LIST:____________________
___________________________________________________________________________________________
DO YOU HAVE ANY LATE PAYMENTS OR BAD CREDIT RATING?:______NO ________YES
EXPLAIN:_________________________________________________________________________________
HAVE YOU EVER BEEN ARRESTED OR CONVICTED OF A CRIME?_______NO_________YES
IF SO EXPLAIN:_____________________________________________________________________________
APPLICANT & CO-APPLICANT:
AUTO INFORMATION:
MAKE YEAR COLOR LICENSE# STATE
1.________________________________________________________________________________________
2.________________________________________________________________________________________
PERSON TO NOTIFY IN CASE OF EMERGENCY:
NAME:_________________________PHONE#___________________RELATIONSHIP:_________________
LIST ALL OTHER PERSONS TO OCCUPY APARTMENT:
NAME: RELATIONSHIP: DATE OF BIRTH: SS#:
1._________________________________________________________________________________________
2._________________________________________________________________________________________
IMPERIAL TOWER APARTMENTS
RENTAL APPLICATION
805 Baldwin Ave.Waukegan, Il. 60085
(847)244-9222 FAX#(847)244-9286
CO-APPLICANT INFORMATION:
Name:
(First):_________________________ (M)_______(Last)____________________________________________
DATE OF BIRTH:___________________________ SS#____________________________________________
DRIVERS LICENSE# & STATE_______________________________________________________________
CURRENT ADDRESS:________________________________________________APT#__________________
CITY:_____________________________________________STATE:______________ZIP:_______________
PHONE#:_______________________________CELL#:_________________________________
RENT:_________OWN:_______
HOW LONG AT THIS ADDRESS? FROM:_________________________________TO_________________
MONTHLY RENT OR MORTGAGE PAYMENT:_______________________________________________
LANDLORD’S NAME OR MORTGAGE HOLDER:______________________________________________
PHONE#:___________________________________
IF CURRENT ADDRESS IS LESS THAN 3 YEARS LIST
PREVIOUS ADDRESS:______________________________________________APT#__________________
CITY:____________________________________________STATE:______________ZIP:_______________
HOW LONG AT THIS ADDRESS? FROM:_________________________TO:________________________
LANDLORD’S NAME OR MORTGAGE HOLDER:_____________________________________________
PHONE #___________________________________
CO-APPLICANT EMPLOYMENT INFORMATION:
PRESENT EMPLOYER:_____________________________ADDRESS:________________________________
POSITION:________________________________________MONTHLY WAGE:_________________________
DATES OF EMPLOYMENT: FROM________________TO _______________________
SUPERVISOR’S NAME:_____________________________PHONE #_________________________________
PAYROLL VERIFICATION NAME:____________________________PHONE#_________________________
IF PRESENT EMPLOYMENT LESS THAN 3 YEARS
LIST PREVIOUS EMPLOYER:______________________________ADDRESS:_________________________
POSITION:____________________________MONTHLY WAGE$:___________________________________
DATES OF EMPLOYMENT: FROM___________________TO _________________________________
PERSONAL REFERENCES:
NAME: PHONE# LOCATION: HOW LONG:
1._________________________________________________________________________________________
2._________________________________________________________________________________________
IMPERIAL TOWER APARTMENTS
RENTAL APPLICATION
805 Baldwin Ave.Waukegan, Il. 60085
(847)244-9222 FAX#(847)244-9286
I (we) hereby make application for occupancy of apartment # ______, located at__________________________
and agree to take the premises and execute an apartment lease in form used by the Lessor.
I (we) represent that all of the above statements are true and correct and hereby authorize verification of above information, references, and credit reports. I (we) understand that falsifying information will be grounds for rejection for tenancy, and I (we) will be charged $25.00 for the credit check.
I (we) hereby make an earnest money deposit of $___________, which is to be forfeited and retained by the
Lessor if balance of security deposit of $ ___________ is not paid and the lease signed within three (3) days
of the approval by the Lessor. If I (we) decide not to lease the apartment, the earnest money is forfeited.
I (we) understand that if within three(3) days our application is not approved, the lessor will return the earnest
money and will retain $25 for the cost of the credit check.
Applicant’s Signature:___________________________________________Date:______________________
Co-Applicant’ Signature:_________________________________________Date:______________________
Agent / Lessor:______________________________________________ Date:_______________________
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