Illinois Rental Application
This application is designed for use in the state of Illinois and complies with state laws. Please fill out the required information below.
Applicant Information
- Full Name: ____________________________
- Social Security Number: _______________
- Date of Birth: _________________________
- Current Address: _______________________
- City: ______________ State: ____ Zip: ____
- Phone Number: ________________________
- Email Address: ________________________
Rental History
- Current Landlord's Name: ________________
- Landlord's Phone Number: _________________
- Current Address: ________________________
- Rent Amount: ___________________________
- Duration of Tenancy: ____________________
Employment Information
- Current Employer: ________________________
- Employer's Address: ______________________
- Job Title: _______________________________
- Monthly Income: _________________________
- Supervisor's Name: ______________________
- Supervisor's Phone Number: ______________
References
- Reference Name: ________________________
- Relationship: ___________________________
- Phone Number: _________________________
- Reference Name: ________________________
- Relationship: ___________________________
- Phone Number: _________________________
Additional Information
Please answer the following questions:
- Have you ever been evicted? (Yes/No) ___________
- If yes, please explain: _____________________
- Do you have any pets? (Yes/No) _____________
- If yes, please provide details: ______________
Signature
I, __________________________, declare that the above information is true and accurate to the best of my knowledge. I authorize the landlord or management to verify this information.
Signature: ______________________ Date: _____________