|
Fridy Realty
& Prop. Mgmt 561 E. Ross
Lane, Danville, IL 61832 217.446.6107,
FAX 217.443.0331
What are you interested
in
renting?________________________________________________________
APPLICATION FOR RENTAL
**APPLICANT**
|
First Name |
Middle Initial |
Last Name |
|
Social Sec. # |
Birthday |
Do
you have Section 8? |
Present
Address:
|
Street |
|
|
City/State/Zip |
|
|
Phone/Message Number |
Driver’s License Number |
|
How
long have you lived in Vermilion County? |
|
|
What other last names have you used? |
|
Current
Landlord Information:
|
Name |
Phone Number |
|
How
long at present address? |
Back Rent Owed & Amount |
|
Reason for leaving? |
|
Residence history for the past 3 years: (excluding
current Landlord)
|
#1.
Landlord Name & Address: |
|
Phone Number: |
How
long at this address? |
|
Do
you owe past rent? |
How
much? |
|
#2.
Landlord Name & Address: |
|
Phone Number: |
How
long at this address? |
|
Do
you owe past rent? |
How
much? |
Employment & Income Information:
|
Employer: |
How
long employed? |
|
Employer phone number? |
Wage: Per: Hour Week |
|
Other sources of income: |
Number of hours worked per week: |
Please
provide the following credit information:
|
Creditor: |
Amt
of Payment: |
Balance: |
|
Creditor: |
Amt
of Payment: |
Balance: |
|
Creditor: |
Amt
of Payment: |
Balance: |
|
Bank: |
Account # |
Checking |
|
Bank: |
Account # |
Savings |
Vehicle
Information:
Who
should we contact in case of an emergency?
|
Name |
Relationship |
Phone Number |
|
|
|
|
|
|
|
|
List
two personal references:
|
#1.
Name & Address: |
|
Phone Number: |
Relationship? |
|
#2.
Name & Address: |
|
Phone Number: |
Relationship? |
Please
list all adults and children that will be living at this
address and their relationship:
|
Name |
Relationship |
Birthday |
Social Security # |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
By
signing this application, I am giving my consent for FRIDY
REALTY & Prop. Mgmt to make inquiries and obtain such
reports as may be available from any sources necessary to
give them a clear picture of my credit and/or criminal
history. Providing false or inaccurate information will
result in being denied rental housing.
|
Date |
Signature |
Print Name
|
|
|
|
|
**CO-APPLICANT**
|
First Name |
Middle Initial |
Last Name |
|
Social Sec. # |
Birthday |
Do
you have Section 8? |
Present
Address:
|
Street |
|
|
City/State/Zip |
|
|
Phone/Message Number |
Driver’s License Number |
| |
|
|
|
How
long have you lived in Vermilion County? |
|
|
What other last names have you used? |
|
Current
Landlord Information:
|
Name |
Phone Number |
|
How
long at present address? |
Back Rent Owed & Amount |
|
Reason for leaving? |
|
Residence history for the past 3 years: (excluding
current Landlord)
|
#1.
Landlord Name & Address: |
|
Phone Number: |
How
long at this address? |
|
Do
you owe past rent? |
How
much? |
|
#2.
Landlord Name & Address: |
|
Phone Number: |
How
long at this address? |
|
Do
you owe past rent? |
How
much? |
Employment & Income Information:
|
Employer: |
How
long employed? |
|
Employer phone number? |
Wage: Per: Hour Week |
|
Other sources of income: |
Number of hours worked per week: |
Please
provide the following credit information:
|
Creditor: |
Amt
of Payment: |
Balance: |
|
Creditor: |
Amt
of Payment: |
Balance: |
|
Creditor: |
Amt
of Payment: |
Balance: |
|
Bank: |
Account # |
Checking |
|
Bank: |
Account # |
Savings |
Vehicle
Information:
Who
should we contact in case of an emergency?
|
Name |
Relationship |
Phone Number |
|
|
|
|
|
|
|
|
List
two personal references:
|
#1.
Name & Address: |
|
Phone Number: |
Relationship? |
|
#2.
Name & Address: |
|
Phone Number: |
Relationship? |
Please
list all adults and children that will be living at this
address and their relationship:
|
Name |
Relationship |
Birthday |
Social Security # |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
By
signing this application, I am giving my consent for FRIDY
REALTY & Prop. Mgmt to make inquiries and obtain such
reports as may be available from any sources necessary to
give them a clear picture of my credit and/or criminal
history. Providing false or inaccurate information will
result in being denied rental housing.
|
Date |
Signature |
Print Name
|
|
|
|
|
Mail
completed application to:
FRIDY REALTY & Prop. Mgmt, 561 E. Ross Lane, Danville, IL
61832 |
