Urban Equities | Forms : Application for an Apartment

P.O. Box 60670
Chicago, IL 60660

tel: 773-743-4141
fax: 773-465-4672

Application for an Apartment

Photo ID, Social Security Card, and Income Verification/Proof of Earnings required when applying.

An application fee of $45.00 is required before processing of you application. Please mail a money order to P.O. Box 60670, Chicago, IL 60660.

Address of Apt. Applied for:

Apt. Number (if known):

Rent Amount

Move-in Date

Personal Information
Applicant's Last Name *-required	First Name *	M. I.	Jr./Sr.	Soc. Sec. No. * - -
Applicant's Email Address

Applicant's Date of Birth *	Spouse's Date of Birth
Contact Phone * - -	Work Phone * - -

Current Address
Street Address *
City *	County *	State *	Zip *
How Long? yrs. * mos. *
Current Landlord — Name, Address *
Current Landlord — Telephone * - -

Previous Address
Street Address *
City *	County *	State *	Zip *
How Long? yrs. * mos. *
Previous Landlord — Name, Address *
Previous Landlord — Telephone * - -

Employment Information
Applicant's Employer *	Phone Number * - -	Position
How Long? yrs. * mos. *	Gross Monthly Income (Proof of Income Req'd.) *

Second Employer	Phone Number - -	Position
How Long? yrs. mos.	Gross Monthly Income (Proof of Income Req'd.)

Other/Spouse Employer	Phone Number - -	Position
How Long? yrs. mos.	Gross Monthly Income (Proof of Income Req'd.)

Occupant Information
Number of People On Lease Residing In Apartment

18 YEARS OR OLDER MUST COMPLETE SEPARATE APPLICATION (UNLESS SPOUSE)

Names of Occupants

Relationship

Ages of Occupants

Emergency Contact

Relationship

Phone Number
- -

Pets
(limited locations, inquire within)
Dogs:
Cats:
Other:

Other
Have you ever been evicted or filed bankruptcy? * yes no

Have you ever been convicted of a felony or had a judgement against you? * yes no