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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

Spouse's
Last Name
 
First Name

 
M. I.

 
Jr./Sr.

 
Soc. Sec. No.

- -
Spouse 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
 
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