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PRINT and Mail this completed application to

University Heights Rentals

290 Warren Road

Carbondale, IL 62901

Fax (618) 457-5700

RENTAL APPLICATION

FOR

UNIVERSITY HEIGHTS & PINE SHORE ESTATES

Wakeland Apartments

 

 

 

A $   20.00    non-refundable application fee is required for investigation.

 

Instructions:  each applicant must fill out a separate application (even if married). 

Completely fill out each blank and sign where indicated.

 

                                                                                                                                                                                               

                                                                                                Personal                                                                              

 

Applicant                                                                                                                                                                              

 

Birthdate                                                Social Security #                                                                                                 

                                                                                                                                                                                               

                                                                                                Auto Information                                                                

 

Drivers License #                                                                                State issued by                                                   

 

Year_______ Make______________ Model_________________ Color_______________ 

 

License Plate #_________________

 

                                                                                                                                                                                               

                                                                                                Addresses                                                                          

 

Present Address                                                                 City/State/Zip                                                                       

 

Phone #                                                                 Current amount paid                                                                         

 

Present Landlord                                                                Address                                                                                

 

City/State/Zip                                                                        Phone #                                                                                

 

Is present rent up to date                                                   Have you given notice                                                        

 

Have you been asked to leave                                          if yes, explain                                                                       

 

                                                                                                                                                                                               

 

Reason for leaving                                                                                                                                                             

 

                                                                                                                                                                                               

                                                                                Previous addresses                                                                         

 

 

Previous landlord                                                                                Address                                                                

 

City/State/Zip                                                                        Phone #                                                                                

 

Was rent kept current                                                                         Did you give notice                                             

 

Were you asked to leave                                    if yes, please explain                                                                         

 

                                                                                                                                                                                               

 

 

                                                                                                                                                                                               

                                                                                                Occupants                                                                          

 

Number to occupy mobile home or apartment                                                                                                                            

 

Name                                                                                                     Relationship                                                        

 

Name                                                                                                     Relationship                                                        

 

Name                                                                                                     Relationship                                                        

               

 

*NOTE:  Two-person limit on two bedroom mobile homes.

 

PET POLICY: ABSOLUTELY NO DOGS, CATS, OR FERRETS.  BIRDS AND AQUARIUM PETS ARE ALLOWED.

 

                                                                                                                                                                                               

                                                                                                Employment                                                                        

 

Current Employer                                                                                                                                                               

 

Address                                                 City/State/Zip                                                                                                       

 

Employed since                                                   Phone #                                                                                                

 

Monthly Income $_____________________Other Source of Income_____________________________

 

(If holding more than one job)

 

Current Employer                                                                                                                                                               

 

Address                                                 City/State/Zip                                                                                                       

 

Employed since                                                   Phone #                                                                                                

 

Monthly Income $__________________Other Source of Income $_______________________________

 

 

Previous Employer                                                                                                                                                             

 

Address                                                 City/State Zip                                                                                                       

 

Employed From:                  To:                          Phone #                                                                                                

 

Reason for leaving                                                                                                                                                             

 

 

Previous Employer                                                                                                                                                             

 

Address                                                 City/State/Zip                                                                                                       

 

Employed From:                  To:                          Phone #                                                                                                

 

Reason for leaving                                                                                                                                                             

                                                                                                                                                                                               

                                                                                                Reference                                                                           

                 Relative

 

1.       Name                                                                                                                                                                            

                Relation                                                                                                                                                                                

 

    Address                                                                                                                                                                            

Phone #                                                                                                                                                                                

2.       Name                                                                                                                                                                            

Relation                                                                                                                                                                                

 

    Address                                                                                                                                                                            

Phone #                                                                                                                                                                                

 

                                                                                                  Non-Relative

 

Name                                                                                                                                                                                    

Address                                                                                                                                                                                

 

Phone #                                                                                                                                                                                

Years Acquainted                                                                                                                                                                                                                                                                                                                                                                                                               

 

Name                                                                                                                                                                                    

Address                                                                                                                                                                                

 

Phone #                                                                                                                                                                                

Years Acquainted                                                                                                                                                                                                                                                                                                                                                                                                               

                                                                                                                                                                               

                                                                                                                                                                                               

 

The applicant authorizes the owner/manager to contact past and present landlords, employers, creditors,

 credit bureau, references and any other source(s) deemed necessary to investigate applicant.

 

All information is true, accurate and complete to the best of applicant’s knowledge.  Owner reserves the

right to disqualify tenant if information is not as represented.  This information is to be used for University

 Heights, Pine Shores, Wakeland  Apartment rentals.

 

 

X                                                                                                                                              _______________________

APPLICANT SIGNATURE                                                                                                                        DATE

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