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					 1 Stop Real Estate
                                              An ID, Paystub and
                                                                                                    OFFICE USE ONLY
                                   social security card                                  Processing Fee $_15.00 Per Adult
  815-963-9198                  is required to complete                                     Non-Refundable Paid____ Not Paid____
 Fax-815-333-3993                                      61108
                              the processing of application.                               Date_____-_____-_____ Initials________
Email: 1stoprealestate@comcast.net                                                      .Receipt #
                                                                                         ____________________________________
                             STANDARD APPLICATION FOR LEASE
                                                  _
      Please Print                                                                          Date of Showing___________________
The information on this application form is strictly confidential and will be so kept by the management. The purpose of the information below is
To verify the applicant’s credit qualifications. The applicant agrees to allow a full credit examination and hereby authorizes management to
Contact any agencies, offices, groups or organizations to obtain and verify any information or materials, which is deemed necessary to complete
my application. The undersigned hereby makes application for a rental unit located at: ____________________________________________
beginning on ____________________________20____ at a monthly rent of $______________________ and submits the following information.

All Occupants Full Legal Names: (List ALL persons who will occupy the unit)
Names (First, Middle Last)                                          Relationship              Birth date             Social Security #
A. ______________(    )____________________                              Head              ____-____-_____           _________________
B. ______________(_ _)____________________                          _____________           ____-____-_____          _________________
C. ______________(___)____________________                          _____________          ____-____-_____           _________________
D. _____________ (___)____________________                          _____________          ____-____-_____           _________________
E. ______________(___)____________________                          _____________          ____-____-_____           _________________
F. ______________(___)____________________                          _____________          ____-____-_____           _________________
APPLICANT: __________________(___)______________________ Maiden/Other Name________________________
CURRENT ADDRESS__________________________ Apt #_______ CITY_________ STATE_______ Zip___________
  Home Phone_____________ _________ Cell Phone______________________ Message Phone__________________
  How long at current address_______________________ Reason for leaving_________________________________
________________________________________________________________________________________
 Monthly rent now paying $____________________Current Landlords Name__________________________________
 Address_____________________________________________ Phone number________________________________
PREVIOUS ADDRESSES (past 3 years)
  (1)_____________________________________City___________ State_______ Zip_________ How long__________
  Parent___ Friend_____ Manager___________________________ Address__________________ Phone #_________
  (2)_____________________________________City___________ State_______ Zip__________ How long_________
  Parent___ Friend_____ Manager___________________________ Address__________________ Phone #_________
  (3)_____________________________________City___________ State_______ Zip__________ How long_________
  Parent___ Friend____ Manager____________________________ Address_________________ Phone #__________
Current Employer_______________________________________Address___________________________________
 City________________ State_____ Phone #_________________ Type of Work_______________________________
 How long have you been there? _______________________ Working hours_______________ to_________________
 Supervisors name______________________________________ Phone #____________________________________
Income (circle one) Weekly / Every two Weeks / Monthly $____________________________ (Take home)
   Day of Week Paid (circle one) Monday Tuesday Wednesday Thursday Friday
   Other Income______________________________Source__________________________________________
   Other Income______________________________Source____________________________________
Previous Employer_________________________ Address________________________ City____________
  Phone #_______________ How Long Employed? _____________________ Type of Work______________________
Name of Bank________________________________________________________________________
Vehicle: How many vehicles do you own? _________ Model_____________________ Color_____________________
   Year____________________ License # & State________________________________________________________
Drivers License #_____________________________________State of Issue__________________________
Nearest Relative Or Friend (List Two)
  Name________________________ Address________________________ City_________ Phone #___________
  Family Relationship_______________________ Friend_____________
  Name____________________________ Address________________________ City_________ Phone#____________
  Family Relationship_______________________ Friend_____________
Co-Applicant__________________(___)________________________ Maiden/Other Name______________________
   Current Address_________________________________ City_______________ State___________ Zip___________
   Home Phone_______________________ Cell Phone_______________________ Message Phone________________
   How long at current address? __________________ Reason for Leaving ___________________________________
   Monthly rent now paying $_________________ Current Landlords Name____________________________________
   Address_____________________________________________ Phone #____________________________________
Previous Addresses (Past 3 years)
   1.____________________________City________________State_____________Zip__________How Long?_______
   Parent_____ Friend_____ Manager_____________________ Address___________________ Phone #___________
   2.____________________________ City_______________ State____________ Zip__________ How Long?_______
   Parent_____ Friend_____ Manager_____________________ Address___________________ Phone #___________
   3.____________________________ City_______________ State____________ Zip__________ How Long?_______
   Parent_____ Friend_____ Manager_____________________ Address___________________ Phone #___________
Current Employer_______________________________________Address___________________________________
 City________________ State_____ Phone #_________________ Type of Work_______________________________
 How long have you been there? ______________________ Working hours_______________ to__________________
 Supervisors name______________________________________ Phone #____________________________________
Income (circle one) Weekly / Every two Weeks / Monthly $____________________________ (Take home)
   Day of Week Paid (circle one) Monday Tuesday Wednesday Thursday Friday
   Other Income______________________________Source__________________________________________
   Other Income______________________________Source____________________________________
Previous Employer_________________________ Address________________________ City____________
  Phone #_______________ How Long Employed? ___________________ Type of Work________________________
Name of Bank__________________________________________________________________
Vehicle: How many vehicles do you own? _________ Model_____________________ Color_____________________
   Year____________________ License # & State________________________________________________________
Drivers License #_____________________________________State of Issue__________________________
Nearest Relative Or Friend (List Two)
  Name________________________ Address________________________ City_________ Phone #___________
  Family Relationship_______________________ Friend_____________
  Name____________________________ Address________________________ City_________ Phone#____________
  Family Relationship_______________________ Friend_____________

Total amount of Constant Monthly Payments other than Rent (Example: Child Support/Car/Rent to own Furniture)$_____________
Renters Insurance Carrier (if any)_________________________________________________________________
Do you own? BOAT___ CAMPER___ MOTORCYLE___ BICYCLE___ TRAILER___ OTHER STORAGE ITEMS_____________________
Do you have any Pets? Yes___ No___ How many? ______ Type______________________ Weight_____________ Sex__________
WHO DO WE NOTIFY IN CASE OF EMERGENCY?
  NAME____________________________________________________RELATIONSHIP___________________________________
  ADDRESS_______________________________ CITY____________ STATE______ ZIP_______________ PHONE_____________

HAVE YOU OR CO-APPLICANT EVER?                                           APPLICANT                           CO-APPLICANT
   1.   Had a Judgment against you?                                         Y/N                                   Y/N
   2.   Been served Eviction Notice or been evicted?                        Y/N                                   Y/N
   3.   Been convicted for any crime other than minor traffic offense?      Y/N                                   Y/N
   4.   Changed your Name (other than marriage)?                            Y/N                                   Y/N

PLEASE READ CAREFULLY:
A Deposit in the sum of $___________ and received by________________________ is made herewith. It is understood that this
application is subject to approval and acceptance by management and if the application is not approved, the deposit will be
returned to the applicant minus any prorations of rent. Upon approval of application for lease and in the event applicant fails to
Sign lease within 24 hours of approval or such reasonable extensions approved by management, then in that event, management
shall keep all monies deposited as liquidated damages for loss rentals and expensed incurred. This application will become part of
the lease agreement when management approves applicant. The undersigned make the foregoing representation as being true
And accurate. Deposit is forfeited if there are any material misrepresentations in this application.
APPLICANT SIGNATURE__________________________________________________ DATE_____________________
CO-APPLICANT SIGNATURE_______________________________________________ DATE_____________________

				
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