Print this application Complete and deliver to Lee Street Management - 7601 North Eastlake, Chicago
| Full Name: | E-mail address: | ||||||||
| Apartment Address: | Unit: | ||||||||
| Net Rent: $ | Security Deposit: $ | ||||||||
| Social Security # : | Date of Birth: | ||||||||
| Driver's License: | Maiden Name: | ||||||||
| Present Address: | |||||||||
| Telephone: | Present Landlord: | Telephone: | |||||||
| Monthly Rent: | Dates at Address: | From: | To: | ||||||
| Previous Address: | |||||||||
| Previous Landlord: | Telephone: | ||||||||
| Monthly Rent: | Dates at Address: | From: | To: | ||||||
| Employer: | |||||||||
| Address: | |||||||||
| Dates Employed: | From: | To: | |||||||
| Monthly Gross Income: | Position: | Supervisor: | |||||||
| Work Telephone: | Other Income: | ||||||||
| Nearest Relative: | Phone: | Relationship: | |||||||
| Reference Name: | Phone: | Relationship: | |||||||
| Reference Name: | Phone: | Relationship: | |||||||
| Have you ever been a party
to a Landlord/Tenant court action?
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Describe circumstances:
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Name(s) of others who will share apartment with you (including pets): |
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| Automobile Make: | Year: | Model: | Color: | ||||||
| I understand and hereby authorize agent/owner and any consumer or credit reporting agency or bureau employed by it to investigate my character, general reputation, mode of living, credit and financial responsibility, ability to pay rent, and the information provided with this application, and to inquire and check with the persons and references named herein. This application shall become a part of any lease for this apartment. | Signature: ______________________________ Date: _______________ |
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