Red Door Realty



MAINSTREET ORGANIZATION OF REALTORS ®
APPLICATION FOR LEASE

(Please Fill Out One Form Per Adult Applicant)


Location:

Landlord:

NEW LEASE TERMS:

Address:

Monthly Rental:

$

APPLICANT:

Applicant Name:

Phone:

Present Address:

E-mail Address:

Date of Birth:

Driver's License Number:

Number to Occupy Premises: Adults:

Number to Occupy Premises: Children:

Ages of Boy(s):

Ages of Girl(s):

Pet(s):
Yes No Type:

Number: Weight:

Present Landlord:

Address:

Phone:

Present Rent: $

When Due:

Lease: Yes No Expires:

Reason for Moving:

Number of Years at Above Address:

Are you Sharing Premises? How Long?

If Sharing Premises Give Name(s):

Previous Address:

How Long?:

Previous Landlord:

Phone:

Address:

EMPLOYMENT:

Employer:

Years:

Address:

Phone:
Income: $ per

Position:

Supervisor's Name:

If less than two years, give former employer:

Years:

Address:

Phone:

Position:

Supervisor's Name:

OTHER INCOME:

Source:

Amount: $per

REFERENCES:

Name:

Relation:

Address:

Phone:

E-mail:

Name:

Relation:

Address:

Phone:

E-mail:

OTHER INFORMATION:

Name of Nearest Adult Relative Not Living With You:

Relation:

Address:


Phone:

E-mail:


Any litigation (i.e. evictions, suits, criminal cases, judgments, bankruptcies, foreclosures? If yes, please provide details and dates:

When is the best time to contact you:

What is your preferred method of communication?

I certify that I have read the above application and that the information therein is true and correct. I understand that incorrect or untrue information shall be grounds for cancellation of the lease. I authorize an investigation to be made whereby information is obtained through interviews with my landlord(s) with whom I am acquainted. I am aware that the Landlord reserves the right to perform a credit and/or background check.


Print Name:

Signature:

Date:

RED DOOR REALTY
Aja A. Jackson, MBA
Managing Broker & Property Manager
4749 Lincoln Mall Drive, Suite 202
Matteson, Illinois 60443
708-932-0676