Apartment Rental Application

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APARTMENT RENTAL APPLICATION
PROPERTY ADDRESS:
Fee: $50/application • ALL fields must be completed for serious consideration
Return form to:
Include any additional documents to support this application: references, payroll stubs (2 most recent)
Millennium Properties R/E, Inc.
200 W. Madison, 36th Floor
APPLICANT INFORMATION (must fill out completely)
Chicago, Illinois 60606
Name
D.O.B.
312.338.3000 main
SSN
Driver’s License
312.264.0540 fax
Phone
Email
This management
Current Address
Unit
office does not
discriminate against
City, State, Zip
Rent/Own
any person based on
race, color, religion,
Employer
sexual orientation, origin, familial
Address
status or disability.
City State Zip
Applicant understands that the
application fee is non-refundable.
Position
Monthly Income
Applicant understands that the
How Long with this Company?
security deposit is only refundable
if this application is rejected by
Contact Person & Position
management, or at the time of move-
out if all of the terms and conditions
Company Phone
of the Lease agreement are fulfilled.
Additional Income
(child support, social security, etc.)
Co-occupants of legal age must fill
LANDLORD INFORMATION
out a separate rental application.
Current Landlord Information
I hereby consent to allow
Name
Lease Expiration
Millennium Properties R/E, Inc.
and its employees to obtain a full
Address
Telephone
background check – including,
but not limited to, a credit history,
Rental Payment
How Long at this Address?
criminal activity, leasing activity – for
the purpose of determining whether
Previous Landlord Information
or not to lease an apartment to me.
I understand that should I lease an
Name
Move-Out Date
apartment, Millennium Properties
Address
Telephone
R/E, Inc. shall have a continuing
right to review my credit information,
Rental Payment
How Long at this Address?
rental application payment history
and occupancy history for account
Are you a Section 8 recipient?
□ yes
□ no
review purposes and for improving
ADDITIONAL OCCUPANTS
application methods.
Name
Relationship
D.O.B.
_____________________________________
signature of applicant
Name
Relationship
D.O.B.
____________________
Name
Relationship
D.O.B.
date
EMERGENCY CONTACT
_____________________________________
signature of property manager
Name
Relationship
Phone
____________________
Name
Relationship
Phone
date
I am submitting this application
Have you ever been EVICTED from any residence?
yes
no
Have you ever been convicted of a FELONY offense?
yes
no
with a co-applicant. □ yes □ no
Does the applicant or any occupant listed above have any pending criminal charges?
yes
no
Name
Do you have any pets?
yes
no
______________________________
If you responded YES to any of the questions above, please provide an explanation.
_________________________________________________________________________________________________
_________________________________________________________________________________________________

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