Illinois Rental Application
This application is designed to collect information from prospective tenants in accordance with Illinois state laws.
Applicant Information
Full Name: __________________________________________
Current Address: ______________________________________
City, State, Zip Code: ________________________________
Phone Number: ________________________________________
Email Address: ________________________________________
Rental History
Current Landlord's Name: _____________________________
Landlord's Phone Number: _____________________________
Duration of Tenancy: _________________________________
Previous Address: ______________________________________
Previous Landlord's Name: ____________________________
Previous Landlord's Phone Number: _____________________
Employment Information
Current Employer: ______________________________________
Job Title: ____________________________________________
Employer's Address: ____________________________________
Employer's Phone Number: ______________________________
Monthly Income: ________________________________________
Additional Information
Number of Occupants: ___________
Pets: Yes / No (circle one)
Have you ever been evicted? Yes / No (circle one)
References
- Name: ___________________________________________
- Relationship: ____________________________________
- Phone Number: ____________________________________
Consent
By signing below, I authorize the landlord to conduct a background check and verify the information provided in this application.
Applicant Signature: ________________________________
Date: ______________________________________________
This application is subject to the Fair Housing Act and other relevant Illinois laws.