Illinois Rental Application
This rental application form is designed to comply with Illinois state laws regarding tenant screening and rental agreements. Please complete all sections accurately.
Applicant Information
Please provide the following details:
- Full Name: _________________________
- Date of Birth: _________________________
- Social Security Number: _________________________
- Email Address: _________________________
- Phone Number: _________________________
Current Address
Provide your current residence information:
- Street Address: _________________________
- City: _________________________
- State: _________________________
- Zip Code: _________________________
- How long have you lived here? _________________________
Rental History
Please list your last three residences:
-
Address: _________________________
Landlord's Name: _________________________
Phone Number: _________________________
Duration of Stay: _________________________
-
Address: _________________________
Landlord's Name: _________________________
Phone Number: _________________________
Duration of Stay: _________________________
-
Address: _________________________
Landlord's Name: _________________________
Phone Number: _________________________
Duration of Stay: _________________________
Employment Information
Provide your current employment details:
- Employer's Name: _________________________
- Job Title: _________________________
- Salary: _________________________
- Length of Employment: _________________________
References
Please provide at least two references:
- Name: _________________________
Phone Number: _________________________
Relationship: _________________________
- Name: _________________________
Phone Number: _________________________
Relationship: _________________________
Consent
By signing this application, you consent to a background check and reference verification as permitted under Illinois law.
Signature: _________________________
Date: _________________________