Rental Application
5553 W. Belmont Avenue, Chicago, IL 60641 

(773) 283-2486

RENTAL APPLICATION

  • Everyone 18 AND OVER must fill out an application.
  • ALL REQUIRED FIELDS must be filled out in order for the application to be approved.
  • The application can be used for two applicants (if more than two applicants please contact the listing agent for instructions).
  • * = REQUIRED FIELDS
 
 
Agent Name*
Property Address*
Number of Applicants*
First Name*
Last Name*
Email*
Phone*
Date of Birth*
Social Security No.*
   
CO-APPLICANT
   
First Name
Last Name
Email
Phone
Date of Birth
Social Secuirty No.
 
Other Occupants (if 18+ must fill an application)
   
Full Name
Relationship
Age
 Occupant 2  
Full Name
Relationship
Age
 Occupant 3  
Full Name
Relationship
Age
 Occupant 4  
Full Name
Relationship
Age
   
RESIDENTIAL HISTORY (Last 2 years)
   
Current Address*
City /State/ Zipcode*
Lanlord Name*
Landlord Email*
Landlord Phone*
Month / Yr Moved In*
Rent Amount*
Reason for Leaving*
Previous Address
(if less than 2 yrs)*
Landlord Name*
Landlord Phone*
Reason for Leaving*
   
  Employment Information
   Paystubs and/or proof of imcome will need to be provided within 24 hrs if appllication is accepted by landlord
Full Time:  
Part Time:  
Student:  
Self employed:  
Unemployed:  
   
Applicant Employer: *
Starting Date: *
Monthly salary:*
Salary: * hour  $            week $           month $           year   $      
(mark the one that applies)        
Supervisor Name:*
Supervisor Phone #:*
Supervisor E-mail
Address:*
   
Co. Applicant
Co. Applicant
Employer:
Co. app /
Starting Date: 
Co. app / 
Montly Salary
Co. app / 
Salary:
hour    week    month    year      
Co app / 
Supervisors Name:
Co app / 
Supervisors Phone #:
Co app / 
Supervisors E-mail Address:
   
If employed less than 12 months, please provide previous Employer Name, Supervisor Name and phone number.
   
Applicant Employer:
Applicant Supervisor:
Supervisor Phone #
Co. Applicant Employer:
Co. Applicant Supervisor:
Co app /
Supervisor Phone #
   
 I / We give Second City Homes authorization to run my/our credit reports, including Criminal background and Eviction history for the purposes of this rental application.

I / We agree to pay $50.00 per person, non-refundable processing fee.


I / We also authorize Second City Homes to provide a copy of my/our Credit reports to the landlord if requested by said landlord.


I / We hereby certify that the above information given to evaluate my/our application is true and correct. 

I / We authorize Second City Homes to make any and all inquiries to evaluate my/our application for housing including any previous Employers, Landlords, Rental Agents, Credit Grantors, Banks, Local State and Federal agencies to release any requested information for the evaluation of my rental application.

By typing my/our full name and my/our last 4 digits of my/our social security number, I/we certify that this will serve as my/our signiture. 
   
Applicant Signature:*
Last 4 Digits:*
Co App. Signature:*
Last 4 Digits:*
Date:*
   
Applicant Questionnaire
   
Have you declaired bankruptcy in the past 7 years?    Yes No
Have you had late rental payments in the past year?    Yes No
Have you ever been found guilty of a felony?    Yes No
Have you ever been evicted from a rental residence?    Yes No
Have you broken a lease?    Yes No
Have you ever been sued by a landlord?    Yes No
Is the total moving fee availible at this time?
( Rent & Deposit )
   Yes No
   
Co Applicant Questionnaire
   
Have you declaired bankruptcy in the past 7 years?    Yes No
Have you had late rental payments in the past year?    Yes No
Have you ever been found guilty of a felony?    Yes No
Have you ever been evicted from a rental residence?    Yes No
Have you broken a lease?    Yes No
Have you ever been sued by a landlord?    Yes No
Is the total moving fee availible at this time?
( Rent & Deposit )
   Yes No
   
AUTHORIZATION TO RUN CREDIT REPORT AND
CHARGE CREDIT CARD / RELEASE INFORMATION
   
 
Applicant Signature: *
Aplicant Last 4 Digits:*
 Co applicant Signature: *
Co applicant Last 4 Digits:*
Today's Date: *
   
  Pre-approval notice to Tenant/Landlord
   

Please press SUBMIT and wait for payment option!