Brentwood Apartments Rental Applications

Rental Application

Brentwood Apartments
Personal Information
Name

First NameLast Name
Birth Date

MonthDayYear
E-mail
example@example.com
Social Security Number or ITIN#
If you're having problems applying, please contact our office at (630) 860-0243
Drivers License
State drivers license was issued
Home Phone
Format: (000) 000-0000.
Work Phone
Format: (000) 000-0000.
Cellphone
Format: (000) 000-0000.

Co-Applicant Employment Information
Your Status
Present Employer
Occupation
Gross Monthly Income
Dates Employed
Position
Supervisor's Name

First NameLast Name
Supervisor’s Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Supervisor's Email
example@example.com
Monthly Income
Employer's Address

Street Address

Street Address Line 2

CityState

Zip Code
Employer's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Employer's Fax Number
Please enter a valid phone number.Format: (000) 000-0000.
If employed less than 12 months, previous employer information:
Other Income
Amount
Source/Contact
Have you ever been convicted of a crime?
If Yes, Describe:
Are you a registered sex offender?
Personal Reference or Emergency Contact:
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Authorization & Release
Applicant has submitted the sum of $99.00 (per adult) which is a non-refundable payment for a credit, background checks and processing of this application by the landlord/property manager. Any deposit made to hold an apartment is also non-refundable. I (we) hereby certify that the information given to evaluate my application for tenancy is correct and complete. I authorize you to make any and all inquiries you feel necessary to evaluate my application for housing. I (we) further understand that any false or incomplete information is grounds for immediate rejection of this application and termination of any lease. I (we) specifically authorize and request all present and previous employers, mortgage holders, landlords, rental agents, credit grantors, banks, accountants, stockbrokers and local, state and Federal Government Agencies to release any requested information in the evaluation of my application for rental housing.
Date

MonthDayYear
Date
Applicant Signature
Date

MonthDayYear
Date
Co-Applicant Signature

USD

Rental Application