Application for Whitmoor Place

Application for Whitmoor Place

Effingham, IL
Applicant & Occupants
Applicant First Name
Applicant Middle Name
Applicant Last Name
Applicant Social Security Number
Applicant Date of Birth

MonthDayYear
Date
Applicant Driver’s License Number
Applicant Driver’s License State
Primary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Primary Phone Type
Secondary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Phone Extension
Secondary Phone Type
Email
example@example.com
Proposed Occupant 1 Name

First NameMiddle NameLast Name
Proposed Occupant 1 Relationship
Proposed Occupant 1 Occupation
Proposed Occupant 1 Age
Proposed Occupant 2 Name

First NameMiddle NameLast Name
Proposed Occupant 2 Relationship
Proposed Occupant 2 Occupation
Proposed Occupant 2 Age
Proposed Occupant 3 Name

First NameMiddle NameLast Name
Proposed Occupant 3 Relationship
Proposed Occupant 3 Occupation
Proposed Occupant 3 Age
Proposed Occupant 4 Name

First NameMiddle NameLast Name
Proposed Occupant 4 Relationship
Proposed Occupant 4 Occupation
Proposed Occupant 4 Age
Residence History
Present Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Present Home City/State/Zip
Length of Time at Present Address
Present Landlord Name

First NameMiddle NameLast Name
Present Landlord Phone
Please enter a valid phone number.Format: (000) 000-0000.
Reason for Leaving Present Address
Present Rent Amount
Is your present rent up to date?
Previous Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Previous Home City/State/Zip
Length of Time at Previous Address
Previous Landlord Name

First NameMiddle NameLast Name
Previous Landlord Phone
Please enter a valid phone number.Format: (000) 000-0000.
Reason for Leaving Previous Address
Previous Rent Amount
Was your previous rent up to date?
Next Previous Rent Amount
Was your rent up to date at next previous address?
Pets
Pet 1 Name
Pet 1 Type/Breed
Pet 1 Indoor/Outdoor
Pet 1 Age
Vehicles
Vehicle 1 - Year
Vehicle 1 - Make
Vehicle 1 - Model
Vehicle 1 - Color
Vehicle 1 - Plate #
Vehicle 1 - State
Vehicle 2 - Year
Vehicle 2 - Make
Vehicle 2 - Model
Vehicle 2 - Color
Vehicle 2 - Plate #
Vehicle 2 - State
Employment & Income
Current Employer 1 Name
Current Employer 1 Occupation
Current Employer 1 Hours per Week
Current Employer 1 Supervisor Name
Current Employer 1 Supervisor Phone
Please enter a valid phone number.Format: (000) 000-0000.
Current Employer 1 Supervisor Phone Ext
Current Employer 1 Years Employed
Current Employer 1 Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Current Employer 1 City/State/Zip
Current Employer 2 Name
Current Employer 2 Occupation
Current Employer 2 Hours per Week
Current Employer 2 Supervisor Name
Current Employer 2 Supervisor Phone
Please enter a valid phone number.Format: (000) 000-0000.
Current Employer 2 Supervisor Phone Ext
Current Employer 2 Years Employed
Current Employer 2 Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Current Employer 2 City/State/Zip
Income Source 1 Current Amount
Income Source 1 Frequency
Income Source 1 Source
Income Source 1 Proof of Income Provided
Income Source 2 Current Amount
Income Source 2 Frequency
Income Source 2 Source
Income Source 2 Proof of Income Provided
Income Source 3 Current Amount
Income Source 3 Frequency
Income Source 3 Source
Income Source 3 Proof of Income Provided
Desired Move-in Date

MonthDayYear
Date
Debts & Banking
Car Loan: Lien Holder
Car Loan: Balance Owed
Car Loan: Monthly Payment
Car Loan: Creditor Phone
Please enter a valid phone number.Format: (000) 000-0000.
Credit Card 1: Company
Credit Card 1: Balance Owed
Credit Card 1: Monthly Payment
Credit Card 1: Creditor Phone
Please enter a valid phone number.Format: (000) 000-0000.
Credit Card 2: Company
Credit Card 2: Balance Owed
Credit Card 2: Monthly Payment
Credit Card 2: Creditor Phone
Please enter a valid phone number.Format: (000) 000-0000.
Credit Card 3: Company
Credit Card 3: Balance Owed
Credit Card 3: Monthly Payment
Credit Card 3: Creditor Phone
Please enter a valid phone number.Format: (000) 000-0000.
Child Support / Other Credit: Creditor
Child Support / Other Credit: Balance Owed
Child Support / Other Credit: Monthly Payment
Child Support / Other Credit: Creditor Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contacts
Emergency Contact 1 Name

First NameMiddle NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Phone Type
Emergency Contact Relation
Emergency Contact 1 Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact 1 City/State/Zip
Personal References
Personal Reference Name

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

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Personal Reference City/State/Zip
Background Questions
Has applicant ever been sued for bills?
Has applicant ever been locked out of their apartment by the sheriff?
Has applicant ever been bankrupt?
Has applicant ever been brought to court by another landlord?
Has applicant ever been guilty of a felony?
Has applicant ever moved owing rent or damaged an apartment?
Has applicant ever broken a Lease?
Is the total move-in amount available now (rent and deposit)?
Have you ever been served a late rent notice?
Do any of the people who would be living in the apartment smoke?
Have you ever filed for bankruptcy? If so, when?
When would you be able to move in?
Have you ever been served an eviction notice? If so, when?
Have you had any reoccurring problems with your current apartment or landlord?
Why are you moving from your current address?
We may run a credit check and criminal background check. Is there anything negative we will find that you want to comment on?
How long do you think you would be renting from us?

Signature & Final
Applicant Signature
Application Date

MonthDayYear
Date
Notes

SEND IN OR ATTACH COPIES OF YOUR LAST 4 PAY STUBS OR LAST 4 MONTHLY INCOME STATEMENTS.
File Upload

Cancelof
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Application for Whitmoor Place

Applicant & Occupants

Residence History

Pets

Vehicles

Employment & Income

Debts & Banking

Emergency Contacts

Personal References

Background Questions

Signature & Final

SEND IN OR ATTACH COPIES OF YOUR LAST 4 PAY STUBS OR LAST 4 MONTHLY INCOME STATEMENTS.