Residential Rental Application w/ Background Information

Residential Rental Application

WALTER PROPERTY MANAGEMENT COMPANY
To complete your residential rental application, you must be prepared to provide 3 years of residential history as well as contact information for your rental references. You will also be asked to provide 3 years of work history including information and verification of your monthly income with last 2 months of pay stubs. We require that applicant combined gross income is at least three (3) times the monthly rent amount that you are responsible for, and a TransUnion credit score of at least 600. Income can include things like 1099 income, Social Security disability income, and rental assistance subsidies like housing choice vouchers.

Each adult over the age of 18 years old, must fill out an application and submit the $40.00 application fee. Please fill out the application completely and submit with payment. If information is left out, your application will be returned and not processed.

We recommend that you print a copy for your records. Please see print button at the bottom of the application. If you have any questions please call 309-948-1014 for assistance.
Address of Property Applying for
Address, City and State
Move in Date

MonthDayYear
Date
Including yourself, how many people will be residing in the property? Number*

PERSONAL INFORMATION
Full Name*

First NameMiddle NameLast NameSuffix
Co-Applicant Name

First NameMiddle NameLast NameSuffix
Co-applicant information will be collected at the end of your application.
Email*
Phone Number*

Area CodePhone Number
Birth Date*

MonthDayYear
Social Security #*
Marital Status*
Dependents Living With You
Dependent 1

Full NameDate of Birth
Dependent 2

Full NameDate of Birth
Dependent 3

Full NameDate of Birth
Dependent 4

Full NameDate of Birth
Have you ever been evicted?*
If yes, explain.
Have you ever been convicted of a felony?*
If yes, explain.
Have you declared bankruptcy in the past 7 years?*
If yes, explain.
Have you had 1 or more late rental payments in the last year?*
If yes, explain.
Do you owe any back rent?*
If yes, explain.
Have you ever broken a lease?*
If yes, explain.
Have you ever been brought to court by another landlord or property management company?*
If yes, explain.
Have you ever been sued for bills?*
If yes, explain.
Is the total move-in amount available now (Rent + Deposit)?*
Notes:

EMPLOYMENT INFORMATION

Please provide your current employment information. We require a minimum of 2.5 times the rental rate as combined gross income to be qualified without a cosigner.
Employment Status*
Current or Most Recent Employer*
Position*
Number of Hours Worked Per Week*
Employment Start Date*

MonthDayYear
Date
Monthly Salary*
Supervisor Name*

First NameLast Name
Supervisor Phone #*

Area CodePhone Number
Additional Income
$ Amount.
Additional Income Source
Ex. Alimony, child-support, second job, etc.
PREVIOUS EMPLOYMENT INFORMATION
Previous Employer*
Position*
Employment Start Date*

MonthDayYear
Date
Employment End Date*

MonthDayYear
Date
Monthly Salary*
Supervisor Name*

First NameLast Name
Supervisor Phone #

Area CodePhone Number
Include pdf or photo of last 2 paystubs

Browse Files

Cancelof

CURRENT RESIDENCE
Present Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Move in Date*

MonthDayYear
Move Out Date*

MonthDayYear
Amount Paid Monthly*
Landlord or Company Name*
Landlord Phone #*

Area CodePhone Number
Reason for Leaving*
If "other" please explain:
Was 30 days notice given?*
PREVIOUS RESIDENCE
Previous Address*

Street Address

Street Address Line 2

CityState

Zip Code
Move in Date*

MonthDayYear
Move Out Date*

MonthDayYear
Amount Paid Monthly*
Landlord or Company Name*
Landlord Phone #*

Area CodePhone Number
Reason for Leaving*
If "other" please explain:
Was 30 days notice given?*

PET INFORMATION
Do you have any pets or animals?*

YesNo
If yes, Animal 1 info

Pet TypeWeightNameColorBreed
If yes, Animal 2 info

Pet TypeWeightNameColorBreed
If yes, Animal 3 info

Pet TypeWeightNameColorBreed
VEHICLE INFORMATION
If yes, Vehicle 1 info

MakeModelYearLicense Plate NumberColor
If yes, Vehicle 2 info

MakeModelYearLicense Plate NumberColor

CO-SIGNER INFORMATION
Do you have a Co-signer
Co-signer Name

First NameMiddle NameLast NameSuffix
Co-signer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Co-signer Email
example@example.com
Co-signer Phone Number

Area CodePhone Number

TERMS
I, Applicant, represent that all of the above statements are true and correct and hereby authorize verification of the above items including but not limited to the obtaining of a consumer credit report and criminal background search. I agree to furnish additional credit references on request. I recognize that as a part of processing my application an investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living. Any false statements made above shall be sufficient cause for Walter Property Management Company, Landlord, to cancel and terminate any agreement made with Applicant. I understand that the $40 processing fee is not rent or deposit and will not be refunded even if this application is denied.*

I Agree
BACKGROUND CHECK AUTHORIZATION: After carefully reading the Background Check Disclosure form, I authorize the Company to order my background report, including investigative consumer reports. I understand that the Company may rely on this authorization to order additional background reports, including investigative consumer reports. I also authorize the following agencies and entities to disclose to Background Intelligence Bureau and its agents all information about or concerning me, including but not limited to: my past or present employers; learning institutions, including colleges and universities; law enforcement and all other federal, state and local agencies;federal, state and local courts; the military; credit bureaus; testing facilities; motor vehicle records agencies; if applicable, workers’compensation injuries; all other private and public sector repositories of information; and any other person, organization, or agency with any information about or concerning me. The information that can be disclosed to Background Intelligence Bureau and its agents includes, but is not limited to, information concerning my employment history, earnings history, education, personal references, credit history, motor vehicle history, criminal history, military service, professional credentials and licenses and substance abuse testing. I agree the Company may rely on this authorization to order background reports, including investigative consumer reports, from companies other than Background Intelligence Bureau without asking me for my authorization again as allowed by law. I also agree that a copy of this form is valid like the signed original. I certify that all of my personal information on this form is true and correct and understand that dishonesty may disqualify me from consideration for housing with the Company.*

I Agree
Signature*

Clear
Use your cursor to sign your name.
Name*

First NameLast NameSuffix

Add a Co-Applicant?

YesNo
CO-APPLICANT PERSONAL INFORMATION
Full Name

First NameMiddle NameLast NameSuffix
Co-Applicant Name

First NameMiddle NameLast NameSuffix
E-mail
example@example.com
Phone Number

Area CodePhone Number
Birth Date

MonthDayYear
Social Security #
Marital Status
Dependents living with you

YesNo
Dependent 1

Full NameDate of Birth
Dependent 2

Full NameDate of Birth
Dependent 3

Full NameDate of Birth
Dependent 4

Full NameDate of Birth
Have you ever been evicted?
If yes, explain.
Have you ever been convicted of a felony?
If yes, explain.
Have you declared bankruptcy in the past 7 years?
If yes, explain.
Have you had 2 or more late rental payments in the last year?
If yes, explain.
Notes:
CO-APPLICANT EMPLOYMENT INFORMATION

Please provide your current employment information. We require a minimum of 2.5 times the rental rate as combined gross income to be qualified without a cosigner.
Current or Most Recent Employer
Position
Employment Status

Full timePart timeI am not employed at this time
Employment Start Date

MonthDayYear
Date
Monthly Salary
Supervisor Name

First NameLast Name
Supervisor Phone #

Area CodePhone Number
Additional Income
$ Amount.
Additional Income Source
Ex. Alimony, child-support, second job, etc.
Include pdf or photo of last 2 paystubs

Browse Files

Cancelof
CO-APPLICANT PREVIOUS EMPLOYMENT
Previous Employer
Position
Employment Start Date

MonthDayYear
Date
Employment End Date

MonthDayYear
Date
Monthly Salary
Supervisor Name

First NameLast Name
Supervisor Phone #

Area CodePhone Number
CO-APPLICANT CURRENT RESIDENCE
Present Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Move in Date

MonthDayYear
Date
Move Out Date

MonthDayYear
Date
Amount Paid Monthly
Landlord or Company Name
Landlord Phone #

Area CodePhone Number
Reason for Leaving
If "other" please explain:
Was 30 days notice given?
CO-APPLICANT PREVIOUS RESIDENCE
Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Move in Date

MonthDayYear
Date
Move Out Date

MonthDayYear
Date
Amount Paid Monthly
Landlord or Company Name
Landlord Phone #

Area CodePhone Number
Reason for Leaving
If "other" please explain:
Was 30 days notice given?
VEHICLE INFORMATION

Please only enter vehicle information once.
If yes, Vehicle 1 info

MakeModelYearLicense Plate NumberColor
If yes, Vehicle 2 info

MakeModelYearLicense Plate NumberColor

Terms
I, Applicant, represent that all of the above statements are true and correct and hereby authorize verification of the above items including but not limited to the obtaining of a consumer credit report and criminal background search. I agree to furnish additional credit references on request. I recognize that as a part of processing my application an investigative consumer report may be prepared whereby information is obtained through personal interviews with others with whom I may be acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mode of living. Any false statements made above shall be sufficient cause for Walter Property Management Company, Landlord, to cancel and terminate any agreement made with Applicant. I understand that the $40 processing fee is not rent or deposit and will not be refunded even if this application is denied.*

I Agree
BACKGROUNDCHECK AUTHORIZATION After carefully reading the Background Check Disclosure form, I authorize the Company to order my background report, including investigative consumer reports. I understand that the Company may rely on this authorization to order additional background reports, including investigative consumer reports. I also authorize the following agencies and entities to disclose to Background Intelligence Bureau and its agents all information about or concerning me, including but not limited to: my past or present employers; learning institutions, including colleges and universities; law enforcement and all other federal, state and local agencies;federal, state and local courts; the military; credit bureaus; testing facilities; motor vehicle records agencies; if applicable, workers’compensation injuries; all other private and public sector repositories of information; and any other person, organization, or agency with any information about or concerning me. The information that can be disclosed to Background Intelligence Bureau and its agents includes, but is not limited to, information concerning my employment history, earnings history, education, personal references, credit history, motor vehicle history, criminal history, military service, professional credentials and licenses and substance abuse testing. I agree the Company may rely on this authorization to order background reports, including investigative consumer reports, from companies other than Background Intelligence Bureau without asking me for my authorization again as allowed by law. I also agree that a copy of this form is valid like the signed original. I certify that all of my personal information on this form is true and correct and understand that dishonesty may disqualify me from consideration for housing with the Company.*

I Agree
Signature*

Clear
Please use your cursor to sign your name.
First NameLast NameSuffix
App Amount
Amount

Application Fees*

USDTotal Amount

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty:

Residential Rental Application

PERSONAL INFORMATION

EMPLOYMENT INFORMATION

PREVIOUS EMPLOYMENT INFORMATION

CURRENT RESIDENCE

PREVIOUS RESIDENCE

PET INFORMATION

VEHICLE INFORMATION

CO-SIGNER INFORMATION

TERMS

CO-APPLICANT PERSONAL INFORMATION

CO-APPLICANT EMPLOYMENT INFORMATION

CO-APPLICANT PREVIOUS EMPLOYMENT

CO-APPLICANT CURRENT RESIDENCE

CO-APPLICANT PREVIOUS RESIDENCE

VEHICLE INFORMATION

Terms