Rental Application

TAYLOR MADE PROPERTIES

"*" indicates required fields

PERSONAL INFORMATION

Name of Applicant*

First Last

Date of Birth*

Phone

Driver's License Number

Present Address*

Street Address Address Line 2 City State ZIP Code

Prior Address*

Street Address Address Line 2 City State ZIP Code

How long have you lived at present address?*

How long did you live at prior address?*

Prior Landlord*

Phone*

Number of Adults for this unit*

Please enter a number from 1 to 10.

Number of Children for this unit*

Please enter a number from 1 to 10.

Number of Pets for this unit*

Please enter a number from 0 to 10.

Weight of Pets

Please enter a number from 1 to 2000.

Employer*

Position*

How long have you been employed here?*

Current Salary*

Contact Person*

Phone*

SPOUSE INFORMATION

Name of Spouse

First Last

Date of Birth

Phone

Driver's License Number

Employer

Position

How long have you been employed here?

Current Salary

Contact Person

Phone

PERSONAL/CREDIT REFERENCES

Name

Relationship

Phone

Name

Relationship

Phone

Name

Relationship

Phone

Credit Grantor

Address

Phone

Credit Grantor

Address

Phone

Credit Grantor

Address

Phone

OTHER INFORMATION

Number of Vechicles (including company vehicles)*

Make/Model*

Year*

Color*

Tag Number*

State*

Make/Model of Vehicle 2*

Year*

Color*

Tag Number

State

Make/Model of Vehicle 3*

Year*

Color*

Tag Number

State

Have you ever filed for bankruptcy?*

Yes

When?

Have you ever been served an eviction notice or been asked to vacate a property you were renting?*

Yes

When?

Have you ever willfully or intentionally refused to pay rent when due?*

Yes

When?

How were you referred to us?

Rental Unit Applied for*

Commencement Date*

Term*

Rent/month*

ACKNOWLEDGMENT

I/We, the undersigned, understand that Taylor Made Properties is the leasing agent and representative for the owner/landlord and that the leasing agent’s fees will be paid by the owner/landlord. The undersigned acknowledge that this written notice was received prior to the undersigned receiving a lease agreement.

Applicant's Signature*

Co-Applicant's Signature

CONSENT TO OBTAIN EMPLOYMENT INFORMATION

I/We authorize Taylor Made Properties to investigate my/our credit qualifications and hereby release, in any manner, all of the information obtained by you. I/We further release all persons, agencies, or firms from any liabilities resulting from providing such information. I/We declare under penalty of perjury that the information listed in this application is true and correct.

Executed on this date in the city of Decatur, IL*

Applicant's Signature*

Co-Applicant's Signature

The undersigned authorizes landlord, leasing agent, and representatives of owner/landlord to contact the undersigned's current or previous landlord, and current employer, and further, by a copy of this Application, authorizes any said landlord or employer to release pertinent residential and employment history information to be used in evaluating my lease application. I further authorize owner/landlord, leasing agent or its representatives to apply for or obtain an investigation or credit report in connection with this application. I understand that said investigation or credit report may contain information obtained from various state governmental and private entities relative to the undersigned's number of children, employment, occupation, general health, financial and criminal history information.