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1792 N. Route 121 Decatur, IL 62526
Call Today! 217.875.1314
Monday – Thursday 8 AM – 6 PM
Taylor Made Landscaping
Taylor'd Just For You!
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TAYLOR MADE PROPERTIES
"
*
" indicates required fields
PERSONAL INFORMATION
Name of Applicant
*
First
Last
Date of Birth
*
Month
Day
Year
Email
Phone
Driver's License Number
Present Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Prior Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
Month
Day
Year
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)
*
0
1
2
3
Make/Model
*
Year
*
Color
*
Tag Number
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Make/Model of Vehicle 2
*
Year
*
Color
*
Tag Number
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Make/Model of Vehicle 3
*
Year
*
Color
*
Tag Number
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Have you ever filed for bankruptcy?
*
No
Yes
When?
Have you ever been served an eviction notice or been asked to vacate a property you were renting?
*
No
Yes
When?
Have you ever willfully or intentionally refused to pay rent when due?
*
No
Yes
When?
How were you referred to us?
Rental Unit Applied for
*
Commencement Date
*
MM slash DD slash YYYY
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
*
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Co-Applicant's Signature
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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
*
MM slash DD slash YYYY
Applicant's Signature
*
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Co-Applicant's Signature
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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.
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