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STEP 1: Income verification

STEP 1: Income verification

STEP 2: Application for Apartment Rental

Applicant Information:

Employer Information:

Additional Information:

DISCLOSURE / AGREEMENT / CONSENT

STEP 3: Guarantor Application

STEP 3: Rental History

STEP 1: Income verification

STEP 1: Income verification

STEP 2: Application for Apartment Rental

Applicant Information:

Employer Information:

Additional Information:

DISCLOSURE / AGREEMENT / CONSENT

STEP 3: Guarantor Application

STEP 3: Rental History

Please upload up to three documents (ie: paystubs, offer letter, etc) for income verification

Applicant Information:

Employer Information:

DISCLOSURE / AGREEMENT / CONSENT:

Please upload up to three documents (ie: paystubs, offer letter, etc) for income verification

DISCLOSURE / AGREEMENT / CONSENT:

Applicant Information:

Employer Information:

DISCLOSURE / AGREEMENT / CONSENT:

DISCLOSURE / AGREEMENT / CONSENT:

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Access Chicago Realty, Inc.
info@accesschicagorealty.com

Document 1:

Document 2:

Document 3:

If you don't have a pay stub, offer letter, w2 or other document that demonstrates income, you can enter your supervisor or HR contact's information. Warning: this may delay the processing of your application and/or consideration of your offer in the event more than one party applies for the apartment.

Employer/Source of Income:

Supervisor/HR Contact:

Address:

Business Phone:	Fax:

Email:

DISCLOSURE / AGREEMENT / CONSENT:
I have read this entire form and hereby certify that all of the information contained herein is true, correct, complete and accurate. I further agree to submit any additional supporting documentation if requested by Access Chicago Realty, Inc.. I hereby authorize Access Chicago Realty, Inc. and its representatives to disclose information contained in this form in order to verify my employment and income information (including, but not limited to, all information contained on this form). I hereby grant permission of any parties contacted by Access Chicago Realty, Inc. to release any information requested I Agree

Applicants name:

APPLICANTʼS SSN or Tax ID #

I am co-signing on this application

Address of Apartment:

Unit #:	Rent:	Security Deposit:

Lease Term
From:	To:	Select your Agent

Name of Applicant:	Social Security #

Date Of Birth :

Drivers License #:

State:

Phone #:	Email:

Current Address:	Previous Address:

City, State, Zip:	City, State, Zip:

Current Landlord:	Previous Landlord:

Landlord Telephone:	Landlord Telephone:

Current lease term
From:	To:	Rent:

Employer:	Phone:

Work Address:

Position:	How long have you held this position:

Annual Salary:	Additional Income/Source:

Supervisor/HR Contact:	Phone:

Do you have a waterbed?	Yes No
Ever been convicted of a felony?	Yes No
Do you or any occupants smoke?	Yes No

Have you been the defendant in any of the following? Checked below:

Evictions Suits Judgements Bankruptcies Foreclosures

How did you hear about this Apartment:

Please list any pets:

Please list all occupants who will live in the apartment:

1. I authorize Access Chicago Realty, Inc., as well as any sub-agents or co-operating agents, to run a credit check, a criminal background check, and verify my employment and rental history. Applicant further releases all persons, agencies, or firms from any liabilities resulting from providing such information. Applicant declares under penalty of perjury that the information listed in this application is true and correct.
2. Access Chicago Realty, Inc. does not discriminate based on one’s membership in a protected class, e.g.: race, color, religion, national origin, sex, ancestry, age, marital status, physical or mental handicap, familiar status, or any other class protected by Article 3 of the Human Rights Act. Please return application with a copy of Tenant(s) drivers licenses, and two most recent pay stubs.

I Agree

Simultaneously with the execution of this Application, Applicant has paid Access Chicago Realty, Inc. a deposit for the first month’s rent in the sum of $ , it being understood that if the Application is accepted by the Landlord, and the Applicant does not execute a Lease within one week of the date of application and commence his/her tenancy at the Premises by the lease start date, then the Application Fee and Deposit shall be forfeited and retained by the Landlord and/or Landlord’s agents. With this deposit as consideration, Access Chicago Realty, Inc. will not offer to rent the Premises to other prospective tenants unless the Applicant is declined.

I Agree

Address of Apartment:

Unit #:	Rent:	Security Deposit:

Lease Term from	To

Name Of Applicant:

SS#:

Date Of Birth:

Drivers License #:

State:

Phone#:

Email:

Current Address#:

City,state,zip	How Long?	Monthly Rent/Mortgage

Employer:	Phone:

Work Address#:

Position:	How long have you held this position

Annual Salary:	Additional Income/Source:

Supervisor/HR Contact:	Phone:


Landlord Name:

Landlord Address:

City: State: Zip:

Business Phone:	Fax:

Email:

DISCLOSURE / AGREEMENT / CONSENT:
I have read this entire form and hereby certify that all of the information contained herein is true, correct, complete and accurate. I further agree to submit any additional supporting documentation if requested by Access Chicago Realty, Inc.. I hereby authorize Access Chicago Realty, Inc. and its representatives to contact the above named landlord and verify my landlord/tenant history (including, but not limited to, all information contained on this form). I hereby grant permission to the above named landlord to release any information as requested by Access Chicago Realty, Inc. . I Agree
Applicants name:

Applicantʼs Address:

APPLICANTʼS SSN or Tax ID #

Note: We respect your online privacy and will never spam you. By submitting this form with your telephone number you are consenting for Access Chicago Realty, Inc. to contact you even if your name is on a Federal or State "Do not call List".


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1. I authorize Access Chicago Realty, Inc., as well as any sub-agents or co-operating agents, to run a credit check, a criminal background check, and verify my employment and rental history. Applicant further releases all persons, agencies, or firms from any liabilities resulting from providing such information. Applicant declares under penalty of perjury that the information listed in this application is true and correct.
2. Access Chicago Realty, Inc. does not discriminate based on one’s membership in a protected class, e.g.: race, color, religion, national origin, sex, ancestry, age, marital status, physical or mental handicap, familiar status, or any other class protected by Article 3 of the Human Rights Act. Please return application with a copy of Tenant(s) drivers licenses, and two most recent pay stubs.

I Agree

Note: We respect your online privacy and will never spam you. By submitting this form with your telephone number you are consenting for Access Chicago Realty, Inc. to contact you even if your name is on a Federal or State "Do not call List".