| Print, Complete, then Fax this form to 708-570-9143 |
| Name(s): | Phone: | Date of Birth: | |||
| 1) | 1) | 1) | |||
| 2) | 2) | 2) | |||
|
# of tenants under 18 years of age:
|
# and type of pets:
|
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| Social Security #: | Driver's License #: | ||
| 1) | 1) | ||
| 2) | 2) | ||
| Present Address: | |
| Present Landlord: | Phone: |
| Previous Address: | |
| Name of Employer: | How Long: | |
| Type of Work: | ||
| Supervisor: | Phone: |
| Reference Names: | Phone: | Relationship: | ||
| 1) | 1) | |||
| 2) | 2) | |||
| Monthly Income (pre tax): | |
| Reason for Leaving Present Residence: | |
| Ever Been Convicted of a Felony: Yes No | |
| Ever Been Evicted: Yes No |
| In Case of Emergency Contact: | Phone: | |||
| 1) | 1) | |||
| 2) | 2) | |||
| Signature: |
|
Date: |
|
| S & G Properties | ||
| 902 S Randall Rd. Suite C 319, St. Charles, IL 60174 | ||
| phone: 708-404-8006 - fax: 708.570.9143 |