Alleman Properties, Inc.

Cannon Park Lease Application

Name of Applicant:
Email:
Telephone:
(A copy of your Social Security card and Driver's License are required)
Birth Date:
Employer:
Position:
How Long?
Phone Number:
Salary:
Current Address:
Current Landlord:
Phone Number:
How long have you rented from your current landlord?
Reason for leaving?
Have you ever been sued for nonpayment of rent or damages?
Yes No
Have you ever broken a rental agreement?
Yes No
If so, please explain why
Authorization to Obtain or Verify Information I represent that the information provided in this application is true to the best of my knowledge. You are hereby authorized to verify my credit and employment references in connection with the processing of this application.

Alleman Properties, Inc. • 310 E Main St. • Carbondale, IL 62901 • 618-549-6355