Alleman Properties, Inc.

Residential Lease Application

Name of Applicant:
Email:
Telephone:
Home Address:
Home Phone Number:
Year in School:
Major:
GPA:
(A copy of your Social Security card and Driver's License are required)
Birth Date:
How long have you lived at your present address?
Why are you leaving your present address?
Name of Landlord:
Phone Number:
Employer:
Position:
How Long?
Phone Number:
Salary:
You will pay rent with:
School Loans/Grants Work parents
Have you ever been sued for nonpayment of rent or damages?
Yes &nbsp No
Have you ever broken a rental agreement?
Yes &nbsp 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, employment history, housing references, criminal and civil background and all other information regarding me in connection with the processing of this application. I further specifically authorize the Landlord to conduct a general public and private record database search for purposes of verifying the above information; and to conduct the same search for purposes of locating me for service of process and / or in connection with any court proceedings that may be instituted against me.

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