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I hereby apply for a one-bedroom apartment at (choose one):

Dates of Tenancy

Personal Information

City
State / Province
Zip / Postal
Country
Show / Hide Previous Address
City
State / Province
Zip / Postal
Country
Photo ID
Maximum upload size: 10MB
Acceptable Forms of Identification: U.S.Drivers Licenses, Passport, Visa, Homeland Security Form, U of I Student ID.

Automobile Information

References

How Will You Afford Rent?

Enter bank name and current balance.
Please include up-to-date bank statement (remove acct #).
STATEMENT: Please provide a recent bank statement
Maximum upload size: 268.44MB

Employment

City
State/Province
Zip / Postal Code
EMPLOYMENT: Please provide current pay stub
Maximum upload size: 268.44MB
LOAN: Please provide documentation, loan letter, etc. Financial Explanation.
Maximum upload size: 268.44MB
GRANT: Please provide documentation
Maximum upload size: 268.44MB
FELLOWSHIP: Please provide apps letter or financial explanation.
Maximum upload size: 268.44MB
Other
Maximum upload size: 268.44MB
I agree to notify you of any material change in the information given in this application which occurs after I sign it. As part of your processing of my application, I authorize you to seek and obtain information about me, including my creditworthiness and character, by inquiring of individuals and/or organizations acquainted with me. I have deposited on account with $99.00 (ninety-nine dollars which I shall forfeit to you If I do not sign a lease within ten days after notice of acceptance of my application: (a) is received by telephone at my Current Telephone Number, below; or (b) is mailed to me at my Current Address, below. If my application is not accepted, my deposit shall be refunded, without any designation or any reason and without liability on the part of you or your agents.

If you have questions regarding this form, call us at (217) 621-1012

or email us at [email protected]