Below is our online application for tenancy form. Please fill out the information below to begin the application process. If you prefer, you may print the application and fax or mail in to us.

Application For Tenancy

308 S. THIRD ST.
GREENVILLE, IL 62246
PHONE# 618-664-4232
FAX # 618-664-4310

DATE:

PHONE:

All applications must be completed before property information is released.

Once a property is selected, an application Fee of $10.00 is required.

NAME:

EMAIL ADDRESS:

SOCIAL SECURITY #:

DRIVERS LICENSE # & STATE:

DATE OF BIRTH:

CURRENT ADDRESS:

STATE: ZIP CODE:

What type of property are you looking for? Apartment House

How many bedrooms?

How many bathrooms?

Monthly rental price range?

CREDIT INFORMATION (BUSINESS WHERE YOU HAVE CREDIT OR BANKS WHERE YOU HAVE LOANS)

NAME ADDRESS PHONE LOAN AMOUNT

TOTAL MONTHLY PAYMENTS

GROSS MONTHLY INCOME:

PRESENT EMPLOYER:

HOW LONG?

ADDRESS:

PHONE:

SUPERVISOR:

PREVIOUS EMPLOYER:

HOW LONG?

ADDRESS:

PHONE:

SUPERVISOR:

PERSONAL REFERENCES (INCLUDE PHONE AND ADDRESS)

1.

2.

3.

OTHER OCCUPANTS (NAMES, AGES, RELATIONSHIP)

REQUESTED DATE:
PRESENT LANDLORD:        HOW LONG?

ADDRESS:
PHONE:

REASON FOR LEAVING:

PREVIOUS LANDLORD:

HOW LONG:

ADDRESS:          PHONE:

DO YOU HAVE PETS:            WHAT KIND?

CO-APPLICANT

NAME:

SOCIAL SECURITY #:

DRIVERS LICENSE#& STATE:

DATE OF BIRTH:

CURRENT ADDRESS:

STATE:
ZIP CODE:

CREDIT INFORMATION (BUSINESS WHERE YOU HAVE CREDIT OR BANKS WHERE YOU HAVE LOANS)

NAME                                  ADDRESS                 PHONE                 LOAN AMOUNT

TOTAL MONTHLY PAYMENTS
GROSS MONTHLY INCOME:

PRESENT EMPLOYER:

HOW LONG?

ADDRESS:

PHONE:

SUPERVISOR:

I hereby authorize Bond County Realtors to obtain a consumer report, and any other information it deems necessary, for the purpose of evaluating my application. I understand that such information may include, but is not limited to, credit history, civil and criminal information, records of arrest, rental history, employment/salary details, vehicle records, licensing records, and/or any other necessary information. I understand that subsequent consumer reports may be obtained and utilized under this authorization in connection with an update, renewal, extension or collection with respect or in connection with the rental or lease of a residence for which application was made. I hereby expressly release Bond County Realtors, and any procurer or furnisher of information, from any liability what-so-ever in the use, procurement, or furnishing of such information, and understand that my application information may be provided to various local, state and /or federal government agencies, including without limitation, various law enforcement agencies.

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APPLICANT

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CO-APPLICANT