GLA Property Management Inc
RENTAL APPLICATION
320 Wisconsin
Oak Park, Illinois 60302
Equal Housing Opportunity
LaVerne Collins, Licensed Illinois
Real Estate Broker/Managing Broker
for GLA Property Management Inc.
Properties may be broker
owned & operated.
The undersigned hereby makes an application to rent the following property:
__________________________________________________________________________________________________________
Anticipated move in date of ______________________________ at a monthly rental rate of $____________________
and a security deposit of $____________________. (One and a half times monthly rental amount.)
PLEASE TELL US ABOUT YOURSELF:
Full Name:
_________________________________________________________________________
Home Phone No.:
(_______) ________________________________________________________________
Date of Birth:
_________________________________________________________________________
Social Security No.:
_________________________________________________________________________
E-Mail Address :
_________________________________________________________________________
Alternate Phone No.:
(_______) ________________________________________________________________
Names of Dependents &
Dates of Birth
_________________________________________________________________________
_________________________________________________________________________
PLEASE GIVE RESIDENTIAL HISTORY (LAST THREE (3) YEARS):
Current Address:
_______________________________________________________________________
Apartment No.:
_______________________________________________________________________
City/State/Zip Code:
_______________________________________________________________________
Month/Year Moved In:
_______________________________________________________________________
Reason(s) for Leaving:
_______________________________________________________________________
Monthly Rent:
_______________________________________________________________________
Owner/Agent:
_______________________________________________________________________
Phone No.:
(______) _______________________________________________________________
Previous Address:
_______________________________________________________________________
(Last 3-Years)
_______________________________________________________________________
Monthly Rent:
_______________________________________________________________________
Owner/Agent:
_______________________________________________________________________
Phone No.:
(______) _______________________________________________________________
PLEASE DESCRIBE YOUR CREDIT HISTORY:
Have you declared bankruptcy in the past seven (7) years?
Have you ever been evicted from a rental residence?
Have you had two (2) or more late rental payments in the past year?
Have you ever willfully or intentionally refused to pay rent when due?
_____ Yes
_____ Yes
_____ Yes
_____ Yes
_____ No
_____ No
_____ No
_____ No
PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION:
Your Status: _____ Full Time _____ Part Time _____ Student _____ Unemployed ___Retired
Current Employer:
_______________________________________________________________________
Dates Employed:
_______________________________________________________________________
Employed As:
_______________________________________________________________________
Supervisor’s Name:
_______________________________________________________________________
Phone No.:
(______) _______________________________________________________________
Salary:
$____________________ per ______________________________________________
(If employed by above less than 12-months, give name and phone number of previous employer or school.)
_____________________________________________________________________________________________________
If you have other sources of income that you would like us to consider, please list income, source and person
(banker, employer, etc.) who we may contact for confirmation. You do not have to reveal alimony, child
support, or spouse’s annual income unless you want us to consider it in this application.
Amount: $ __________
Source/Contact Name: _______________________________________________________
PLEASE LIST YOUR BANK REFERENCES:
Banking Accounts
Name of Institution:
________________________________________________________________________
Type of Account:
________________________________________________________________________
Personal Reference or Emergency Contact:
Name:
________________________________________________________________________
Address:
________________________________________________________________________
Phone No.:
(______) ________________________________________________________________
Relationship:
________________________________________________________________________
Your Driver’s License No.:
________________________________ State ________________
Vehicle Information:
Make/Model:
________________________________________________________________________
Year _________________ License Plate State_______________
ADDITIONAL INFORMATION:
You must provide a valid photo i.d. (driver’s license, state-issued identity card, or passport) and your most
recent pay stub with this application; and you agree to allow copies to be made of same.
Please give any additional information that might help owner/management evaluate this application.
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Where may we reach you to discuss this application?
Day Phone No.: (______) _______________
Evening Phone No.: (______) _________________
APPLICANT’S STATEMENT
I hereby apply to lease the above described premises for the term and upon the set conditions above set forth
and agree that the rental is to be payable the first day of each month in advance. As an inducement to the
owner of the property and agent to accept this application, I warrant that all statements above set forth are
true; however, should any statement above be a misrepresentation or not a true statement of facts, all of the
deposit will be retained to offset the agent’s cost, time, and effort in processing my application.
I hereby deposit $300.00 as earnest money to be refunded to me if this application is not accepted in three (3)
business days. Upon acceptance, this deposit shall be retained as part of the security deposit. If approved
and accepted, I agree to pay the balance of the security deposit, in full, within 10 calendar days. I agree to
provide the funds via cashiers check, money order or cash to GLA Property Management. If I do not pay the full
security deposit within 10 calendar days, earnest money is non-refundable and apartment is considered
rentable. Lease will not be fully executed until the total security deposit amount is paid.
When so approved and accepted, I agree to execute a lease for ____________ months before possession is
given. The applicant hereby waives any claim for damages by reason of non-acceptance. I recognize as a
part of your procedure for processing my application, an investigative consumer report may be prepared
whereby information is obtained through personal interviews with others with whom I may be acquainted. This
inquiry includes information as to my character, general reputation, personal characteristics & mode of living.
The above information, to the best of my knowledge, is true and correct. I understand, acknowledge and
accept that once lease is fully executed, security deposit is NOT refundable. Security deposit is only refundable
when the full term of the lease has been completed and all conditions of the lease and security deposit
agreement have been met. I understand, acknowledge and accept that if this application is accepted by
owner and/or manager resulting in a lease, the subject property will be occupied only by the Applicants and
dependents named herein. Furthermore, all persons signing a lease as tenants for the subject property must be
occupants. GLA Property Management Inc. does NOT accept co-signers.
Tenants are required to have a Renters Insurance policy for the duration of the lease to sufficiently insure
personal property against loss. Tenants are required to provide a Certificate of Insurance to the GLA
management office listing GLA Property Management Inc. and the building entity as additionally insured. The
Certificate of insurance MUST BE presented prior to move in and for all leases renewals. ____________________
Tenant will provide proof of utility service in Tenant’s name prior to move in and Tenant agrees to pay for all
utilities not included with the rent. ________________________
For apartments in Oak Park, Village ordinance states on street parking between 2am and 6am is prohibited
without a proper parking permit. On street parking permits can be obtained through the Village of Oak Park by
calling 708-358-PARK.
For apartments in Forest Park, all on street parking between 2am and 5 am is prohibited. Contact the Village of
Forest Park at 708-386-2323 to obtain parking permits.
GLA PPROPERTY MANAGEMENT BUILDINGS ARE 100% SMOKE FREE PROPERTIES. TENANTS WILL
BE REQUIRED TO COMPLY WITH THE SMOKE FREE POLICIES.
With new leases effective April 1, 2014, all GLA Properties do NOT allow any pets.
Applicants must submit a photocopy of either a drivers license, state-issued photo ID or passport, and a
photocopy of a pay stub or other proof of income.
Please sign:
________________________________________________
Name of Applicant
____________________
Date
AUTHORIZATION
Release of Information
I authorize an investigation of my credit, tenant history, banking, employment, criminal background and any
other screening for purposes of renting an apartment from this owner/manager, and to provide our rental
referral service your name & any other required rental close out information. I understand, acknowledge and
accept that all fees for any and all such investigation are to be paid by me. I agree to include the nonrefundable sum of
$____________ with this application for said purposes.
___________________________________________________________________
Name (Please Print)
___________________________________________________________________
Signature
__________________________
Date
Applicant: Please do not write below (for Office use only).
Deposit of $_____________ Received By:_____________________________________________
Date:___________________
____________________________________________________________________________________________________________
GLA 5_20_14