Rental

EZHC LLC APPLICATION

Kristina and Cherilyn, EZHC LLC, Coal Valley & Hampton, IL (563) 949-1509 ========== EZHC LLC APPLICATION ==========   NAME: _________________________   Birthdate: ______________ SS# ______________ Phone _______________   SPOUSE: _________________________   Birthdate: ______________ SS# ______________ Phone _______________   CURRENT ADDRESS: _________________________ City/State/Zip: ______________   Rent/Mortgage $________ Landlord/Bank ________________ Phone: ___________   How long at this address? ______ Reason for moving ______________________   Previous Address: ________________________ City:___________ Rent $_______   Landlord:_____________________ Phone__________ How long at this address:_____   CURRENT EMPLOYER Position:________________ Supervisor Phone: ___________ How long with this employer: ____   Income $ ______ per _____ Hours per week _____ Will this change in the near future: _____   Previous Employer ___________________ Income: ______ How long with this employer: _______   SPOUSE EMPLOYER Position:________________ Supervisor Phone: ___________ How long with this employer: ____   Income $ ______ per _____ Hours per week _____ Will this change in the near future: _____   Previous Employer ___________________ Income: ______ How long with this employer: _______   ANY other source of income? ___________________ How Much: ____________   CREDIT – Bank: _____________________ Location:_____________________   1. ______________________Balance owed $_________ Monthly payments $____________   2. ______________________Balance owed $_________ Monthly payments $____________   Have you ever filed for bankruptcy?_____ Had a bill sent to collection? ______ Been Evicted ____   Explain: ________________________________________________________________________________   Drivers License # ___________________ Have you ever been convicted of a felony? ______ Explain: ________________________________________________________________________________   All vehicles: (make/model/year/license#)_________________________________________________   List all occupants OTHER than yourself:   Name: ______________________ Relationship:_____________________ Age:_________   Name: ______________________ Relationship:_____________________ Age:_________   Name: ______________________ Relationship:_____________________ Age:_________   PETS? – How Many:____ Type:___________________________ Age: _____ Weight: _____   EMERGENCY contact:________________ Relation:__________________ Phone:_______________   Address: _________________________ City:____________ State:______ Zip:______________   I (we), the undersigned, agree to the following: Submitting an application does not hold a unit. Once an application is approved, applicant will be notified and a deposit shall be paid and a lease completed to guarantee the unit is held. I (we) understand that verified information is needed to reach approval of this application. I (we) agree that a photocopy of this authorization may be used for job/landlord inquires and verification and the original will be kept on file in the rental office. Inquiries and/or verification will be requested from the following, but not limited to: credit bureau, current and previous landlords and employers, and financial lenders.   I (we), the undersigned, authorize and direct any individual, business, organization, or federal, state or local agency to release or verify any information which is deemed necessary in processing my (our) application for rental from_________________________.     X____________________________________  X_____________________________________                                                                 Date                                                                       Date   OFFICE USE ONLY                 Employment Verification:  Everything correct on application Yes____ No____   If no what differences:__________________________________________________________   Name of person giving reference: ________________________________________________                   Landlord Reference: Name of person giving the reference:_________________________________ How many people reside at the above address:____ How much does tenant pay for rent? _____ Is the rent paid on time? ______ Number of late payments? ______ Current balance due to you? ______ Number of NSF checks? ______ Length of rental time? ______ Any pets? ______ What kind? ______________________________ How many? ______ Any damages? ______ Noise Complaints? _______ Would you rent to them again? _______

Please print and fill out entirely.

Email to ezhousingconcepts@gmail.com or bring completed application to your scheduled property showing. Thank you!