Rental Information: (217) 345-1400
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Rental Information
Online Application

Residence
Application for occupancy of: Street Address Apartment #
Applicant Personal Information
First Name* Middle Name Last Name*
Email Address*
Social Security # Drivers License # Are you 18 years of age or older? No Yes
Address City State Zip
Telephone #* Present Landlord
Is present rent up to date? No Yes Have you been asked/told to leave? No Yes
Check applicable boxes. Please explain any "yes" answers below.
1. Has the applicant ever been sued for nonpayment of bills or eviction? No Yes
2. Has the applicant ever filed for bankruptcy? No Yes
3. Has the applicant ever had a residence application denied by any landlord? No Yes
Explain any "yes" answers here:
Roommates
Number of roommates (at the address applied for)
Names of roommates
Employment
Employer Since
Street/City Phone Number
Position/Responsibilities Monthly Income
Cosigner
Cosigner Name
Cosigner Address (including city, state, zip)
Cosigner Home Telephone Number
Legal Notice
Legal Notice
By submitting this application, I declare the foregoing information is true and correct, and I hereby authorize you to conduct an employment, credit, parent, and tenant history check. I understand that falsification of the above information is grounds for immediate termination of my lease by landlord. I hereby authorize the release of this information by University Village Housing. I understand that this application is valid only for the apartment listed above and on the date listed below, and that if I later decide to rent another apartment through University Village Housing, I will need to complete a new application.
The apartment unit designated on the lease will be reserved for you until the "Lease Return Date." I agree that if I do not return my lease to University Village Housing fully signed by all tenants and all guarantors by the "Lease Return Date" specified on the lease, I agree that the apartment will be made available for rental.
A security deposit must be paid before the apartment is reserved for the applicant.

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SERVING EASTERN ILLINOIS UNIVERSITY AND LAKELAND COMMUNITY COLLEGE CAMPUS
SERVING EASTERN ILLINOIS UNIVERSITY AND LAKELAND COMMUNITY COLLEGE CAMPUS
SERVING EASTERN ILLINOIS UNIVERSITY AND LAKELAND COMMUNITY COLLEGE CAMPUS