Christone Enterprises, Inc. | Southwestern Illinois

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Online Rental Application ....

CHRISTONE ENTERPRISES, INC.
125 WEST 1ST STREET
O'FALLON, ILLINOIS 62269

TEL: 618.624.2502
FAX: 618.624.2556

For Property Address:
Type of Application:	Occupant	Co-Signor


Your Information....

Full Legal First Name:
Full Legal Last Name:
		(One name per Rental Application)
Email Address:
Phone Number:
Former last name(s) maiden/married:
Social Security Number:		(Numbers Only)
Date of Birth:		(MM/DD/YYYY)
Driver's License #:
State of Issue:

Current Address....

Address:
Apartment Number:
Name of Community:
City:
State:
Zip Code:
Landlord/Mortgage Company:
Contact Phone:
How Long?		(MM/DD/YYYY)
Monthly Rent/Mortgage:		$
Reason for Moving:
Do you rent this residence?
Is your name on the lease?
Have you given written notice to leave?
If yes, on what date?

Previous Address.... (If Less than Two Years at Current Residence)

Previous Address:
Apartment Number:
Name of Community:
City:
State:
Zip Code:
Landlord/Mortgage Company:
Contact Phone:
How Long?		(MM/DD/YYYY)
Monthly Rent/Mortgage:		$
Reason for Moving:
Did you rent this residence?
Was your name on the lease?
Did you given written notice to leave?
Did you fulfill the terms of the lease?

Current Employment....

Current Employer:

Position:

Start Date:

(MM/DD/YYYY)

Address:

City:

State:

Zip Code:

Employer's Phone:

Your Supervisor:

Employment Status:

* Hourly Pay Rate:

* Weekly Hours Worked:

** Annual Income:

$
(Please list all income as gross or before-tax income)

* Salaried persons need not list hourly rate/average hours worked - only annual income)

** Annual income for hourly employees is calculated by multiplying hourly rate by average hours worked per week - total then multiplied by 52 weeks)

Previous Employment.... (If Less than One Year at Current Job)

Previous Employer:

Position:

Start Date:

(MM/DD/YYYY)

Address:

City:

State:

Zip Code:

Employer's Phone:

Your Supervisor:

Employment Status:

* Hourly Pay Rate:

* Weekly Hours Worked:

** Annual Income:

$
(Please list all income as gross or before-tax income)

* Salaried persons need not list hourly rate/average hours worked - only annual income)

** Annual income for hourly employees is calculated by multiplying hourly rate by average hours worked per week - total then multiplied by 52 weeks)

Your Rental/Criminal History....

Have you ever...

Been evicted or asked to move-out?

Broken a rental or lease agreement?

Declared bankruptcy within the past 4 years?

Been sued for non-payment of rent?

Been sued for damage to a rental unit?

Been arrested of felony or misdemeanor involving any of the following: Violent or sexual crime, fraud, embezzlement or theft, destruction of property, public lewdness or indecent exposure, violence, stalking, fire-arms, illegal drugs or any other crime involving a minor that was resolved by conviction, probation or deferred adjudication?

Please indicate year, location and type of each felony and/or misdemeanor and/or sex-related crime other than those that have been resolved by dismissal or acquittal.

Vehicle Information....

Make:
Model:
Color:
License Plate Number:
State of Issue:

Other Residents....

List the legal names, ages and dates of birth for ALL other people who will occupy this unit. All occupants 19 years of age or older may be required to complete an application.

Name:	Age:	DOB (Include Year):

Pet Information...

Do you have any pets?

Yes No

Type:

Weight:

Emergency Contact Information....

Emergency Contact:

Phone Number:

Address:

City:

State:

By submitting this rental application, I grant CHRISTONE ENTERPRISES permission to make inquiries and verify my employment record, monthly income, previous residence record as it relates to payment history and property caretaking through prior landlord verification, and perform a credit and/or criminal background check. Any information obtained from this application will be used to determine my suitability as an applicant and may be disclosed to the property owner. As an applicant, I agree that property owner or agent thereof retain the right to determine my suitability as a prospective tenant and/or reject an application for any reason not prohibited by law. Further, if a lease agreement is entered into and any information disclosed on this application is found untrue, incorrect, or incomplete, CHRISTONE ENTERPRISES reserves the right to cancel said lease agreement and I will forfeit security deposit. I acknowledge that CHRISTONE ENTERPRISES strictly adheres to Federal Fair Housing guidelines and will not deny my application on the basis of race, color, religion, sex, handicap, familial status or national origin.

Exceptions to application criteria are possible, as CHRISTONE ENTERPRISES deems appropriate and when circumstances warrant. CHRISTONE ENTERPRISES may ask for additional information and/or clarification when necessary. Once as application has been approved, any advance deposit provided to agency is applied toward the security deposit or forfeited if applicant fails to consummate a lease agreement. Application fee is non-refundable.

NOTE: We require PROOF OF INCOME and a copy of your DRIVER'S LICENSE in order to process your application. These items may be scanned/emailed to apply@christone.com or faxed to 618-624-2556. Your application WILL NOT BE PROCESSED until these items are received.

By typing your name below it is the same as an electronic signature, I hereby state and represent that all information provided in this application is complete and accurate.

Type Your First Name:
Type Your Last Name:
Date:

Proceed to "Google Checkout™" or "PayPal" to complete your application process: