Rental Lease Application

Property Address
Lease Term From
Monthly Rent $
Lease Term To
Deposit

Applicant Info

Full Legal Name
Social Security #
Date of Birth
Home Phone Number #
Driver’s License #
Cell Number #
Email Address
Current Address
City
How Long
State
Current Rent $
Zip
Lease Expiration
Present Landlord Name
Present Landlord Phone #

PREVIOUS HISTORY

Previous Address
City
State
Zip
Previous Landlord Name
Previous Landlord Phone #

OTHER PERSONS TO OCCUPY APARTMENT

Full Legal Name
Full Legal Name
Full Legal Name
Relationship
Relationship
Relationship

EMPLOYMENT HISTORY

Current Employer
Current Job Position
Monthly Income
Current Work Address
Date of Employment
City
State
Zip
Job Contact Person
Previous Employer
Job Contact Phone #
Previous Position

INCOME OR OTHER INCOME

Other Monthly Income $
Income Source

AUTO

Make/Model
Year
License Plate/State
Monthly Payments $

PETS (IF APPLICABLE)

Breed
Weight
Breed
Weight

PERSONAL REFERENCES (NO RELATIVES)

Name
Name
Address
Address
Phone
Phone

EMERGENCY CONTACT

Name
Address
Relationship
Phone #

NOTICE, AUTHORIZATION AND RELEASE FOR THE PROCUREMENT OF A CONSUMER AND/OR INVESTIGATIVE CONSUMER REPORT

IMPORTANT NOTICE

Effective January 1, 2012, employers in California may only use consumer credit reports for employment purposes if the report is sought for the following:

A managerial position; 2) A position in the state Department of Justice; 3) A sworn peace officer or other law enforcement; 4) The California Fair Credit Reporting Act AB 655 created Civil Code section 1786.29 which requires a California applicant to choose if they want to have a copy of their consumer report.

If the applicant is a California resident, the following applies:

1.The report does not guarantee the accuracy or truthfulness of the information as to the subject of the investigation, but only that it is accurately copied from public records.

2.Evidence of identity theft may or may not be identified from this report.

3.The applicant has the right to see and copy their consumer report.

4.The applicant requests a copy of the consumer report by checking the “yes” box below.
By clicking "submit button" and or signing below, I, the undersigned consumer, do hereby authorize Eldorrado Chicago Real Estate LLC by and through its independent contractor, Scott Roberts and Associates, to procure a consumer report and/or investigative consumer report on me. I understand that this authorization and release shall be valid for consumer and/or investigative consumer reports for leasing or tenant ownership purposes for the “Address of Property “ above with Eldorrado Chicago Real Estate LLC. I authorize Eldorrado Chicago Real Estate LLC to share this consumer report with prospective landlords if necessary, and/or, if required, the property’s building management company or condo board.

Said reports may include, but are not limited to, information as to my character, general reputation and personal characteristics, discerned through employment and education verifications; personal references; personal interviews; my personal credit history based on reports from any credit bureau; my driving history, including any traffic citations; a social security number verification; present and former addresses; criminal and civil history/records; any other public record.

I further authorize any person, business entity or governmental agency who may have information relevant to the above to disclose the same to Eldorrado Chicago Real Estate LLC by and through Scott Roberts and Associates, including, but not limited to any and all courts, public agencies, law enforcement agencies and credit bureaus, regardless of whether such person, business entity or governmental agency compiled the information itself or received it from other sources.

I understand that I am entitled to a complete and accurate disclosure of the nature and scope of any investigative consumer report of which I am the subject upon my written request to Scott Roberts and Associates at 2290 10 Ave. N, Suite 500, Lake Worth, FL 33461, www.scottrobertsassociates.com, (888)-605-4265(O) (888)605-4305 (F) if such is made within a reasonable time after the date hereof. I also understand that I may receive a written summary of my rights under 15 U.S.C § 1681 et. seq.
Your Signature
Today's Date

IDENTIFYING INFORMATION FOR CONSUMER REPORTING AGENCY

Full Legal Name
Current Address
Previous Address
Previous Address
Social Security #
Drivers License
Date of Birth
Other Names Used
Dates Lived at Current Address
Dates Lived at Previous Address
Dates Lived at Previous Address
Daytime Phone #
Drivers License State
Gender
Have you ever been convicted of a crime? (if yes please provide details below)

Present Employment

Employer’s Name
Employer’s Address
Employer’s Telephone #
Supervisor Name
Monthly Salary
Hire Date

* Please upload copy of photo ID and two paystubs

Photo ID - Government Issued
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Recent Pay Stub #1
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Recent Pay Stub #2
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Additional Documentation
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Additional Documentation
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Additional Documentation
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Dear Applicant,

Please use the link below to pay with Visa, American Express, Discover, MasterCard, or Pay Pal.

There is a $60 fee for each applicant.

By signing and dating below, you are agreeing to submit this application to be reviewed and considered by Eldorado Group, LLC.

Your Signature
Today's Date