C & C Bldg. Corp.
  2114 West Grand Ave.
  Chicago, IL   60612
  Phone/Fax: 312-738-3002



NEW  TENANT  APPLICATION

Space You Are Applying For
 
         2100 W. Grand, 1A 2110 W. Grand Ave 2114 W. Grand, 3A
         2100 W. Grand, 1B 2112 W. Grand Ave 2114 W. Grand, 3B
         2100 W. Grand, 2A 2114 W. Grand, Rear 508 N. Hoyne, 2A
         2100 W. Grand, 2B 2114 W. Grand, 2A 508 N. Hoyne, 2B
         2100 W. Grand, 3A 2114 W. Grand, 2B 508 N. Hoyne, 3A
         2100 W. Grand, 3B 508 N. Hoyne, 3B
Length of Lease:      Other:   

Will children and/or pets be occupying this Premises at any time?  Yes    No

> If yes, please explain:   

Occupancy Date: 

Number of Occupants for this Premises: 

Please describe exactly what this Premises will be used for?

 

Company (Company Info)
Company Name:
   

Company Phone:
Company Fax:
Type of Business:
* REQUIRED FIELDS
Tenant
Co-Tenant
First Name: *
First Name:
Last Name: *
Last Name:
Social Security #:*
Social Security #
Drivers License #
Drivers License #:
Email: *
Email:
Phone:
Phone:
Fax:
Fax:
Phone 2:
Phone 2:
Emergency Contact:
Emergency Contact:
Emergency Phone:
Emergency Phone:
 
Tenant  (Employment Info)
  Employer:  
  Street Address:  
  City:  
  State:  
  Zip Code:  
Phone:
Type of Business:
  Position:  
  Supervisor:  
       
Co-Tenant  (Employment Info)
  Employer:  
  Street Address:  
  City:  
  State:  
Zip Code:
  Phone:  
  Type of Business:  
  Position:  
  Supervisor:  
       
Current Location  (Company)
  Do you:  rent or own?  
  Street Address:  
  Apt#:  
City:
  State:  
  Zip Code:  
  Country:  
  From:    
To:
  Rent: $ /month  
  Landlord Name:  
  Phone:  
  Email:  
       
Previous Location  (Company)
Did you: rent or own?
Street Address:
Apt#:
  City:  
  State:  
  Zip Code:  
  Country:  
  From:  
  To:  
  Rent: $ /month  
Landlord Name:
  Phone:  
  Email:  

Have you ever been evicted? No Yes
Have you ever been sued for unlawful detainer? No Yes
Have you ever been delinquent in paying rent during the last 3 years? No Yes

Special considerations and/or notations requested on Lease:


Terms: By submitting this Application, I (we) the Applicant(s) represent  that the statements made above are true and correct and hereby authorizes verification of references.  Any false statements hereon are grounds for rejection of this application. In the event any statements are discovered to be false at any time after the application has been approved, the Landlord will have the option to terminate the tenancy. I (we) hereby authorize the holder of this application to investigate my (our) history of the past years for the purpose of determining approval or disapproval of my (our) application for tenant residency.  I (we) authorize the holder of this application to review a "consumer report" for qualification purposes.  A consumer report can include credit, public record searches, and employment/residence verifications. 

I have read and accepted these Terms.

Accepted this Date:     Time: 
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