Chicago Apartment Rental Application

Please fill out as much of the online application as possible (including both required and optional fields) so that we have all the information we need to check out your application as quickly as possible. All fields listed in bold are required.

Your application will be submitted to us when you click the "Send Application" button. To finalize your application we will need the $35.00 application fee, which you can pay online using Paypal (which also accepts credit cards), or you can mail or drop off a check or money order application fee payment. (Please mention the application ID you will be assigned upon completing this form.)

If you are submitting an application online, you just have to check off the Contact Authorization box at the bottom of the application; a signature is not required for applications submitted online. If you would prefer to fill in an application by hand, please return to the apartment listing page and open and print the pdf application form, which you may then mail to, or drop off at our office.

NOTE: The Schirm Firm values your privacy and the security of your information. This form is submitted and processed securely to protect you!

Apartment Building

Apartment Address / Floor*

Floor*

Rent*

Date Wanted*

Number of Bedrooms

Studio
1 Bedroom
2 Bedrooms

Contract Type*

Sublet
Regular 1-Year Lease

Applicant Information

Name*

First Middle (optional) Last

Birth Date*

SSN*

Marital Status

Mobile Phone*

Home Phone*

Email*

Own Furniture?

Yes
No

High School (include City and State)

College (if applicable; include City and State)

# of People to Occupy Apartment*

Children (Names/Ages)

Pets (# and Type)

** Dogs are NOT allowed except as medically neccessary, under law **

Current Residence

Current Address*

Unit # (i.e.: 2-A or 3rd Floor)

City*

State*

Zip Code*

Landlord Contact/Name*

Phone # (daytime/mobile for Landlord)*

Phone # (evening for Landlord)

Landlord Email Address (if available)

Monthly Payment or Rent*

Length of Time at Residence*

Reason for Leaving*

Previous Residence

Address

Unit # (i.e.: 2-A or 3rd Floor)

City

State

Zip Code

Landlord Contact/Name

Phone # (daytime/mobile for Landlord)

Phone # (evening for Landlord)

Landlord Email Address (if available)

Monthly Payment or Rent

Length of Time at Residence

Reason for Leaving

Current Employment Information

Company Name*

Position*

Work Type*

Full Time
Part Time

Length of Time at Company*

Salary (average monthly)*

Employer Address*

City*

State*

Zip Code*

Supervisor/Contact*

Supervisor Phone*

Fax

Supervisor Email

Your Work Email

Your Work Phone*

Comments

Previous Employment Information

Company Name

Position

Work Type

Full Time
Part Time

Length of Time at Company

Salary (average monthly)

Employer Address

City

State

Zip Code

Supervisor/Contact

Supervisor Phone

Fax

Supervisor Email

Comments

Automobile/Vehicle Registration

Driver's License Number

State

License Plate Number

Make/Model

Color

Year

Bank Information

Savings Account

Yes
No

Bank Name

City

Checking Account

Yes
No

Bank Name

City

References (No Relatives, Please; Personal Friends Preferred)

Reference Name 1

First Last

Address

Phone

Email

Relationship

Reference Name 2

First Last

Address

Phone

Email

Relationship

Reference Name 3

First Last

Address

Phone

Email

Relationship

Emergency Contact

Emergency Contact Name

First Last

Home Phone

Mobile Phone

Relationship

How You Found Us

I learned of this apartment through:

Friend's Name

Other Source

Important Information and Submission

THIS APPLICATION IS NOT BINDING ON ANY PARTY

$35 NONREFUNDABLE APPLICATION FEE PER APPLICANT REQUIRED TO PROCESS THE APPLICATION.
(Payable by PayPal—with PayPal account or credit card—or check/money order.)

Application Fee

Payment Method*

Credit Card / PayPal
Check or Money Order

Total Due Now

$0.00

Billing Address

Street Address Address Line 2 City State ZIP Code

** PHOTO I.D. (Driver's License/State I.D.) MUST BE PROVIDED AT TIME OF APPLICATION (COPY WILL BE MADE) **

If a lease-signing occurs: A $500.00 non-refundable move-in fee for single lease holder / $350 per tenant for 2 or more lease holders and First Rent monies must be paid by either a MONEY ORDER or BANK CHECK at time of signing. Personal checks will not be accepted for first transaction/signing. Cash payments are not accepted at any time.

Have you ever been convicted of a felony or a misdemeanor?*

Yes
No

Please explain:*

OFFICE: 7344 North Western Ave Chicago, Il. 60645-1814 Phone: (773) 381-0150 Fax: (773) 381-0630 Email: GreatApartments@schirmfirm.com Website: www.TheSchirmFirm.com

Applicant Name*

First Last

Date*

Applicant Signature*

Agreement*

By checking this box, I authorize contact of all the above-listed agencies and parties, as well as the use of credit and criminal reporting agencies to provide the office with a confidential credit/criminal report.

Should this application be accepted, the signed Lease and non-refundable move-in fee(s) per tenant must be remitted to Lessor within 3 business days after notification of acceptance by Lessor. Failure to remit will result in a rejection of the application. Should applicant(s) fail to enter into the signed Lease Agreement, Lessor shall retain the nonrefundable move-in fee(s) as liquidated damages.

Name

This field is for validation purposes and should be left unchanged.

Apartment Rental Application

Applicant Information

Current Residence

Previous Residence

Current Employment Information

Previous Employment Information

Automobile/Vehicle Registration

Bank Information

References (No Relatives, Please; Personal Friends Preferred)

Emergency Contact

How You Found Us

Important Information and Submission

THIS APPLICATION IS NOT BINDING ON ANY PARTY

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