Stropes Real Estate					334 Saint Mary Street, Pekin Illionois 61554
	Rental Application					Print form & fill it out.  Drop off, fax or mail to office.
	Personal Information
	Apartment Type Wanted:					Estimated Rent:
	Desired Move-In Date:					Pets:
	Name:					Social Security #:
	Spouse Name:					Social Security #:
	Birth Date:					Spouse Birth date:
	Number of people who will occupy:  Adults (over 18)
	Children and Ages:
	In case of emergency, notify:
			NAME		ADDRESS			PHONE
	Residence History
	Present Address:					Present Phone:
	Present Landlord:				Phone:		From:	To:
	Amount of Rent:			Reason for Leaving:
	Previous Address:						From:	To:
	Amount of Rent:			Reason for Leaving:
	Employment References
	Employed By:				Phone:			From:
	Address:				Position:			Mo. Income:
	Spouse Employed By:				Phone:			From:
	Address:				Position:			Mo. Income:
	Credit and Character References
	Name of Firm:				Address:			Phone:
	Special Information
	Been evicted from tenancy?					Filed for bankruptcy?:
	Drivers License #:					Spouse's Driver License #:
	Vehicle Make & Year:					License:
	Vehicle Make & Year:					License:
	The undersigned hereby acknowledges that the above information is true and expressly authorizes
	Stropes Real Estate and/or its agents to verify said information, by, but not limited to, checking
	references, credit reports and criminal background.
	Applicant			Date		Applicant			Date