I Certify That the Above Information Is True and Accurate. I Understand That If This

GENERAL INFORMATION Unit # _____ Address ______Applicant 1 . Applicant 2 . First Name/Middle Initial ______Last Name ______Social Security Number ______Driver's License Number ______State ID Number ______Birth Date ______Marital Status __Single ___Married ___Separated ___Divorced __Single ___Married ___Separated ___Divorced Number of Dependents __ One __ Two __ Three __ One __ Two __ Three Phone: Home ______Phone: Work ______Phone: Cell ______Email address ______RESIDENCE INFORMATION Current Address ______#______#_____ City/State/zip ______Landlord's Name ______Landlord's Phone # ______Rent ______Length of Occupancy ______Reason for leaving ______Previous Address ______#______#_____ City/State/zip ______Landlord's Name ______Landlord's Phone # ______EMPLOYMENT INFORMATION Current Employer ______Employer's Address ______Employer's City/State/Zip ______Employer's Phone ______Your Length of Employment ______Your Position ______Your Supervisor ______Gross Monthly Income ______Previous Employer ______Employer's Address ______Employer's City/State/Zip ______Employer's Phone ______Your Length of Employment ______Additional Sources of Income ______Amount ______Have you ever filed for bankruptcy, been evicted or refused to pay rent? ______Have you ever been convicted of a felony? ______

I ce rtify that the abov e infor mation is tr ue and acc ur ate . I unde r stand that if this applic ation contains false state me nts, I w ill be re je cte d as a pr ospe c tiv e te nant. In the ev ent I take posse ssion of an apar tme nt be for e the false state me nt is disc ove re d, I agr ee to vacate the apar tme nt w ithout fur ther notic e . I author ize an inve stigativ e consu me r c re dit and c riminal re por t be made to ve rify the infor mation submitte d and I author ize Cir c le Pr ope r ty Manage me nt to ma ke inquir ie s of all of the contac t per sons above . This applic ation doe s not c onstitute nor i mp ly a re ntal agre e me nt. I agre e to pay tw enty -fiv e dollar s for the pre par ation of the re port.

Applicant 1 Signature: ______Date ______

Applicant 2 Signature: ______Date ______Circle Property Management, 421 S. Oak Park Ave., Oak Park, Illinois 60302 P: 708 – 725 – 3110 F: 708 – 725 - 3113