Print this application  Deliver to Lee Street Management - 7601 North Eastlake, Chicago, IL 60626
Full Name:   E-mail address:  
Apartment Address:   Unit: 
Net Rent:    $ Security Deposit:  $
Social Security # :   Date of Birth:  
Driver's License:   Maiden Name:  
Present Address:  
Telephone: Present Landlord:          Telephone:
Monthly Rent:   Dates at Address:   From:   To:  
Previous Address:
Previous Landlord: Telephone:
Monthly Rent: Dates at Address: From: To:
Dates Employed: From: To:
Monthly Gross Income: Position: Supervisor:
Work Telephone: Other Income:
Nearest Relative: Phone: Relationship:
Reference Name: Phone: Relationship:
Reference Name: Phone: Relationship:
Have you ever been a party to a Landlord/Tenant court action?

Yes      No

Describe circumstances:


Name(s) of others who will share apartment with you (including pets):

Automobile Make: Year: Model: Color:

We require a $25 application fee, in advance, before we can process this Online Apartment Application. You may send a check or money order under separate cover. If you choose to mail a check, it will delay the application process by several days. Note: Beginning November 5, 2008, we will no longer accept online credit card payments.

Mail checks to: Lee Street Management, 7601 North Eastlake Terrace, Chicago, IL 60626. Make checks payable to: Lee Street Managemet.

I understand and hereby authorize agent/owner and any consumer or credit reporting agency or bureau employed by it to investigate my character, general reputation, mode of living, credit and financial responsibility, ability to pay rent, and the information provided with this application, and to inquire and check with the persons and references named herein. This application shall become a part of any lease for this apartment. I agree to the application and security deposit policy at as though fully set forth herein.

Signature: _________________________________________   Date: ___________________________
Please remember to include a $25 application fee when you deliver this form.