Logan Realty Rental Application 2490 N Water Street office 10 Decatur, IL 62526 217.422.3894 Please be prepared to provide photo ID with your application submission.
Name__________________________________________
Address________________________________________
Date of Birth__________ SSN______________________
Phone__________________________ Email___________
Employer____________________Wage________________
Consent for Release of Information (sign)______________
Emergency Contact________________________________
Phone_____________________________
Have you ever been convicted of a felony?_____________
Evicted?______________________
Do you have any pets?_______________
How many people?_____________________________
I understand that I will be subject to a criminal background check, income, employment and previous rental verification from the information provided above. I acknowledge a notice of No Agency from Logan Realty, whose agents do not represent me or my interests. I acknowledge a notice of agent interest/ownership in the rental property. I have read and understand this document. Initial_____
Signed________________________________________
Date_____________________________
