Green Street Realty 34 E Green, Champaign, IL 61820 · Phone: (217) 356-8750 Fax: (217) 356-8773 · Email: greenst@soltec.net
Please fill out the application in its entirety. If the application is not completed we will not be able to process it.




Address Applying For: Today's Date:
Name of Applicant: Home Phone:
Previous Names Used: Cell Phone:
Applicant Birthdate Email:
Drivers/ID # Social Security #
Current Address
City/State/Zip
Current Landlord: Phone #
How long at Current Address: Current Rent:
  Name, Address & Phone of Nearest Relative:
 
Name of Employer: Phone #
Address of Employer:
Monthly Salary:
Other Income?
Bank Name: Bank Phone #
Bank Address:   Checking Account 
Savings Account
Have you ever been evicted/ had payment problems? Yes or No
If yes, please explain:
Have you ever been convicted of a crime other than minor traffic violations? Yes or No
  If yes, please explain:
In case of Emergency notify:
(include relationship & contact info.):
How Many Renters?


Need parking? Yes or No  
D.O.B of each: Do You Smoke? Yes or No
Size of Unit Desired? Party? Yes or No
Type of Unit Desired Drink? Yes or No
When do you need to move in? Have pets? Yes or No
Where did you hear of Green Street Realty? Play Musical Instruments? Yes or No
I hereby agree that if any information herein contained is false, the lease made on the strength of this application may, at the option of the owner and/or agent is terminated at any time. This application is taken subject to approval of owner and/or agent. I authorize Green Street Realty to run any credit, previous landlord checks or background checks that they feel necessary. Furnished?


Unfurnished?   

 
I Agree To Terms of Application  
 
Thank you for filling out our online application,
Green Street Realty