Rossi Builders - Renovation and Remodeling of Kitchens, Baths, and More

Rental Application

Please fill out the form below, or print out this PDF and fax to:

Rossi Builders, Inc. Naperville, IL Phone 630-428-1800 Fax 630-428-1818

APPLICANT
PLEASE TELL US ABOUT YOURSELF
Applicant:
Address:
City:
State:
Zip:
Cell Phone:
Home Phone:
Work Phone:
E-mail:
Current Landlord/Agent:
Landlord/Agent Phone:
Monthly Payments:
How Long?:	Yrs

CO-APPLICANT (If Applicable)
Co-Applicant:
Address:
City:
State:
Zip:
Cell Phone:
Home Phone:
Work Phone:
E-mail:
Current Landlord/Agent:
Landlord/Agent Phone:
Monthly Payments:
How Long?:	Yrs
PLEASE GIVE PREVIOUS RESIDENTIAL HISTORY
Previous Address (if less than 2 years):
City:
State:
Zip:
Previous Landlord/Agent:
Previous Landlord/Agent Phone:
Previous Monthly Payments:
How Long?:	Yrs
PLEASE GIVE US YOUR EMPLOYMENT INFORMATION
Your Status:	Full Time - Part Time - Student - Unemployed
Employer:
Salary ($):
Position:
Supervisor's Name:
Supervisor's Phone:
Bank Name:
Type of Account:	Checking Savings
Personal Reference/Emergency:
Personal Reference Phone:
HAVE YOU EVER FILED FOR BANKRUPTCY?	Yes No
HAVE YOU EVER BEEN EVICTED FROM TENANCY?	Yes No
HAVE YOU EVER BEEN CONVICTED OF A FELONY?	Yes No
I/We hereby deposit $___________ as earnest money to be refunded to me if this application is not accepted in 3 Business Banking Days. Upon acceptance, this deposit shall be retained as part of the security deposit. When so approved and accepted, I/We agree to execute a lease for ______ months before possession is given and to pay the balance of the security deposit prior to the move in date. I/We recognize that as a part of your procedure for processing my application an investigative consumer report may be prepared whereby confidential information is obtained. The information above is considered to be true and correct to the best of my knowledge. I/We agree and permit you or your agent to investigate my/our credit, tenant history, banking, employment, etc. for the purposes of renting. The cost is $35.00 per person.

For information about any of our projects, please contact us at 630-428-1800.