LEASE APPLICATION

© 2016 by Chicago Association of REALTORS® - All rights reserved

Each co-applicant and occupant 18 years or older must submit a separate application

Property Address: ___________________________________________________________________________________

Galewood Flats Condo Apartments
Requested Lease Start Date: 08/01/23
_______________ Requested Lease Term: _______________
24 months Monthly Rent: $__________
Ex: 1 year, 18 months, etc…

Applicant’s Name (first, middle, last) Kentrell

____________________________________________________________________
Marsh
Is there a co-applicant? ✔
□ yes □ no if yes, co-applicant must submit a separate application
Social Security No. _________/_________/_________
318 211 1037 Date of Birth: _________/_________/_________
02 21 1995
Driver License No. M62051195052M
_________________________________________ in ______(state)
E-mail: __________________________________________
Kenmar9595@[Link] Home Phone: ______________________________________
N/A
Mobile Phone: ____________________________________
773-949-0747 Work Phone: ______________________________________
N/A
Name of ALL other persons who will occupy the Property:
Name: Brian
________________________________________
Ball Relationship:__________________
Friend DOB: __________________
02/02/1972
Name: ________________________________________ Relationship:__________________ DOB: __________________
Name: ________________________________________ Relationship:__________________ DOB: __________________
Name: ________________________________________ Relationship:__________________ DOB: __________________

Emergency Contact Information:

Name:______________________________
Brian Ball Relationship:_______________________
Friend Phone:______________________
773-796-6789
Address: __________________________________________________________________________________________

Applicant’s Current Address: Applicant’s Previous Address:

_______________________________________________
3759 S Lake Park Ave, #2S _______________________________________________
__________________________________(city,
Chicago, IL 60653 state, zip) __________________________________(city, state, zip)
Landlord’s Name: Mary
________________________________
Gruzk, Property Mgr Landlord’s Name: ________________________________
Landlord’s Phone: 312-656-9933
________________________________ Landlord’s Phone: ________________________________
Landlord’s E-mail: gkamax@[Link]
________________________________ Landlord’s E-mail: ________________________________
*Moved-In Date: Move-Out Date: Moved-In Date: Move-Out Date:
_______________
06/01/21 ______________
6/01/23 _______________ ______________
*If less than two years, also complete Previous Address Monthly Rent: $__________________
Monthly Rent: $__________________
3500.000 Reason for moving: _______________________________
Reason for moving: Live
_______________________________
out west closer to family
Applicant’s Current Employer: Applicant’s Previous Employer:
_______________________________________________
Chicago Whitesox _______________________________________________
Address: 333
_______________________________________
West 35th Street Address: _______________________________________
_______________________________________________
Chicago, IL 60616 _______________________________________________
Supervisor’s Name: ______________________________
Alex Barrera Supervisor’s Name: ______________________________
Supervisor’s Phone: 773-901-6738
______________________________
(cell) Supervisor’s Phone:_______________________________
Supervisor’s E-mail: prefers
______________________________
cell calls or texts Supervisor’s E-mail: ______________________________
*Start Date: 10-26-20
_____________ Position:_______________
IT - Network Mgr Start Date: ______________ End Date: ______________
Gross Monthly Income: $__________________________
7000.00 Gross Monthly Income: $__________________________
*If less than two years, also complete Previous Employer

Other Income:
Source: Partial
________________________
Owner of Property Amount: $____________
3500.00 When/How often received: Monthly
_______________________

V1.0 06/2016 Page 1 of 2

List All Pets (if permitted) to be kept on the Property (dogs, cats, birds, etc…): Spayed or Rabies Shot
Type & Breed Color Weight Age Gender Neutered? Declawed? Current?
_________________________________________________________________
NONE □ yes □ no □ yes □ no □ yes □ no
_________________________________________________________________ □ yes □ no □ yes □ no □ yes □ no
_________________________________________________________________ □ yes □ no □ yes □ no □ yes □ no

Yes No Explanation (If answered yes)

Will any waterbeds or water-filled furniture be on the property? □ ✔□
Does anyone who will occupy the property smoke? □ ✔□
Has Applicant ever:
had a notice of eviction filed against them in the last 7 years? □ □
✔
if yes, provide year and explanation
breached a lease or rental agreement? □ □
✔
if yes, provide year and explanation
filed for bankruptcy in the last 7 years? □ □
✔
if yes, provide year and explanation
lost property in a foreclosure? □ □
✔
if yes, provide year and explanation
Is there additional information Applicant wants considered? □ □
✔
Personal or Professional References:
Name: Shelia
____________________________
Young Relationship: ______________
Friend / MentorPhone/E-mail: __________________________
312-799-9690
Name: Oshia
____________________________
Breeks Relationship: ______________
Friend Phone/E-mail: __________________________
404- 543-7108
Authorization & Notification: Applicant authorizes Landlord and Landlord’s Representative to: (1) obtain a copy of
Applicant’s credit report; (2) obtain a criminal background check related to Applicant; (3) verify any rental, employment,
eviction, or criminal history or verify any other information related to this Application with persons knowledgeable of
such information; and (4) release this Application and any information contained herein in furtherance of these
purposes. Applicant represents that the statements in this Application are true and complete. Applicant understands
that submitting this Application does not guarantee acceptance and that providing false or inaccurate information is
grounds for rejection and a breach of any lease. Applicant understands lease documents may be signed electronically.

Applicant submits a non-refundable application fee of $_________ for processing and reviewing this Application.

□ Paid by Check □ Paid in Cash

or
Check One: □ Visa □ Master Card □ American Express □ Discover

_____________________________________________ _______________________________________
Name as it appears on card Billing Address

_____________________________________________ _______________________________________
Card Number Billing City, State Zip

_____/_____ _________
Expiration Date Security Code

Kentrell Marsh 07/18/2023

Applicant’s Signature Date
KENTRELL MARSH WILL BE USING A
V1.0 06/2016 Page 2 of 2 GUARANTOR:______________________