Inland Residential Real Estate Services LLC Application for Lease (Form 4301, Rev. 11/14) Instructions

Enter the total additional income the applicant receives per month (enter the monthly dollar amount).

Provide a brief description of the source(s) of the additional income and any relevant details (for example: employer/benefit type, frequency, or other notes).

Enter the postal ZIP code for the applicant's current address.

Enter the applicant's current street address, including house number, street name, apartment or unit if applicable.

Check this box to indicate/mark the applicant's current address state (use this box when entering or confirming the State for the Current Address).

Enter the city of the applicant's current address.

Enter the city where your current employer's address is located.

Enter the full name of your current employer (company or organization).

Enter the street address of your current employer.

Enter your job title or position with this employer.

Enter the employer's primary phone number, including area code, for contact.

Provide the total number of years you have worked for this employer.

Provide your gross weekly earnings from this job.

Enter the name of the person to contact at your employer (for example, your supervisor or an HR representative).

Enter the date on which this employment was verified.

Check this box after you have verified the current employer's phone number for the applicant's Employment Address.

Full name of the applicant's current landlord or property manager for the current address.

Date when the landlord information or rental details were verified.

How long the applicant has lived at the current address, given as a duration (for example, number of months or years).

Monthly rent amount the applicant pays for the current residence.

Primary phone number to contact the current landlord or property manager for verification.

Check this box when the current landlord's phone number shown in the adjacent field has been entered and/or verified.

Enter the applicant's date of birth.

Enter the applicant's cell phone number including area code.

Enter the applicant's current age in years.

Enter the applicant's primary phone number (home or alternate) including area code.

Check this box when the telephone number entered on the Cell Phone line is the applicant's primary mobile/cellular contact number.

Check this box when the telephone number entered on the Phone line is the applicant's primary daytime/landline contact number.

Enter the applicant's email address for contact.

Enter the applicant's full name (First, Middle Initial, Last).

Enter the full previous street address where you most recently lived, including house number, street name and apartment or unit number if applicable.

Enter the state for the previous address (use the two-letter abbreviation or full state name).

Enter the postal ZIP code for the previous address (5-digit ZIP or ZIP+4).

Enter the city of the previous address.

Enter the phone number for the previous address's landlord or property contact, including area code.

Check this box when you are providing or confirming the phone number for the applicant's previous address (use when entering the Previous Address phone).

Enter the city where the previous employer is located. Fill only if 'Years of Service' is less than 3 years.

Enter the job title or position you held with this previous employer. Fill only if 'Years of Service' is less than 3 years.

Enter the number of years you worked for this previous employer. Fill only if 'Years of Service' is less than 3 years.

Enter your average weekly gross earnings from this previous employer. Fill only if 'Years of Service' is less than 3 years.

Enter the street address of the previous employer, including suite or unit number if applicable. Fill only if 'Years of Service' is less than 3 years.

Enter the name of the company or employer for your previous job. Fill only if 'Years of Service' is less than 3 years.

Enter the name of a person at the previous employer who can verify your employment. Fill only if 'Years of Service' is less than 3 years.

Enter the phone number for the previous employer or the contact person. Fill only if 'Years of Service' is less than 3 years.

Check this box when the previous employer's phone number has been provided or verified for the applicant's previous employment entry. Fill only if 'Years of Service' is less than 3 years.

Enter the full name of the applicant's previous landlord or property manager for the listed previous address.

Enter the phone number for the previous landlord or property manager (include area code and any extension if applicable).

Check this box when the phone number entered is the previous landlord's primary (Phone #1) contact number for this previous address.

Enter how long the applicant rented at the previous address (e.g., '2 years', '18 months' or a similar duration).

Enter the applicant's driver's license number exactly as shown on the license (include any letters or state code).

Enter the applicant's Social Security Number (nine digits) as a continuous string (do not include spaces).

Enter 'No' here if you have not been convicted of a felony nor been in prison for a felony conviction within the last ten years.

Enter 'Yes' here if you were convicted of a felony within the last ten years or have been in prison for a felony conviction within that period.

Enter the emergency contact's street address, including house/apartment number and any unit information.

Enter the full name of the person to be notified in an emergency (first name, middle initial if any, and last name).

Enter the city for the emergency contact's address.

Enter the state for the emergency contact's address (use the two-letter abbreviation or full state name).

Enter the primary phone number for the emergency contact, including area code (for example: (555) 123-4567).

Specify the relationship of the emergency contact to the applicant (for example: spouse, parent, friend, neighbor).

Check this box to indicate the phone number provided is for the emergency contact listed on the form.

Enter the total number of people who will live in the apartment (provide a whole number).

Enter the full name of the person who was contacted regarding this application or notification.

Enter the name or initials of the staff member who made the contact.

Enter the date the resident was notified about this action.

Enter the date this application or decision was approved.

Enter the manager's signature or printed name authorizing the approval.

Enter the street address of the rental property associated with this lease.

Enter the total pet fee charged for the lease.

Enter any additional security deposit amount required beyond the primary security deposit.

Enter the dollar amount of any rent concession or credit applied to the lease.

Enter the amount of any additional monthly rent or recurring fees beyond the base rent.

Enter the primary security deposit amount required for the lease.

Enter the base monthly rent amount for the lease.

Enter the date the tenant is scheduled to move into the unit.

Enter the apartment or unit number associated with the address.

Enter the lease end date (the 'To' date for the lease term).

Enter the unit identifier or number for the building as used by management.

Enter the approval or authorization number assigned by office staff for this application.

Enter the lease start date (the 'From' date for the lease term).

Enter the building number or identifier within the complex for this unit.

Enter the ID number of the employee completing or processing this application.

Check this box when the lease/unit is for a one-bedroom apartment (select if the applicant's bedroom count is 1).

Enter the administration fee amount that was paid.

Enter the rent amount that has been paid.

Enter the payment amount received by credit card or cash for this application.

Enter the total amount paid for any rider(s) or additional fees.

Enter the remaining balance due on the account.

Enter the name of the apartment complex or property associated with this application.

Enter the amount that was paid toward the security deposit.

Enter any additional notes about payments received, such as check numbers, payment method, or other short remarks.

Enter the dollar amount of rent that was received.

Enter the date when the payment(s) were received.

Enter the dollar amount of any administrative fee that was received.

Enter the name or initials of the staff member who received the payment.

Enter the dollar amount received for the C/C item shown on the application.

Enter the dollar amount of the security deposit that was received.

Enter the type or species of the first pet (for example: dog, cat, bird, etc.). Fill only if 'Pet 1 — Do you have any pets? Yes' is 'Yes'.

Enter the breed or specific variety of the first pet (for example: Labrador, Tabby, Siamese). Fill only if 'Pet 1 — Do you have any pets? Yes' is 'Yes'.

Enter the primary color(s) of the first pet (for example: black, brown and white, calico). Fill only if 'Pet 1 — Do you have any pets? Yes' is 'Yes'.

Check this box if Pet 1 is an adult (to indicate the pet's age category next to the weight field). Fill only if 'Pet 1 — Do you have any pets? Yes' is 'Yes'.

Check this box if the applicant has at least one pet (answering 'Yes' for Pet 1).

Check this box if the applicant does not have any pets (answering 'No' for Pet 1).

Enter the animal type or species for the second pet (for example: dog, cat, bird). Fill only if 'Pet 1 — Do you have any pets? Yes' is 'Yes'.

Enter the breed or specific description of the second pet (for example: Labrador, Siamese, mixed). Fill only if 'Pet 1 — Do you have any pets? Yes' is 'Yes'.

Enter the approximate adult weight of the second pet in pounds. Fill only if 'Pet 1 — Do you have any pets? Yes' is 'Yes'.

Check this box to indicate Yes — you have a pet for the second pet entry (use when reporting that Pet #2 is present).

Check this box to indicate that the second pet is an adult (use when Pet #2 is adult rather than a juvenile). Fill only if 'Pet 1 — Do you have any pets? Yes' is 'Yes'.

Check this box to indicate No — you do not have a pet for the second pet entry (use when reporting that Pet #2 is not present).

Enter the name of the person, company, or source who referred the applicant (for example, a referring agent, current resident, or marketing source).

Enter the applicant's signature (typed or written full name) to confirm and authorize the application information.

Enter the name or signature of the staff member who received the application or documents.

Enter the date on which the application or documents were received.

Enter the applicant's initials or the marginal/copy code used for internal tracking of this form.

Enter the spouse's date of birth.

Enter the spouse's full legal name (first, middle initial, last).

Enter the spouse's primary email address for contact.

Enter the spouse's current age in years.

Enter the spouse's current employer name.

Enter the spouse's job title or position held with their current employer.

Enter the spouse's employment street address, including suite or unit if applicable.

Enter the spouse's additional monthly income amount.

Enter the city where the spouse's employer or place of employment is located.

Enter the name of the person to contact at the spouse's employer (for verification, such as a supervisor or HR representative).

Provide a brief explanation describing the source or nature of the spouse's additional income.

Enter the spouse's current residential street address (where they currently live).

Enter the spouse's phone number including area code for contact.

Enter the spouse's weekly gross earnings amount.

Enter the number of years the spouse has been employed in their current position or with their current employer.

Check this box when you have entered the spouse's phone number in the adjacent Phone field to indicate a telephone contact is provided.

Enter the spouse's driver's license number exactly as shown on the license, including any letters or leading zeros.

Enter the spouse's Social Security number (include dashes if desired) as it appears on official documents.

Enter the vehicle's make or manufacturer (for example, Toyota, Ford, Honda).

Enter the vehicle's model year.

Enter the vehicle's license plate number exactly as shown on the registration.

Enter the driver's license number for the person associated with this vehicle.

Enter the make or manufacturer of the second vehicle (for example, Toyota, Ford, Honda).

Enter the model year of the second vehicle.

Enter the license plate or registration number for the second vehicle exactly as it appears on the plate.

Enter the driver's license number of the driver or owner associated with the second vehicle.