Rental Application

Complete online application or download PDF


Online Application

Applicant Name *
Applicant Name
Your Phone *
Your Phone
Your Birth Date *
Your Birth Date
CURRENT ADDRESS *
CURRENT ADDRESS
EMERGENCY Contact Phone
EMERGENCY Contact Phone
CURRENT LANDLORD *
CURRENT LANDLORD
CURRENT LANDLORD Phone *
CURRENT LANDLORD Phone
PREVIOUS ADDRESS
PREVIOUS ADDRESS
PREVIOUS LANDLORD
PREVIOUS LANDLORD
PREVIOUS LANDLORD Phone
PREVIOUS LANDLORD Phone
EMPLOYER Address *
EMPLOYER Address
Start Date *
Start Date
Employment *
Supervisor Name *
Supervisor Name
Supervisor Phone *
Supervisor Phone
Electronic Signature *
Electronic Signature: By signing/typing my name below, checking "I Accept" and submitting this form, I authorize Safe Harbor Realty to retrieve my credit report, criminal and eviction records, landlord and employment history. I authorize this form to be shared with the property owner or management company. The property owner or management company solely reviews, accepts or rejects all applications. Safe Harbor Realty cannot be held responsible for any lease terms agreed upon between landlord and tenant or any errors or omissions on the lease.
Today's Date *
Today's Date
Safe Harbor Realty does not discriminate in the sale and rental of housing on the basis of race, color, sex, age, religion, disability, national origin, ancestry, sexual orientation, transgender status, martial status, parental status, military discharge, source of income or any protected class

Required Documents

Please provide the following items to complete your application.
1. Copy of your last three pay stubs
2. Copy of your ID
3. Pay your non-refundable $50 application fee (per adult)

Submitting Required Documents

Email required documents to Haidy Perweg or drop off in person to our office. If you have any questions regarding a specific unit please contact Angel Carreto.

Haidy Perweg, Application Processor
hperweg@safeharborrealty.biz
312.517.0791

Angel Carreto, Leasing Agent
acarreto@safeharborrealty.biz
312.709.3308

Safe Harbor Realty | 687 N. Milwaukee Avenue | Chicago, IL 60642 | 888.800.5951 fax

Application Fee Payments

• Pay Online (preferred method)
• Pay by phone, call Kristina at 312.763.2490
• Drop off payment at our office

We accept money orders or cashier’s checks made payable to: ‘Safe Harbor Realty’.
We DO NOT accept cash or personal checks.