Rental Application

Apply to rent a Daugherty Property Holdings home. Each adult applicant (18+) must submit their own application and pay a separate $30 fee.

Application

Please use your full legal name. We do not ask for your Social Security number, driver’s license number, or bank information on this form.

The home

Property you are applying for

Desired move-in date

Applicant

Full legal name

Date of birth

Phone

Current housing

Current address

Current landlord name (if you rent)

Landlord phone

How long have you lived there?

Current monthly rent

Previous address (optional)

Employment and income

Employer

Position

Monthly income

Time employed

Other income (optional)

Income documents

Upload your last two pay stubs, or an offer letter or benefits letter. PDF or photos, up to 4 files, 8 MB each.

Photo ID (optional)

You may upload a photo of your driver’s license or state ID. Do not type a license number or Social Security number on this form. ID files are stored privately and are not published.

Household

Number of adult occupants (18+)

Number of children occupants

Names of other adult applicants (if any)

Pets (type and number)

Vehicles (optional)

Rental history

Have you ever been evicted or broken a lease?

No Yes

References (name, relationship, and phone)

Application fee

$30 non-refundable application fee per adult applicant (18+).

Your $30 non-refundable fee covers our review of public court records, rental history and income/employment verification.

Pay by Cash App to $DaughertyProperties and put App fee plus the property address in the note. Applications are processed after payment is received.

Pay $30 on Cash App

Authorization and signature

Type your full legal name as your signature

Date

Equal Housing Opportunity. Daugherty Property Holdings, LLC complies with the federal Fair Housing Act and the Illinois Human Rights Act, including source-of-income protection. We do not discriminate on the basis of race, color, religion, national origin, sex, disability, familial status, ancestry, age, marital status, sexual orientation, gender identity, military status, order of protection status, pregnancy, source of income, or any other characteristic protected by law. Housing Choice Vouchers are welcome. Every applicant is screened by the same written criteria.

Privacy: We use what you send only to review this rental application. Income and ID files are stored privately and are not published. We don’t sell your information. Privacy notice

We received your application

Thank you. We’ll review it after the $30 application fee is received.

If you haven’t paid yet, send $30 by Cash App to $DaughertyProperties with the note App fee plus the property address.

Your $30 non-refundable fee covers our review of public court records, rental history and income/employment verification.

Questions? Call (815) 706-3985.