Greencrest Leasing Application

Greencrest Leasing Application

You can submit a rental application by completing the form below. If you have any questions, please contact us at 217-898-5030 or at greencrestapts@gmail.com
Name*

First NameLast Name
I do not have a Social Security NumberI have a Social Security Number (please enter below)I do not have a Driver's License NumberI have a Driver's License Number (please enter below)
Social Security Number
Driver's License Number
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Residency from MM/DD/YYY to MM/DD/YYYY
Landlord Name
Landlord Phone
Monthly Rent / Mortgage Payments
Employment Status
Employed Since
Employer's Phone
Employer / Supervisor Name
Monthly Income
Have you ever been evicted?

YesNo
Have you ever filed for bankruptcy?

YesNo
Will you need on-site parking?*

YesNoHave not decided
Will you need on-site secure storage room?*

YesNoHave not decided
Please select your desired unit. $75 non-refundable application fee is due to at time of application submission.*

708 Green: Unit A: 1 Bedroom708 Green: Unit B: 2 Bedroom708 Green: Unit C: 2 Bedroom710 Green: Unit A: 1 Bedroom710 Green: Unit B: 2 Bedroom
Please select your desired lease term. Please note that this does not guarantee your selected term. We will do our best to accomodate your request. Advertised prices on website are for 12 month leases only. Please contact the leasing office for short term lease pricing.*

SummerFall (August-August)Undecided
Acknowledgement: By submitting this application, I attest that the information is correct. The management is authroized to verify credit history and background checks on myself.*

I acknowledge
Signature

Clear
Please verify that you are human*
Privacy Policy
Your privacy is important to us. The information you provide on this application will be used solely for evaluating your eligibility to rent an apartment at Greencrest Apartments. We may verify the details you submit—such as employment, rental history, and credit information—with authorized third parties as part of the screening process.

Your personal data will not be sold or shared for marketing purposes. All information is stored securely and accessed only by authorized management staff or screening partners involved in processing your application. By submitting this form, you consent to the collection and use of your information as described above.

If you have any questions about how your information is handled, please contact our leasing office at 217-898-5030 or at greencrestapts@gmail.com.
My Products*
prevnext( X )
Application Fee
$75.00

Total

$0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty: