1061 E.Park St., Carbondale, Illinois, (618) 549-5596   


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Online rental application

You can apply for a Wedgwood Hills apartment online. Just fill out the form below and click on submit. The information you enter in the form will automatically convert to a printable page. Print the page, sign, and fax to Loretta Cooley at (618) 549-5596.

Our leases are for one year. The occupancy limit is two people per unit and there are no pets allowed. There is a $200.00 per person deposit and first and last month rent is required upon signing a lease.

Please call before faxing!

Thank you for your interest in renting an apartment in Wedgewood Hills.



None of the information you put in this form will be recorded or reused for any reason unless expressly authorized by you. We care about your privacy!




RENTAL APPLICATION

Your full name:
Phone
Work Phone
Social Security #:
Driver's License #:
Birthday (MM/DD/YY):
Year in school:
Present Address:
How long at this address?
Reason for moving:
Owner/Manager:
His/her phone:
Parents name(s):
Parents address:
Parents phone:
Your present occupation:
Employer:
Employer phone:
Current gross income per month:
Current gross income per month:
List sources of income:
Savings Account bank:
Address:
Savings account #:
Checking account bank:
Address:
Checking account number:
Credit reference:
Phone:
Emergency contact:
Phone
Vehicle make, model, year, color, license: 
I declare that the statements above are true and correct, and I hereby authorize verifcation of references given and a credit check.
After you fill out this form, click on the submit button and you will be directed to a page where you can print out this form and fax it to Loretta Cooley at Wedgewood Hills at (618) 549-5596.

  

Wedgewood Hills Luxury Apartments, owner, Loretta Cooley
1061 E.Park St., Carbondale, Illinois, (618) 549-5596 / E-mail: Loretta Cooley

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