Roland Realty, Inc.
About Us




Immediate Openings
Roland History
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Sample Lease
Testimonials
Tenant Union Ltr.
U of I Schedule 		Lease Application Form
Name:

Email:

Current Address:

Current Phone Number:

Permanent (Home) Address:

Social Security Number:

Date of Birth:

Location of property you are applying for:

Lease Start Date:


Person to notify in case of emergency:

    Phone #:

    Relationship to you:

    Their Address:


Are you a Full-time student?
Yes    No

If "NO" please provide the following employer information:
    Employer's Name:

    Employer's Address:

    Employer's Phone#:

    Your job Title:

    Your gross monthly income:

    Length of Employment:


Current Landlord:

    Current Monthly Rent:

    Phone#:

    Payment Address:


Credit Information:
    Bank Name:

    Credit Card(s) Name:


For the purpose of procurring credit from time to time, I furnish the above information as a true and accurate statement. Authorization is hereby given to Roland Realty Inc. or their agent to verify in any matter they deam appropiate any and all items indicated on this application. False statements may be subject to Prosecution under Title 18 of the U.S. Code.
Additional information may be asked of you at a later date.


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email @ roland

Roland Realty, Inc. 901 S. First, Champaign, Illinois 61820
Phone: 217/328-1226 / 217/351-8900



All information set forth on this website is subject to change without notice. Information contained herein is deemed reliable, but not guaranteed. The information set forth in this website is for information purposes and all express or implied warranties are hereby disclaimed. All prospective tenants are advised to personally view any apartment and observe the features of the apartment before signing any lease.