Rental Application

For your convenience complete the online form and submit.
However, if you prefer, download the PDF version, complete and submit by:

  • Mail: Koontz Properties, 410 Hickory Pointe, Quincy, IL 62305 
  • Or Submit by Email

Thank You.

Applicant Information

Co - Applicant Information

Applicant's References (Other Than Relatives)

Reference 1

Reference 2

Co-Applicant's References (Other Than Relatives)

Reference 1

Reference 2

I authorize the verification of the information provided on this form as to my credit and employment. The undersigned represent that the information provided in this application is true, complete, and accurate to the best of my knowledge.