Michigan Rental Application Form

Through the information disclosed in this form, a landlord will be able to learn about the prospective tenant’s credit, rental, and employment history. The landlord can utilize these background information in determining whether to accept or deny the application.Download

Extracted Text for Proper Search

PROP:
APT#:
RENT:
AGENT:
MOVE IN DATE:
APPLICANT INFORMATION
PRIMARY
NAMEPHONE
(LAST) (FIRST) (MI) (HOME) (BUSINESS)
MAIDEN NAME
SS# DRIVERS LICENSE# STATE
MARITAL STATUS:  SINGLE MARRIED SEPARATED BIRTH DATE
SPOUSE
NAMEPHONE
(LAST) (FIRST) (MI) (HOME) (BUSINESS)	
MAIDEN NAME	SS# DL# STATE	
BIRTHDATE 
OTHER OCCUPANTS
NAME	
AGE BIRTH DATE
(LAST) (FIRST) (MI)
NAME
AGE BIRTH DATE
(LAST) (FIRST) (MI)
NAME
AGE BIRTH DATE 
(LAST) (FIRST) (MI)
NAME
AGE BIRTH DATE 
(LAST) (FIRST) (MI)
PRIMARY APPLICANT
PRESENT EMPLOYER
COMPANY SUPERVISOR PERSONAL PHONE#
ADDRESSSTART DATE
POSITION MONTHLY GROSS INCOME $	
PREVIOUS EMPLOYER
COMPANY SUPERVISOR PERSONAL PHONE#
ADDRESSSTART DATE
POSITION MONTHLY GROSS INCOME $
PRESENT ADDRESS
ADDRESS CITY STATE ZIP
APARTMENT OR LANDLORD NAME	PHONE
RESIDENCY DATES START END RENT $
PREVIOUS ADDRESS
ADDRESS CITY STATE ZIP	
APARTMENT OR LANDLORD NAME	PHONE
RESIDENCY DATES START END RENT $
PREVIOUS ADDRESS	
ADDRESSCITY STATE ZIP
APARTMENT OR LANDLORD NAMEPHONE
RESIDENCY DATES START END RENT $
PREVIOUS ADDRESS
ADDRESSCITY STATE ZIP
APARTMENT OR LANDLORD NAMEPHONE
RESIDENCY DATES START END RENT $
SPOUSE
PRESENT EMPLOYER
COMPANY SUPERVISOR PERSONAL PHONE#
ADDRESSSTART DATE
POSITION MONTHLY GROSS INCOME $
PREVIOUS EMPLOYER
COMPANY SUPERVISOR PERSONAL PHONE#
ADDRESSSTART DATE
POSITION MONTHLY GROSS INCOME $
PRESENT ADDRESS
ADDRESS CITY STATE ZIP
APARTMENT OR LANDLORD NAME	PHONE
RESIDENCY DATES START END RENT $
PREVIOUS ADDRESS	
ADDRESSCITY STATE ZIP
APARTMENT OR LANDLORD NAMEPHONE
RESIDENCY DATES START END RENT $
WILL YOU HAVE A PET IN THE APARTMENT?	YES OR NO DESCRIPTION

LEASE FILE INFORMATION
NEAREST RELATIVE
NAMEHOME PHONE
(LAST) (FIRST) (MI)
ADDRESSWORK PHONE
EMERGENCY CONTACT	
(other than above)	
NAMEHOME PHONE
(LAST) (FIRST) (MI)
ADDRESSWORK PHONE
PERSONAL DESCRIPTION
PRIMARY APPLICANT
HEIGHT WEIGHT HAIR EYES
SPOUSE
HEIGHT WEIGHT HAIR EYES
VEHICLE DESCRIPTION
VEHICLE 1: MAKE MODEL YEAR LICENSE# STATE
VEHICLE 2: MAKE MODEL YEAR LICENSE# STATE
BANK
PRIMARY
NAME OF BANKPHONE#
CHECKING ACCOUNT # SAVINGS ACCOUNT #
SPOUSE
NAME OF BANKPHONE#
CHECKING ACCOUNT # SAVINGS ACCOUNT #
OTHER INCOME AND AMOUNT:(indicate checking or savings)
(Verification will be requested. Please list any SSI, Pension, Disability, Student Grants, Dividends, Etc.) 
FULL TIME / PART TIME STUDENT  YES_____	
NO________	Please circle: FT OR PT
How many hours are you taking_________What is FT hourly requirement for your school____________
QUALIFYING QUESTIONSYES NO STATE	
1. HAVE YOU OR YOUR SPOUSE EVER BEEN EVICTED FROM RENTAL HOUSING?  If yes, List State
2. HAVE YOU OR YOUR SPOUSE EVER BEEN CONVICTED OF A CRIME?  If yes, List State
3. WILL THERE BE ANY OTHER OCCUPANTS OVER 18 YEARS OF AGE OTHER THAN THOSE LISTED
ABOVE?
RELEASE:  I understand that I acquire no rights in an apartment until I sign this agreement and submit a reservation deposit in the amount of $    
Upon approval of tenancy and the signing of an apartment rental agreement, this fee will be credited against my deposit, in
consideration for landlord holding said apartment  at 	
.	
If application withdraws the application, a fee of $___________ will be retained by Landlord.  If approved and the rental unit is held for 
applicant for more than 3 days after approval and the applicant withdraws the application, all monies deposited shall be forfeited to the 
Landlord.
Pursuant to State and Federal Fair Credit Reporting Acts, this is to inform you that an investigation involving the statements made
on your rental application at the above-mentioned apartment complex, as well as inquiries regarding public records, your character, general
reputation, personal characteristics and mode of living may be initiated.  You have the right to dispute the information reported.  Upon written 
request , you are entitled to a complete and accurate disclosure of the investigation's nature and scope as well as a written summary
of your rights and remedies under the Fair Credit Reporting Act.  Inquiries should be directed to Resident Data, Inc. 
PO Box 850454 Richardson, TX 75085-0454.  We certify that, to the best of my/our knowledge, all statements are true and complete.  False, 
fraudulent of misleading information may be grounds for denial of tenancy or subsequent eviction.  I/We authorize Resident Data, Inc. to obtain 
all reports and verifications necessary to verify all information put fourth in the above application and to furnished all information to the landlord 
named above.
Keys will be furnished only after contemplated lease and other rental documents have been properly executed by all parties and only after 
applicable rents and security deposits have been paid.  This application does not obligate Property to execute a lease
or deliver possession of the proposed premises.  I understand if Property is unable to deliver possession of proposed apartment on the agreed
date for any reason, including holdover of a prior Resident, then Property shall not be liable as a result.  Property is also under no obligation to 
deliver possession of another apartment.  By my signature below, I certify that I have read and understand the terms of this rental application.
I am aware that an incomplete application causes a delay in processing and may result in denial of tenancy.   Equal Housing Opportunity
Future Resident Signature DATE AUTHORIZED CONSULTANT DATE
Future Resident Signature DATE MANAGER APPROVAL DATE
Faxed application to screening company_______Approved_______Informed Applicant________Manager Approval_________