Huron River Plaza

Huron River Plaza

Application for Occupancy

Application Date______Desired Occupancy Date: ______

A. Remittances:

Receipt of application fee of $______.00 is hereby acknowledged by ______

Money Order/Check Number______Date Paid______

Application fee must be paid in full before application is processed.

B. Personal Information

Name of Applicant:______Phone Number ( )______

Address:______City:______State/Country______Zip:______

E-Mail Address: ______Secondary Phone ( )______

Date of Birth:______Social Security/Passport Number:______

Emergency Contact

1. Name: ______Relationship: ______

Phone Number ( )______Secondary Phone ( )______

Address: ______

2. Name: ______Relationship: ______

Phone Number ( )______Secondary Phone ( )______

Address: ______

C. Persons to Occupy the Home Other Than This Applicant:

All occupants over the age of 18 must fill out separate application and pay separate fee.

Name: ______Age: _____ Relationship: ______

Name: ______Age: _____ Relationship: ______Name: ______Age: _____ Relationship: ______

Huron River Plaza

Application for Occupancy

D. Rental History

In the past seven years have you been party to eviction? Yes No

If yes, please explain:______

Current Landlord: ______E-mail/Web Sight: www.______

Phone Number: ( ) ______Fax Number: ( ) ______

Landlord Address: ______City______State_____ Zip______

Length of Residency: From______to ______

If length of residency is three years or more at current address skip to letter D.

Previous Address: ______City: ______State: ____ Zip:______

Previous Landlord: ______E-mail/Web Sight: www.______

Phone Number: ( ) ______Fax Number: ( ) ______

Landlord Address: ______City: ______State______Zip______

Length of Residency: From______to ______

E. Employment / Income

Employer:______Position: ______Length: ______

Supervisor Name: ______Length of Employment From:______

Phone Number: ( ) ______Fax Number: ( ) ______

Address: ______City: ______State: ____ Zip: ______

Gross Monthly Income: $______.00

Other Monthly Income: $______.00 Source of Other Income:______

Huron River Plaza

Application for Occupancy

F. Credit Information / History

In the past seven years have you been a party to a bankruptcy? Yes No

If yes, please explain: ______

Name of Creditor: ______Monthly Payment: $______.00

G. Persons to Occupy the Home Other Than This Applicant:

All occupants over the age of 18 must fill out separate application and pay separate fee.

Name: ______Age:_____ Relationship: ______

H. Agreements

1. If the above application is approved, applicant agrees to sign all legal documentation including but not limited to a lease and pay the balance of security deposit and other fees within ten days of the date of application acceptance.

2. Applicant agrees to connect electricity upon move in and pay for all electric expenses for the duration of the lease term.

3. Security fee will not be used for last month’s rent.

4. Non refundable deposits are pet deposit and cleaning deposit.

5.Applicant agrees that if and when a rental agreement is entered into by and between the applicant and Huron River Plaza (Subsidiary company of Chudnow Property LLC.). As management, this application, resident rules and regulations are as much a part of the rental agreement as though stated there in.

6. The credit application fee is non-refundable and can not be used for first month’s rent or security deposit.

7. The execution of this application by the applicant imposes no obligation to the management to enter into any legally binding agreement.

8. The applicant acknowledges that the selection of unit to be rented was not guided by management or management representative and the standard fair housing policies were demonstrated.

9. The Applicant hereby grants Huron River Plaza (subsidiary of Chudnow Property LLC.) management to verify the above information provided. This is including but not limited to obtaining a credit report and additional information upon request.

10. The Applicant represents all the above of the above statements are true, correct & complete.

Applicant Signature: Date: