Nancy Arcadipone $20.00 application fee
PO Box 50348 (mail)
Kalamazoo, MI 49005 (269) 779-8672
Residential Rental Application
(Each adult to complete separate application)
A LANDLORD HAS THE RIGHT TO ASK FOR PROOF OF A TENANT’S ABILITY TO PAY RENT AND FOR RENTAL REFERENCES. BASED UPON THE REPLY TO THESE AND OTHER QUESTIONS REGARDING A TENANT’S LEVEL OF PERSONAL RESPONSIBILITY, THE LANDLORD HAS THE RIGHT TO SELECT THE TENANT (S) BEST SUITED FOR HIS OR HER UNIT.
Unit applying to :______
1. TENANT INFORMATION
Name:______
Drivers License No.______
Social Security No.______Date of Birth______
Current Address: ______State______Zip______
Email Address.______
Current Phone No.______Cell phone______
Permanent Address:______State______Zip______
Permanent Phone No.______
Present Employer: ______Work Phone:______
Address:______Occupation:______
Gross Monthly Salary: ______Length of Employment:______
Do you have any other sources of income? (if so explain what source and how much monthly)
______
Are you a student? (if so, where?)______GPA:______
Do you own a car?______Do you smoke?______Pets: ______Do you own a vacuum?______
2. RENTAL INFORMATION (Give the following information on the last two places of residence)
Landlords name - Rental Address - Dates of Tenancy - Monthly Rent
(1)______
(2)______
Full names of all individuals (including children) who will be occupying premises.
______
Have you ever been evicted, sued for nonpayment of rent, or breached a lease? (If so, explain)
______
3. REFERENCE (The following reference should not be related to you)
Name - Phone - Address
1.______
4. CO-SIGNER INFORMATION
Name:______Social Security Number:______
Address:______Phone Number:______
______Zip______Date of Birth______
Employer:______
Address :______Employer’s Phone Number:______
In case of emergency notify ______Relationship:______
Address ______State______Zip______Phone______
"I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND COMPLETE. I AUTHORIZE THE VERIFICATION OF THIS INFORMATION THROUGH A CREDIT REPORT AND/OR CHECKING OF THE ABOVE REFERENCES ON MYSELF OR A CO-SIGNER. ADDITIONALLY, I AUTHORIZE A CREDIT CHECK OBTAINED BY A 3RD PARTY PROPERTY MANAGEMENT ORGANIZATION THAT THE LANDLORD IS ASSOCIATED WITH PROFESSIONALLY."
SIGNATURE______DATE______