Nancy Arcadipone $20.00 Application Fee

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______