Web Site Capitolmgt.Com

Capitol Management

Po Box 1232

East Lansing MI 48826

Phone (517)204-5550

Email:

Web site capitolmgt.com

STANDARD RENTAL APPLICATION (Application fee $_35.00___ - Per Adult)

Each adult (18 or older) must fill out separate application Today's date: ______Occupancy date desired: ______Rental Price Range: ______Type/size desired: ______

Rental address desired or shown: ______

How did you hear about this home or apartment? ______

Applicant's Personal Information______

Last name: ______First: ______Middle: ______

Birth Date: ______Driver's license/ID number/state: ______

Social Security #: ______Phone:______Alternative phone: ______Email address: ______

Any other names you've used in the past: ______

Additional Occupants (List every occupant’s name, birth date, and their relationship to applicant.

How long do you plan on living in the next rental home that meets your needs? ______

Would you like to receive a rental gift on your anniversary dates a part of a 3-Star Resident Program?______

Preferred Rental Type Desired? Standard__ Custom__

Are you able to handle all the minor maintenance and upkeep in the property? Yes _____No ______

Do you already own any appliances (if so, which ones) ______

Do you do have any of these skills: Electrical __ Painting __ Plumbing: __ Roofing__ Heating __ Other______

Do you have renter’s insurance? _____ Any liquid filled furniture? ______Have you ever broken a lease? ____ Ever refused to pay for any reason? ___ Ever been evicted or asked to leave? ____ Ever filed for bankruptcy? ___

Ever been convicted of a crime? ______Do you give us permission to do a criminal background check? ______

Currently have any utilities in your name? ______Currently have phone service in your name? ______

Is there anything to prevent you from placing utilities in your name? ______Do any occupants smoke? ______

Residence History______

Present address: ______

Dates lived at this address? ______Monthly Rent? ______

Name of present landlord: ______Phone______

Address of present landlord: ______

Reason for moving: ______Is your rent current? ______

Number of late payments at this address?______Security deposit currently held by landlord? ______

Have you had any reoccurring problems with your current home or landlord?______

Previous address: ______

Previous landlord: ______Previous landlord’s phone: ______

Dates at this address: ______Reason for moving? ______Monthly Rent?______

Was your full security deposit returned? ______# of late payments? ______

Bonus Note: We provide free property upgrade to residents who refer a friend or coworker to us and they move into one of our places. List the name and phone of anyone you know who may need a home or apartment. ______Phone______

Income / Employment History______

Applicant’s current employment status: Full-time:____ Part-time (less than 32 hrs.): ______Student: ______Retired: ______Self-employed: ______Unemployed: ______Other:______

Applicant employed by: ______Supervisor’s name: ______

Phone______Average weekly hours: _____ How long at that place of employment? ______

Address: ______City: ______State: ____Zip: ______

Position: ______Monthly/Biweekly/Weekly (Circle one) Income:$ ______

Also employed by: ______Supervisor’s name: ______

Address: ______City: ______State: ____Zip: ______City: ______State: ______Zip: ______

Position: ______Monthly/Biweekly/Weekly (Circle one) Income:$ ______

Emergency Contact: In the event of some emergency that would prevent you from paying rent when due, is there a relative, person, or agency that could assist you with rent payments?

Emergency contact: ______Relationship ______Phone ______

Address: ______City: ______State: ____Zip: ______

Additional Income: (verifiable sources of income that you would like considered, please list income and source).

Additional source: ______Amount: $______Contact person:______Phone:______

How long have you been receiving this income? ______How long do you expect income to continue? ______

Credit History / Assets / Loans______

Number of vehicles? ______Any business vehicles, RV, campers, boats or motorcycles? ______

Vehicle 1 (make/model/color): ______Vehicle 2______

Please note, only cars on application are authorized to be on premises. Do you have a car payment? $______

List any other current monthly expenses and approximate amount? ______

Name of bank and branch: ______Phone: ______

Do you have a checking acct? ______Savings acct?______Credit Card/Type?______

Part of our verification process is to request a credit report which is provided by:______Is there anything negative we may find when we run a credit or criminal background check?______

Personal /Professional References

Name of doctor or health care provider:______Attorney______

Name of nearest living relative:______Relationship ______Phone______

Address: ______City: ______State: ____Zip: ______

DO YOU HAVE ANY PETS? YES OR NO

IF YES HOW MANY?______

WHAT KIND?______

Pets are allowed in the apartment. There is a $150 for cat fee non refundable and $300 non refundable fee for Dogs. There is a $15/month fee for cats and $30 month for Dogs in addition to the rent. NOTE: Keeping a pet requires consent of management. Handicapped animals used for tenants with disabilities are not considered pets.

Thank you for completing an application to rent from us. A fee of $ _35.00__ is charged on all applicants for the purpose of verifying information furnished. This fee is nonrefundable. By signing below, applicant represents all information is true, complete, and authorizes annual contact/verification of information, references, and credit for continual tenancy or for collection purposes should it become necessary. If any information is found to be false, the application will be rejected and will be sufficient reason for immediate eviction and loss of deposit.

The applicant posts a holding deposit for the accommodations in the amount of $ __. This holding deposit shall be applied toward the tenants first months rent when the rental agreement is signed.

Holding fees shall be non-refundable. Holding fee is considered active for up to 14 days and apartment shall be held no longer than 14 days. I agree to the Non refundable holding deposit retained by Capitol Management as a reasonable estimate of liquidated damages if I fail to perform as stated above after approval. I also do not believe the loss of this holding Deposit is an unfair trade practice if I fail to perform as stated above after approval. The holding deposit is only refundable upon applicant receiving written denial of application.

I hereby agree, in the event of the approval of this application, to execute a lease in accordance with the terms set forth in this rental application.

Applicant’s signature:______Date: ______