Rental Application

Property Information:

Property Address: 9380 Terry St. Lake, MI 49686

Type of Dwelling: House

Rent $875 month

Gross monthly household income must be at least 2.5 times the monthly rent.

Applicant Information:

Full Name

Date of Birth

Phone Number

Current Address

City

State

Zip

Previous Address (if less than two years at current address):

City

State

Zip

Employment Information:

Employer Phone Number.

Position/Title:

Monthly Income:

Supervisor’s Name:

Supervisor’s Phone

Rental History: Current Landlord’s Name:

Phone

Monthly Rent:

Lease Start Date:

Lease End Date:

Reason for Leaving (if applicable):

Vehicles: Make/Model:

License Plate:

Vehicles: Make/Model:

License Plate:

Emergency Contact: Name

Phone

Additional Occupants (if applicable):

Relationship to Applicant

Date of Birth

Additional Occupants (if applicable):

Relationship to Applicant

Date of Birth

Additional Occupants (if applicable):

Relationship to Applicant

Date of Birth

Pet rent is $25 per pet, per month.

Weight:

Additional Details about pet

References: Personal Reference 1:

Relationship

Phone

References: Personal Reference 2:

Relationship

Phone

References: Professional Reference:

Relationship

Phone

Additional Comments or Questions.

Authorization and Consent:

I authorize the landlord to obtain a credit report and any other information deemed necessary to evaluate this rental application.

A $50 late fee will apply to rent payments received more than five days after the due date.