Rental Application

2311 Averill Ave Flint Michigan

Applicant

First Name

Last Name

phone

Social Security Number

Dte Of Birth

Co-Applicant

First Name

Last Name

Phone

Date Of Birth

Social Security Number

E Mail Address

Other Occupants Information

3rd Occupant Name

Date Of Birth

Relation To Applicant

4th Occupant Name

Date Of Birth

Relation To Applicant

Other Occupants Information

Your Current Residence

How long at current residence

Monthly Rent

Landlords Name

Landlords Contact Number

Have you ever been evicted?

Reason For Leaving

Your Current Employment

Currnt Employer

Supervisors Name

Supervisors Phone

Date hired

Monthly Income

2nd Applicants Employer

Employer

Supervisor Name

Supervisors Phone

Date Hired

Monthly Income

2nd Applicant/Landord

Rental History

Previous Address

Landlords Name

Ladlords Phone Contact

Months Of Lease

Do You Have Any Rental Convictions

Signatures

Your Signature

Do you consent to credit/background check

Application & Check Fee $35.00