Application

Please fill in all information and press Submit when you are finished. You will be contacted about any open apartments.

First Name : Last Name :
Address : City :
State : Zipcode :
Home Phone # :
Work Phone # :
Cell Phone # :
Email Address :

Rental History

Landlords Name : Landlords Phone:
Length of Stay?: Have you ever been evicted?: Yes No
Previous Address: Length of Stay?:

Employment History

Employer: Address:
Contact Person : Phone #:
Length Employed:
Monthly income?: Other income? :

References

Reference #1 : Phone # :
Reference #2 : Phone # :
How should we contact you?:

I/ We do hereby authorize the landlord to verify any and all information on this application. Additionally, I authorize and approve a criminal history report and credit report through a credit bureau.

By clicking submit you are agreeing to the following:

You may send this application electronically by clicking submit, click here to open a Microsoft word version for printing and drop off this application at 28 Lafayette NE (maildrop on right side column on front porch.) or mail to:

Rental Homes, 28 #1 Lafayette NE G.R. MI 49503

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