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__________ Current Phone No.____________________Cell phone____________________ Email Address:_____________________________________________________ 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 Phone 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 Address Phone 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_________________________