Rental App

APPLICATION FOR TENANCY Date:

Unit Address:

Move-in Date*:

Lease Term:

*Move-in Date subject to availability

1st Applicant Information

2nd Applicant Information Name:

Name: Soc Sec No:

DOB:

Soc Sec No:

DOB:

Present Address:

Present Address: City:

State:

Zip:

City:

State:

Zip:

How Long at Present Address:

Phone:

How Long at Present Address:

Phone:

Present Landlord:

Phone:

Present Landlord:

Phone:

Landlord Address:

Landlord Address:

Employer:

Employer:

Phone:

Phone:

Employer Address:

Employer Address: Occupation:

Occupation:

Annual Income:

Annual Income:

Date of Hire:

Date of Hire: Previous Employer:

Previous Employer:

Phone:

Phone:

Prev. Employer Address:

Prev. Employer Address: Personal Reference:

Personal Reference:

Phone:

Phone:

Driver’s License:

State:

Driver’s License:

State:

Auto Yr/Model/Color:

License Plate:

Auto Yr/Model/Color:

License Plate:

Emergency Contact:

Relation:

Emergency Contact:

Relation:

Address:

City:

State:

Zip:

Address:

City:

State:

Phone:

Alt. Phone:

Phone:

Alt. Phone:

Bank:

Branch:

Bank:

Branch:

Checking Acct #:

Savings Acct #:

Checking Acct #:

Savings Acct #:

Occupants Other Than Applicants Name:

Age:

Relation:

Name:

Age:

Relation:

Balance Due Before Possession Rent

$

Prorated Rent

$

Security Deposit

$

TOTAL

$

Amt Recvd with App $ BALANCE DUE

$

For security reasons, please fax or mail your completed application. Do not email.

The Shaffran Companies, Ltd. 209 S. Fourth Ave, Ste. 1C Ann Arbor, MI 48104 Tel: (734) 665-1200 Fax: (734) 665-9544

Zip:

Subject to management’s approval, the undersigned applicant(s) hereby makes application to lease the apartment described herein for the term and at the rental amount set forth. As inducement to the management to approve this application, the undersigned applicant(s) warrants that all of the representations set forth in this application are true and complete or shall be deemed cause for rejection. Applicant(s) understands that the deposit is acknowledged as a non interest bearing deposit. In the event applicant(s) cancels within 48 hours of the above date the deposit will be refunded to the applicant(s). In the event this application is rejected, the deposit will be returned to the applicant(s). CERTIFICATION: I understand that the above information is confidential. I hereby certify that I have examined this application and that the above information made here is to the best of my knowledge and belief a true and complete application made in good faith. I also give my permission to have any of the above statements verified by utilizing reports from any credit reporting agency.

Applicant’s Signature

Applicant’s Signature

Authorized Rental Agent

Date