Application For Tenancy

The Old Brewery Building

Office Address:

2843 Waters road  Ann Arbor,  Michigan  48103

    Fax: (734)668-2964

Date_________________                                                      

Property Address and Apt. # 724 N. Fifth Ave. Apartment____

Date rent is to start _____________________________

Applicant’s Name ______________________________

No. of adults in family________     children__________                     

Address______________________________             

Home phone # ________________

             ______________________________             

Soc Security #  _______________              

Date of birth    ________________

Occupation ___________________________              

Employer _____________________________

Employer Phone # ______________________

Employer City  ______________________

                             ______________________

Present Landlord’s Name _____________________________

                           Phone # ___________________________

References (please give 2)

Name _________________________                       

Address________________________                      

            ________________________                                                          ______________________

Phone # ________________________                      

Do we have your permission to obtain your consumer credit report?

Yes ______     No______  
 
____________________________

  Signature of prospective tenant