First Name:
Last Name:
Phone #
Address:
City:
State:
Zip:
Alt Phone #
Soc. Sec. #
Main Applicant
Co-Applicant
Date of Birth:
Email:
First Name:
Last Name:
Phone #
Address:
City:
State:
Zip:
Alt Phone #
Soc. Sec. #
Date of Birth:
Email:
Preferred Location:
Preferred Unit Size:
Previous Rental History
Name of Current Landlord:
Name of Previous Landlord:
Phone Number:
Phone Number:
Employment Information
Employer's Name:
Employer's Phone Number:
Approximate Annual Income:
Unit Selection
Additional Information
By typing my full name in the space provided below I declare that the application is complete, true and correct and I herewith give my permission for anyone contacted to release the credit or personal information of the undersigned applicant to Management
Authorized/Acknowledged by:
Fax 517-482-7727
Application Fee:

There is a $25 fee to process applications.
Security Deposit Payment