Lease Application

South Glen Apartments : 19400 South Glen Blvd : Brownstown Township, MI 48183
Phone: 734.675.4100

ALL FIELDS ARE REQUIRED unless otherwise indicated.
Today's Date and Time:
APPLICANT
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CO-APPLICANT (Spouse, Partner, Roommate, etc., if applicable).
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CURRENT ADDRESS
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Previous Address if less than 5 years
Emergency Contact Name and Phone Number
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EMPLOYMENT / INCOME INFORMATION
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FULL NAME, RELATIONSHIP AND DATE OF BIRTH OF ALL OTHERS TO OCCUPY UNIT
First Name Last Name Relationship Date of Birth (mm/dd/yyyy format)
1: //
2: //
3: //
4: //
5: //
REFERENCES - 1 BUSINESS and 1 LANDLORD
Name, Address, Phone and Occupation or Relationship
1.
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2.
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ACKNOWLEDGEMENT

I recognize that this application for an apartment is subject to acceptance or rejection based on the information I have provided as well as screening of my credit, criminal history and past or present landlord verification of rental history.

I hereby state that the information set forth is true and complete and authorize verification of the information and references given. Should any statement made be misrepresented or untrue, $100.00 of the hold deposit will be retained as compensation to the agent for holding the unit off the market.

If the application is accepted, the lease is to execute at the agentís office within 7 days after the applicant is notified of such acceptance. At this time, the $100.00 hold deposit will be applied towards the total due for security deposit with the balance due upon execution of the lease agreement. If the applicant is not accepted as a resident the hold deposit of $100.00 will be returned within one week. The $100.00 hold deposit will be held in this office from the time of application is submitted. If the applicant cancels this application, within 3 business days, the deposit will be refunded to the applicant.

If the application is accepted and the applicant does not sign the lease within the above prescribed days after notification of acceptance, the deposit will be forfeited as liquidated damages in payment of holding the unit off the market.

I understand that I may have the right to make written a request within a reasonable period of time to receive additional, detailed information about the nature and scope of this investigation.

PLEASE NOTE:
ALL APPLICANTS ARE REQUIRED TO SUPPLY THE FOLLOWING:

  1. A VALID DRIVERS LICENSE OR STATE ID.
  2. PROOF OF INCOME FROM ALL SOURCES.
  3. COPIES OF SOCIAL SECURITY CARDS FOR ALL ADULTS MEMBERS.

DIGITAL SIGNATURE
By selecting "YES" below, I/We hereby acknowledge and hereby agree to the terms and conditions outlined above.

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