RENTAL APPLICATION ! Each adult (18 or older) must fill out a separate application. Please print this application, complete the information required and mail to Impact Property Management Inc. P.O. Box 254 Harrison, MI 48625
First Middle Last NAME ____________________________________________________________________
Birth Date Social Security # _________________________________________________________________
Driver’s License #____________________________________________
Any Other Names You’ve Used In The Past _________________________________________
Home Phone _____________________________Cell Phone____________________________________
All Other Proposed Occupants Birth Date Relationship To Applicant
____________________________________________________________________________________
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RENTAL/RESIDENCE HISTORY
Current Residence _____________________________________________________________________
Previous Residence Prior Residence________________________________________________________
Street Address_________________________________________________________________________
City_________________________________________________
State & Zip________________________________________________
Last Rent Amount Paid $____________________________
Owner/Manager and Phone Number________________________________________________________
Reason for leaving______________________________________________________________________
Is/Was rent paid in full?________________________________
Did you give notice?____________________________________
Were you asked to move?_________________________________
Name(s) in which your utilities are now billed:________________________________________________
From/To From/To From/To_________________________________________________________________
Dates of Residency____________________________________________
EMPLOYMENT HISTORY
Current Employment________________________________________________________________
Previous Employment _______________________________________________________________
Prior Employment___________________________________________________________________
Employed By_______________________________________________________________________
Address____________________________________________________________________________
Employer’s Phone______________-----_______________-----______________________
Occupation_________________________________________________________________________
Name of Supervisor___________________________________________________________________
Monthly Gross Pay $_______________________
From/To From/To From/To_____________________________________________________________
Dates of Employment_____________________________________________________
CREDIT HISTORY
Bank/Institution _________________________________________________
Name Balance On Deposit or Balance Owed ________________________________ $__________________
Savings Account YES ________ NO _________
Checking Account YES _______ NO _________
Auto Loan YES _______ NO________
VEHICLES (Include vehicles belonging to other proposed occupants also)
Make Model Color Year License Plate
_________________________________________________________________________________________
REFERENCES & EMERGENCY CONTACTS
Nearest Relative Living Elsewhere_____________________________________________________________
Name________________________________________________________
Street Address_______________________________________________________________
City__________________________________________________
State & Zip___________________________________________________________
Phone Number___________________________________________________
By signing the application you grant us permission to communicate with all the contacts listed in this section in the event we can’t locate you. Furthermore, if you abandon the unit for any reason then you grant us permission to allow your relative listed above to remove all contents of the dwelling on your behalf.
GENERAL INFORMATION
Have you ever been served a late rent notice? YES____________ NO __________________
Do any of the people who would be living in the unit smoke? YES_____________ NO_____________
How long do you think you would be renting from us? _____________________________
Have you ever filed for bankruptcy? YES_______________ NO_________________
If so, when? _________________________________________
When would you be able to move in? ___________________________________________
Have you ever been convicted of a felony? YES_________ NO__________
Have you ever been served an eviction notice? YES_________ NO__________
If so, when?_________________________________________________
How many pets do you have (list Type, Breed, approx Weight & Age)? _________
_____________________________________________________________ lbs ________________
Have you had any reoccurring problems with your current apartment or landlord? If yes, please explain:
_____________________________________________________________________________________
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Why are you moving from your current address?_______________________________________________
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List any verifiable sources and amounts of income you wish to have considered (optional):_____________
______________________________________________________________________________________
If you were to run into financial difficulty in the future and couldn’t come up with the money to pay the rent, do you know someone that would loan you the money? _____If so, provide the person’s name, address, & phone # so that we can use them as a reference for you.
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Have you been a party to a lawsuit in the past? If yes, please explain why:________________________________
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We may run a credit check and a criminal background check. YES _____ NO _____
Is there anything negative we will find that you want to comment on? YES _____ NO _____
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How did you hear about this rental unit?___________________________________________________________
Do you have an e-mail address we can reach you at?___________________________________________________
Agreement & Authorization Signature
I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for an apartment and does not constitute a rental or lease agreement in whole or part. I further understand that there is a non-refundable fee to cover the cost of processing my application and I am not entitled to a refund even if I don’t get the apartment. Any questions regarding rejected applications must be submitted in writing and accompanied by a self-addressed stamped envelope.
Signature: ______________________________________
Date:____________________