Step 1 of 9 11% Rental Location(Required)— select a Rental —120 Hanchette St. Charles, MI 48655 – Duplex Apt 1 (Occupied)120 Hanchette St. Charles, MI 48655 – Duplex Apt 2 (Occupied)262 W Saginaw St Hemlock, MI 48626 – Triplex Apt 1 (Occupied)262 W Saginaw St Hemlock, MI 48626 – Triplex Apt 2 (Occupied)262 W Saginaw St Hemlock, MI 48626 – Triplex Apt 3 (Available Soon)610 E Belle Ave St Charles, MI 48655 – Family Home (Occupied) Personal InformationName(Required) First Middle Initial Last Date of Birth Month Day Year Phone Number(Required)Email(Required) Roomates / Other OccupantsListFull NameDate of BirthRelationship to You Add RemoveClick the + and – minus icons to add and delete rows Rental HistoryPlease list your three most recent addresses from the past five yearsCurrent Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How long have you been at this location?(Required)Owner's Name(Required)Owner's Phone(Required)Previous Address 1 Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How long were you at this location?Owner's NameOwner's PhonePrevious Address 2 Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How long were you at this location?Owner's NameOwner's Phone Current Income InformationEmployed By(Required)Position(Required)Start Date of Employment(Required) Month Day Year Address(Required)Monthly Income(Required)Please enter a number from 1 to 1000000.Name Of Supervisor(Required)Supervisor Phone Number(Required)Income HistoryPrevious EmploymentEmployed By + PositionDate StartDate EndName of SupervisorSupervisor Phone Number Add RemoveClick the + and – minus icons to add and delete rows Other Income SourceTypeMonthly IncomeName of ProviderAddress (if different from yours)Phone Add RemoveClick the + and – minus icons to add and delete rows Other InformationHave you ever been evicted?(Required) Yes No When, and why?(Required)Have you ever been convicted of a felony?(Required) Yes No When, and why?(Required)Have you ever filed for bankruptcy?(Required) Yes No When, and why?(Required)Do you currently smoke?(Required) Yes No Do you have pets?(Required) Yes No Please list each type, breed, and approximate weight(Required)How did you hear about us?(Required) Co-Signer Information (Optional)Co-Signer Name First Middle Initial Last Co-Signer Date of Birth Month Day Year Co-Singer PhoneCo-Signer Email Current Employer with Phone Number Agreement and Consent to Background CheckConsent(Required) I have read and agree to the following.I believe that the statements I have made are true and correct. I hereby authorize the verification of information I provided, communication with any and all names listed on this application and for the issuer of this form to conduct a background check to obtain additional information on credit history, criminal history and all Unlawful Detainers. 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 a home or apartment and does not constitute a rental or lease agreement in whole or in 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.Co-Signer Consent(Required) I have read and agree to the following.It is hereby agreed that the aforementioned Co-signer will assume any and all responsibilities and/or obligations of the Leaseholder’s share of expenses if the Leaseholder cannot or will not oblige. This Co-signer Agreement will remain in force throughout the entire term of the Leaseholder’s tenancy, even if the tenancy is extended and/or changed in its terms.