Residency Application

Your application data is automatically saved so you can pause and resume later.

download pdf version of the residency application

Page 1 of 5

Applicant Full Name*

Invalid Input

Applicant SSN*

Invalid Input

Applicant Date of Birth*

/ / Invalid Input

Have you ever been convicted of a felony?*

Yes No

This field is required

Felony Description

Invalid Input

Date of Conviction

Invalid Input

If you answered "Yes" to the above question, please provide more information below. A past conviction will not necessarily prevent you from leasing a residence. We will consider the nature of the offense, when it occurred, and its relevance to your potential tenancy.

Will you be applying with a co-applicant?*

No Yes

This field is required.

Co-Applicant Full Name*

Invalid Input

Co-Applicant SSN*

Invalid Input

Co-Applicant Date of Birth

/ / Invalid Input

Current Address*

Invalid Input

City*

Invalid Input

State*

Invalid Input

Zip Code*

Invalid Input

Phone Number*

Invalid Input

Years at Previous Address

Invalid Input

Previous Address*

Invalid Input

City*

Invalid Input

State*

Invalid Input

Zip Code*

Invalid Input

Number of Occupants*

Invalid Input

Full Name

Invalid Input

Date of Birth

/ / Invalid Input

Relationship with Occupant

Invalid Input

Number of Pets

Invalid Input

Weight

Invalid Input

Types

Invalid Input

Breeds

Invalid Input

Applicants Drivers License*

Invalid Input

Co-Applicant Driver License

Invalid Input

Number of Cars*

Invalid Input

License Plates*

Invalid Input

Make Model Year*

Invalid Input

Employer or Name of Business*

Invalid Input

Phone Number

Invalid Input

Address

Invalid Input

City

Invalid Input

State

Invalid Input

Zip Code

Invalid Input

Length of Time Employed*

Invalid Input

Position

Invalid Input

Supervisor

Invalid Input

Present Gross Salary or Income from Business*

Invalid Input

Per Month*

Invalid Input

Per Year*

Invalid Input

Previous Employer

Invalid Input

Phone Number

Invalid Input

Address

Invalid Input

Length of Time Employed*

Invalid Input

Position

Invalid Input

Supervisor

Invalid Input

Co Applicant Previous Employer

Invalid Input

Phone Number

Invalid Input

Address

Invalid Input

Length of Time Employed*

Invalid Input

Position

Invalid Input

Supervisor

Invalid Input

Other Income*

Invalid Input

Per*

Invalid Input

Source*

Invalid Input

Bank*

Invalid Input

Branch*

Invalid Input

Auto Financing Creditor*

Invalid Input

Amount*

Invalid Input

Branch*

Invalid Input

Account type

Checking account Savings account Invalid Input

Type of Loan*

Invalid Input

Manufactured Home Finance Company*

Invalid Input

Approved*

Invalid Input

Other

Invalid Input

Name

Invalid Input

Phone

Invalid Input

Address

Invalid Input

Name

Invalid Input

Phone

Invalid Input

Address

Invalid Input

Make

Invalid Input

Model

Invalid Input

Year

Invalid Input

Serial Number

Invalid Input

Length

Invalid Input

Width

Invalid Input

Color

Invalid Input

Dealer

Invalid Input

Salesperson

Invalid Input

Total Cost

Invalid Input

Down Payment

Invalid Input

Monthly Payment

Invalid Input

The above information is true and correct and you are hereby authorized to verify same by means of a credit report and by contact with references. Applicant acknowledges receipt of a copy hereof.[]

Invalid Input

Partner Sites

Resources

Office Hours

Mon – Wed
7:00 am – 8:00 pm
Thu – Sun
9:00 am – 6:00 pm

Contact

1011 River Line Dr, Howell, MI 48843
(517) 540 - 9500

Made with ❤️ by Codehosted Cloud.