Form – The Reserve Of Southfield

Name*
First Last
SSN#*
Drivers License#*
Phone*
Phone*
Email*
Enter Email Confirm Email
Date of Birth*
MM
DD
YYYY
Age*
Any Children?*
How Many Children?*
Children(s) Full Name*
First Last
Child(s)Age*
Children(s) Full Name*
First Last
Child(s)Age*
Children(s) Full Name*
First Last
Child(s)Age*
Children(s) Full Name*
First Last
Child(s)Age*

Current Address*
Street Address Address Line 2 City State ZIP Code
Months at Current Address*
Current Rent*
Landlord/Mortgager Name
First Last
Landlord/Mortgager Phone*
Previous Address*
Street Address Address Line 2 City State ZIP Code

Have you rented from The Reserve of Southfield?*
Have you ever been evicted?*
Have you ever been convicted of a felony?*
If yes what date?*
Date Format: MM slash DD slash YYYY

Current Employer*
Job Title*
Supervisors Name*
Employers Address*
Street Address Address Line 2 City State ZIP Code
Gross Monthly Income*
Other Income*
Period of Employment*

Apartment Type*
Number of Occupants*
Do you have any pets?*
Move in Date*
Date Format: MM slash DD slash YYYY
How did you hear about us?*
- Detroit News/Free Press
- Apartment Guide
- Phone Book
- Rent.com
- Sign
- For Rent
- Apt.com
- 12 North
12 North Tenant Name*

Reference/Closest Relative*
First Last
Referenece Phone*
Reference Address*
Street Address Address Line 2 City State ZIP Code

Consent*
I agree to the following statement.
Subject to management's approval, the undersigned applicant hereby makes application to lease an apartment.The relationship that The Reserve of Southfield has with the applicant below is that of Owner's Agent. The form was provided to applicant prior to disclosure of any confidential information. The information provided in this application is submitted as an inducement to management to approve this application. The undersigned applicant warrants that all of the representations and statements provided on this application are true and complete and it is understood, if this application is approved, the information provided here will be incorporated into and made part of any lease I sign. False or incomplete information on this application shall be cause for rejection of this application or for termination of such a lease at management's discretion. I hereby give my permission to have any of the statements made of information provided on this application verified by a credit reporting agency or to other similar entity of by any of the landlords, mortgages, employers, or other sources identified of this application. I further understand that management's review and assessment of this application may include acquisition of my criminal history record, if any. I hereby give The Reserve of Southfield permission to acquire such information, solely for the purpose of reviewing and assessing this application.
Name
This field is for validation purposes and should be left unchanged.

Rental Application

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