Michigan Landlord Rental Application & Background Check Consent

Part 1: Landlord Rental Application & Background Check Consent

Rental Application


Date received by landlord: ________________________

Rental term: requesting fixed lease from _______ (start date) to _______ (end date).

Amounts due prior to occupancy:
First month’s rent of $_____ to be received and cleared by Landlord by _______ plus a security deposit of one and a half month's rent ($_______) to be received by Landlord at the time of signing the Rental Agreement.

Applicant:
Full name – please include all names you use(d): _____________________________
Home phone: __________________ Cell phone: __________________
Work phone: __________________ Email:______________________
Please provide a photocopy of your driver’s license.

Rental/Residence History:
Current address: _______________________________________________________
Dates lived at address: __________________
Landlord/manager (or parent name if currently living at home): _________________
Landlord/manager/parent phone: __________________
Reason for leaving: ____________________________________________________

Previous address:______________________________________________________
Dates lived at address: __________________
Landlord/manager (or parent name if previously lived at home):_________________
Landlord/manager/parent phone: __________________
Reason for leaving: ____________________________________________________

Previous address:______________________________________________________
Dates lived at address: __________________
Landlord/manager (or parent name if previously lived at home):_________________
Landlord/manager/parent phone: __________________
Reason for leaving: ____________________________________________________


Employment History:

Name and address of current employer: ____________________________________
_______________________________ Phone: __________________
Name of supervisor: __________________ Supervisor’s phone: ________________
Dates employed at this job: __________________ Position or title: ______________

Name and address of previous employer:____________________________________
_______________________________ Phone: __________________
Name of supervisor: __________________ Supervisor’s phone: ________________
Dates employed at this job: __________________ Position or title: ______________

Income:
Your gross monthly income which will be used to pay the monthly rent: (please
specify sources): $__________


Have you ever:
Filed for bankruptcy? _____
Been sued? _____
Sued someone else? _____
Been evicted? _____
Been convicted of a crime: _____

Please explain any “yes” listed above:



References and emergency contact:
Personal reference: ___________________________ Relationship: ___________________
Address: __________________________________________________________________
Phone: __________________

Personal reference: ___________________________ Relationship: ___________________
Address: __________________________________________________________________
Phone: __________________

Contact in emergency: ___________________________ Relationship: _________________
Address: ___________________________________________________________________
Phone: __________________

I certify that all the information given above in this Rental Application is true and correct and understand that my Rental Lease Agreement may be terminated if I have made any false or incomplete statements in this Rental Application. For the purpose of evaluating this Rental Application and for the collection and recovery of any financial obligations relating to my tenancy, I authorize verification of the information provided herein from current and previous landlords, employers, schools, and personal references.


________________________________________ __________
Applicant Name