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	EASTSIDE PROPERTY SERVICES RENTAL APPLICATION

	PO BOX 80772 ROCHESTER, MI 48308 PHONE: 248-601-6761 / FAX: 248-282-5200 eastsidepropertyservices@comcast.net

Applicant


* Name	:

* Telephone	:

* Email	:

* Current Address	:

* City	:

* State	:

* Zip	:

Rent amount	:

SSN	:

DOB	:

How long have you lived at the present address?



Present Landlord	:

Employer	:

Your Position	:

How Long?	:

* Contact Telephone	:

Salary	:

Co - Applicant


* Name	:

* Telephone	:

* Email	:

* Current Address	:

* City	:

* State	:

* Zip	:

Rent amount	:

SSN	:

DOB	:

How long have you lived at the present address?



Present Landlord	:

Employer	:

Your Position	:

How Long?	:

* Contact Telephone	:

Salary	:

* How many in your family

* Number of occupants

Name

DOB

Name

DOB

Name

DOB

Name

DOB

Any Pets?

Yes

How Many?

Breed

Age

Breed

Age

Amount & source of additional income

Bank

Checking

Account No

Savings

Account No

Additional personal/credit references:

* Name

Relationship

* Telephone

I represent that the information provided in this application is true to the best of my knowledge.You are hereby authorized to verify my credit and employment references in connection with the processing of this application. I acknowledge receipt of a copy of this application.

I Agree

* Property address	:

* City	:

* State	:

* Zip	:

Applicant	:	Date	:

Co Applicant	:	Date	: