Virginia Apartments Rental Application

Please provide as much information as you can to help speed up the application process
First Name
Middle Initial
Last Name
email
Birth date
Present Address
Present City
Present State
Present Zip Code
Phone	Call me here if you have questions!
Business Phone
How Long There
Present Landlord
Present Rent	/month
Reason for Leaving
Previous Address
Previous City
Previous State
Previous Zip Code
Previous Phone
How Long There
Previous Landlord
Previous Rent	/month
Reason for Leaving
Number to Occupy Unit	Adults Children Pets
Smoker	Yes No
Employer
Years There
Work Phone
Annual Income	/year
Monthly Take Home Pay	/month
Monthly Income Source	Wages Commission
Education: Highest Education Level	Choose College Grad Some College High Scool Diploma Trade School Other School
Personal References
1. Name
Address
City
State
Zip Code
Phone
Relationship
How Long
2. Name
Address
City
State
Zip Code
Phone
Relationship
How Long
Automobile
Make
Year
Michigan License Plate #
In Case Of Emergency Notify:
Name
Address
City
State
Zip Code
Phone
Relationship
I hereby certify that the above information is complete and correct to the best of my knowledge. Deposit is NON-REFUNDABLE if Applicant changes his/her mind before or after credit check. Balance of Deposit will be RETURNED if Landlord decides not to rent to Applicant for any reason. I am authorizing the release of a credit file on me for the purpose of renting an apartment. I Agree!