Meadowbrook Village Apartments
2891 Olden Oak Lane, Auburn Hills, MI 48326
(248) 373-9090 Office* * *(248) 373-3455 Fax
Desired date of occupancy*
No. Of Bedroom
How did you hear about our community?
Applicant Information:
Name: Date of Birth:
No. Of occupants: Adults: Children:
Social Security # Drivers License #
Present Address: Phone #
Landlord/Mortgager: Phone #
Current rent/mortgage payment: reason for moving:
Previous Address:
Landlord/Mortgager: Phone #
Employment Information:
Current Employer: Phone #
Position: Date of Hire: Annual Income:
Supervisors Name: Phone #
Previous Employer: Phone #
Position: Date of Hire: Annual Income:
Supervisors Name: Phone #
Personal Information:
Nearest Relative not living with you:
Name: Relationship:
Home Phone #: Address:
Bank References:
Name of Bank: Branch:
Account #: Savings Checking
Credit References:
Credit Card Name: Issuing Bank:
Balance owed: monthly payment:
Credit Card Name: Issuing Bank:
Balance owed: monthly payment:
Vehicle Information:
Make of Vehicle: Year: Color: Plate #:
Make of Vehicle: Year: Color: Plate #:
Have you ever broken a lease or been evicted from any type of housing? Yes No
If yes, please explain
Have you ever willfully and intentionally refused to pay rent when due? Yes No
If yes, please explain
Are there any circumstances that may interrupt your income or ability to pay rent? Yes
No
If yes, please explain
An application deposit of $100.00 is due with this application. A payment of $20.00 will be due for each additional application submitted by co-applicant.
IF A SECOND ADULT WILL BE RENTING THE PREMISES, THEY WILL NEED TO COMPLETE A SEPARATE RENTAL APPLICATION FORM.
Please provide names of other tenants, including children and anyone who will live with you, even if on a temporary basis.
Name: Phone #
Present Address:
Adult: Child: Age: Relationship:
Name: Phone #
Present Address:
Adult: Child: Age: Relationship:
The Applicant understands that if the Application is accepted and the Applicant fails to execute a Lease before the beginning *date specified above, or to pay the required deposit and the first month’s rent, the application deposit will be forfeited as liquidated damages.
The information provided by the prospective tenant may be used by Meadowbrook Village Apartments to determine whether to accept this Application. It is understood the above information is CONFIDENTIAL. Application fee for the apartment less the Credit Check charge is subject to refund in the event this Application is rejected. Any false information in this Application shall be deemed cause for rejection of this application, forfeiture of any monies paid on application, and immediate termination of any subsequent rental agreement.
I represent that the information provided in this Application is true and correct to the best of my knowledge. Meadowbrook Village Apartments is authorized to verify the references, rental history and employment information given in this Application and to request a credit check.
Applicant’s Signature (Please type name) Date
Office use only:
Approved: _____ Denied: ______ Address of selected unit: __________________
Date Deposit Received: ____________ Form of Payment: check money order cash
Occupancy Date: _________________ Lease Term: 12 mos. 6 mos.
Monthly rental rate: ______________ Amount Due upon signing lease: ___________
