Camelot Associates Llc

CAMELOT ASSOCIATES LLC

P.O. BOX 952

BIRMINGHAM, MICHIGAN 48012

Office: 248-288-1544, Fax 248 593-5608

RENTAL APPLICATION

APARTMENT ADDRESS: ______Apt. No. ______

Monthly Rental Rate $______Term of Lease ______Type of Apartment ______

Date Rental to Start ______Security Deposit……...... $ ______

MONTH DAY YEAR

First Month’s Rent…………………..$ ______

Application & Entry Fee…………….$ ______

TOTAL………………………………$ ______

Less Total Paid with Application……$ ______

BALANCE DUE (Cashier’s Check or

Money Order if Application is Accepted)$ ______

PERSONAL INFORMATION

APPLICANT’S FULL NAME ______Co-RESIDENT’S NAME ______

Date of Birth ______Co-Resident’s Date of Birth ______Marital Status ______

OTHER RESIDENT(S)RELATIONSHIP(S)DATE(S) OF BIRTH

______

PET ______BOAT / REC. VEHICLE ______OTHERS ______

OTHER REMARKS ______

RESIDENT HISTORY

PRESENT ADDRESS______City ______State _____ Zip ______

E-mail address ______

Present Telephone ______Length of Time at Present Address ______

Present Landlord or Mortgage Holder ______Telephone ______

Present Rent $ ______Reason for Moving ______

PREVIOUS ADDRESS ______City ______State _____ Zip ______

Length of Time at Previous Address ______

Previous Landlord or Mortgage Holder ______Telephone ______

Amount of Rent $ ______Reason for Moving ______

EMPLOYMENT INFORMATION

EMPLOYED BY ______Starting Date ______

Employer’s Address ______Telephone ______

Position Held ______Gross Monthly Income $ ______

Social Security No. ______Supervisor ______Telephone ______

CO-RESIDENT’S EMPLOYER ______Starting Date ______

Employer’s Address ______Telephone ______

Position Held ______Gross Monthly Income $ ______

Social Security No. ______Supervisor ______Telephone ______

BANKING AND CREDIT REFERENCES

BANK ______Checking Acct. No. ______Savings Acct. No. ______

CREDIT REFERENCE ______

OTHER INFORMATION

No. of Vehicles (including company cars) _____ Driver’s Lic. #: Self ______Spouse______

Make ______Year ______Color ______Tag No. ______State ______

Other Remarks (no storage allowed outside approved areas) ______

In Case of Personal Emergency, Notify: ______Relationship ______

Address ______City ______State ______Zip ______Telephone ______

In Case of Personal Emergency, Notify: ______Relationship ______

Address ______City ______State ______Zip ______Telephone ______

I hereby make application for an apartment and certify that the above information is correct. I authorize you to contact any references that I have listed and to check my credit records.

APPLICANT’S SIGNATURE ______CO-SIGNED ______DATE ______

Revised: 5/15/2009

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