Rental Application Step 1 of 6 16% Which unit/property are you applying for?*Please select:418 Lower Unit in Plainwell418 Upper Unit in Plainwell941 in Plainwell110 in Battle CreekPet Policy* I understand that there are NO PETS and NO SMOKING allowed at the residence. How many people 18 or over will be living with you?* Just me Myself and Other(s) Each adult living at the residency must sign the lease, so each person must complete their own application separately. Just identify your co-tenant(s) here, and complete the rest of the application for yourself. Then have each co-tenant complete their own application.Co-Tenant Name(s)*Names of any others that will also be on the lease. Each person 18 or over must complete their own application. Other Occupants Under 18 yrs old*Names and relationships of anyone under 18 that will be living with you.Applicant's InfoHave you ever filed a petition for bankruptcy?* Yes No Have you ever been evicted from any tenancy?* Yes No Have you ever willfully and intentionally refused to pay rent when due?* Yes No Applicant's Name* First Last Please tell us a little about yourself and your situation.Date of Birth* MM slash DD slash YYYY Email* Social Security Number* Driver's License Number* Expiration Date (of Driver's License)* MM slash DD slash YYYY Present Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How long have you been at your present address?* Phone*Name of Current Landlord Landlord's Phone*What do you currently pay for rent?* How long is your current rent paid through? When does your current lease expire? Previous AddressWhere did you live right before your current address? Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How long were you at your previous address? Name of Previous Landlord Previous Landlord Phone Vehicle InfoCar Make* Model* Year* Color* License Plate Number* OccupationDo you currently have a job?* Yes No Who do you presently work for?* What is your occupation?*What do you do for your job? Employer's Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer's PhoneName and Title of Supervisor* How Long at Present Job?* Previous OccupationDescribe what job(s) you had before your current job, where you worked, for how long, and what you did.Describe Your Source of Income*Monthly Gross Income* Banking & Debt InfoName of Bank* Bank Phone*Bank Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What are you currently in debt for?* Nothing Vehicle Loan Student Loan Credit Card(s) Other(s) What is your total amount of debt?*How much money do you owe people? Describe each different debt you have.*Provide type of debt, amount owed, and bank info (if different than above) Personal ReferencesPlease provide at least 2 personal references.Reference 1 Name* First Last Reference 1 Phone*How long have you known this person?* What is this person's relationship to you?* Reference 2 Name* First Last Reference 2 Phone*How long have you known reference 2?* What is reference 2's relationship to you?* Consent and SignType Name Again Here*This represents your digital signature. Today's Date* MM slash DD slash YYYY Anti-Spam Question: What is the opposite of down?*(proves you're a human to reduce spam) Consent*I declare that the data I submit is true and correct. I agree that the landlord may terminate any agreement entered into if any of my submitted information is determined to be a mis-statement or false. I give my permission to use my application information to determine qualification for leasing property. I understand this application will be used to determine eligibility for leasing and that a credit report may be run to determine that eligibility. I consent to allowing any/all parties listed on this application be contacted regarding my eligibility and ability to rent from owners. I understand my information will only be shared with parties that are in direct relevance to determining rental eligibility. I agree to these terms.