Anchor Pointe Application

Anchor Pointe Apartments

Rental Application
APPLICANT NAME*

First NameMiddle Initial Last Name
DATE OF BIRTH*

MonthDayYear
Date
SOCIAL SECURITY NUMBER*
PHONE NUMBER
Please enter a valid phone number.
EMAIL
example@example.com
CURRENT ADDRESS
Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
LANDLORD NAME

First NameLast Name
LANDLORD PHONE NUMBER
Please enter a valid phone number.
DATE MOVED IN

MonthDayYear
Date
RENT AMOUNT
REASON FOR LEAVING
EMPLOYMENT INFORMATION
EMPLOYER NAME
EMPLOYER ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SUPERVISOR

First NameLast Name
START DATE

MonthDayYear
Date
POSITION
MONTHLY INCOME
OTHER SOURCES OF INCOME
REFRENCES
PROFESSIONAL

First NameLast Name
Phone Number
Please enter a valid phone number.
PERSONAL

First NameLast Name
Phone Number
Please enter a valid phone number.
EMERGENCY CONTACT
NAME   First Name   Last Name
ADDRESS   Street Address      City   State   Zip
PHONE      Area Code   Phone Number
RELATIONSHIP
APPLICANT #2
NAME

First NameMiddle NameLast Name
DATE OF BIRTH

MonthDayYear
Date
SOCIAL SECURITY NUMBER
Email
example@example.com
Phone Number
Please enter a valid phone number.
CURRENT ADDRESS
Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
LANDLORD NAME

First NameLast Name
LANDLORD PHONE NUMBER
Please enter a valid phone number.
DATE MOVED IN

MonthDayYear
Date
RENT AMOUNT
REASON FOR LEAVING
EMPLOYMENT INFORMATION
EMPLOYER NAME
EMPLOYER ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
SUPERVISOR

First NameLast Name
START DATE

MonthDayYear
Date
POSITION
MONTHLY INCOME
OTHER SOURCES OF INCOME
EMERGENCY CONTACT
First Name   Last Name
Street Address      City   State   Zip
Area Code   Phone Number   RELATIONSHIP
REFRENCES
PROFESSIONAL

First NameLast Name
Phone Number
Please enter a valid phone number.
PERSONAL

First NameLast Name
Phone Number
Please enter a valid phone number.
PLEASE LIST ALL OCCUPANTS WHO WILL OCCUPY LEASED PREMISES IN ADDITION TO APPLICANT/CO-APPLICANT

NAME First Name Last Name DOB Date
First Name Last NameDate
Has Applicant, spouse or other potential occupants ever been evicted ?*

YESNO
Have any civil judgments been entered against Applicant, spouse or other potential occupants?*

YESNO
Has applicant, spouse or another potential occupant ever been convicted of a felony or misdemeanor?*

YESNO
IF YES PLEASE EXPLAIN
Does any one in the household smoke?*

YESNO
Do you have any pets?   YES   NO
Type/Breed      Weight
Spayed or Neutered    YES   NO
UNIT DESIRED

ONE BEDROOMTWO BEDROOMUPPERLOWER
Landlord will treat all persons fairly and equally. Landlord does not discriminate on the basis of race, color, creed, national origin, sex, age, marital status, familial status, or disability. It is the policy of the
Landlord, to comply fully with Title VI of the Civil Rights Act of 1964, Title VIII and Section 3 of the Civil Rights Act of 1968 (as Amended by the Community Development Act of 1974), Executive Order
11063, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and any Michigan or Federal laws, rules, regulations, or enactments protecting individual rights.

Landlord’s offer to rent will be based on verification of all Applicant’s meeting all Application screening criteria included in the landlords Tenant Selection Plan, including, but not limited to credit history, background check, income verification, landlord reference check, and any other relevant Applicant information contained within this Application or otherwise required by Landlord.

The applicant must have a monthly take-home pay equal to or greater than 3 times the monthly rent. Must have verifiable income via pay stubs, tax returns, etc.

You must complete the entire application for consideration. Unanswered questions will result in denial of your application. In the event, the question is not relevant please use "N/A"
Applicant Signature*

Clear
Co-Applicant Signature

Clear
Each applicant over 18 yrs old required to pay $30.00 application fee

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Anchor Pointe Apartments

CURRENT ADDRESS

EMPLOYMENT INFORMATION

REFRENCES

EMERGENCY CONTACT

APPLICANT #2

CURRENT ADDRESS

EMPLOYMENT INFORMATION

EMERGENCY CONTACT

REFRENCES