Rental Application

Application Fee

A non-refundable $75 application fee is required before submitting this form.

💳 Pay $75 securely via Stripe
💸 Or send $75 via Zelle to 313-212-1124

I confirm that I have paid the $75 application fee via Stripe or Zelle.

Personal Information

Full Name Birth Date Driver’s License # / State Phone # Email Current Employer Name / Phone #

Roommates / Other Occupants

#	Full Name	Birth Date	Relationship to You
1

Rental History

	Street Address / Unit No.	City, State, Zip	Landlord	Landlord Phone Number	Rent Cost
Current Address
Previous Address #1
Previous Address #2

Income / Employment History

	Employed by	Monthly Income	Address	Phone Number
Current Employer
Previous Employer #1
Previous Employer #2

Emergency Contact Information

Name Phone # Relationship

Other Information

Have you ever been evicted? Yes No

If yes, when & why

Do you have pets? Yes No

If yes, please describe

Required Documents

Please upload or attach clear copies of the following documents to complete your rental application:

Copy of your State ID or Driver’s License:

Last 3 Pay Stubs (to verify income):

Last 3 Bank Statements:

Previous Year W-2 Form:

Proof of Rent Payments for the past 6 months:

Agreement & Consent to Background Check

I believe that the statements I have made are true and correct. I authorize the verification of this information and understand that this is an application for a rental unit and does not constitute a rental agreement.

Signature Date

All documents are used solely for verification purposes and kept confidential in accordance with fair housing and privacy laws.