Application Form

Co applicant's info

Co-Applicant Name:

Applicant Date of Birth:

Current Address:

Social Security:

Driver Lic No:

Driver Lic Exp:

Phone:

Email:

Work Phone:

Present Landlord Name:

Landlord Phone No:

Reason for Moving:

How Long There:

Previous Address:

Previous Landlord Name:

Phone No:

Reason for Leaving:

How Long There:

Employed at:

Employer Address:

Employer Phone Number:

How long there:

Paid (Check One):
WeeklyBy WeeklyMonthly

Monthly:

Outgoing Monthly Expenses:

Bank Credit Union Name:

Address:

Check One:
CheckingSavings

Bank Phone Number:

Have you had any (check one)
JudgmentsEvictions

Collections How many?

Number of adults to occupy premises:

Children:

Any Pets:
YesNo

Close Relative or contact:

Phone:

Address

I authorize CARS of Mid Michigan LLC to investigate my credit or any police record, I understand if any information is missing or inaccurate there will be a cancellation of my application, or and lease entered into on the grounds of fraud.

Co applicant's info

Contact Info:

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