Apartment Application Form
Please type in the form areas and click the submit button at the bottom of the page. Please note all fields must have a response or
the form will not submit.
Driver's Licence #
Cell Phone #
Date of Birth
Social Security #
Current Landlord's Name and Address
How Long at This Address?
Current Monthly Rent
List All Pets
Make and color of Auto
Have you ever been evicted from a rental property? (please check Y/N)
Have you ever been to Landlord/Tenant court? (please check Y/N)
Name and phone of nearest relative
Apartment you are interested in
CERTIFICATION: I understand that the above information is confidential. I hereby certify that I have examined this application and the above information
made here is to the best of my knowledge and belief a true and complete application made in good faith. I hereby give my permission to have any of the
statements made or information provided on this application verified by a credit reporting agency or other similar entity or by the landlord, mortgagees,
employers,or other sources identified on this application. I further understand the managements review and assessment of this application may include
acquisition of my criminal history record, if any. I hereby give Eagle Management of Ypsilanti permission to acquire such information solely for the purpose of
reviewing or assessing this application.
Please type your name
Applicant Electronic Signature