LANDLORD: R & B Realty, PO Box 249 Royal Oak, MI 48068 Phone: 248-543-7960 Fax: 248-545-6270 The undersigned hereby submits the following information as an application to lease/rent the following described property commonly known as: (NOTE: This application is not a lease.) Property Address Information about the Applicant(s) and Occupant(s): 1 Name of Applicant Date of birth Social Security # Driver’s License # Email 2 Name of Co-Applicant (if applicable) Date of birth Social Security # Driver’s License # 3 Car Info -Make/Year License Plate 4 List any pets (Dogs, Cats, etc.) 5 Does anyone smoke who would reside at the property? Yes No 6 Current Address Phone Rent Own Monthly Payment 7 Previous Address 8 Name and Address of Prior Landlord(s) Phone 1 Phone 2 9 Name and Address of Two References: Phone Financial Information 1. Occupation of Applicant(s) 2.Name and Address of Employer(s) 3.Phone 4. Annual Income 2022 Annual Income 2023 Annual Income 2024 5. Other Sources of Income 6. Annual Income From Other Sources 7. Debts or Obligations (List Creditor and Amount) Applicant(s) warrant that the preceding information is a complete and accurate representation of all the facts.THIS INFORMATION IS BEING PROVIDED FOR THE PURPOSE OF OBTAINING A CREDIT REPORT Applicant’s Signature : Co-Applicant warrant that the preceding information is a complete and accurate representation of all the facts.THIS INFORMATION IS BEING PROVIDED FOR THE PURPOSE OF OBTAINING A CREDIT REPOR Co-applicant’s Signature : accept "I am agreeing that the preceding information is a complete and accurate representation of all the facts." THIS INFORMATION IS BEING PROVIDED FOR THE PURPOSE OF OBTAINING A CREDIT REPORT
