NORTHERN EAGLE REALTORS©, LLC

466 Towhnahll Rd, Skandia, MI. 49885    906-942-7699 (Office)     906-942-7399  (Fax)

ALL RESIDENTS OVER THE AGE OF EIGHTEEN (18) MUST COMPLETE AN APPLICATION

Applicant (FULL NAME) ______________________________________________________________________________________________________

Present Address ______________________________________________________________________________________________________________

Amount of Present Rent $_______________ Phone Number _________________________Marital Status_______________ Date of Birth ___________

Drivers License # (INCLUDE STATE) ______________________Social Security # __________________________________

Email Address __________________________________Current Landlord Name & Phone Number: _____________________

Reason for Leaving: _______________________Previous Landlord Name & Phone Number: ________________________

Employer or Source of Income: ___________________________________________________Address & Phone Number: ____________________

Position Held: __________________________Income per Month $ ______________________   Supervisor: __________________________________

Years at Employment: _____________________  List all vehicles that will be parked at residence____________________________________________

Do you have pets? ________  If yes, list breed & age:__________________________________Banking References (NAME ONLY): _______________

Have you ever filed for bankruptcy? ___________Are there any judgments against you? ____________________________________________________

Please list names & ages of any other persons who will live in the rental unit: ____________________________________________________________

List 3 emergency contacts; name, phone, & relation (not in your household) _____________________________________________________________

___________________________________________________________________________________________________________________________

PLEASE READ CAREFULLY BEFORE SIGNING

In considering this application, management will rely heavily on the information which you have supplied. It isimportant that the information be accurate and

complete. An incomplete application may not be considered. By signing this application you represent and warrant the accuracy of the information and you

authorize management to verity any references that you have listed. Must present car insurance, drivers license, and renters insurance upon move in.

Please Circle the answers Below        

MEDICAL MARJUANA USER?                                                             YES             NO

LANDLORD HISTORY AUTHORIZED BY APPLICANT                          YES             NO

CRIMINAL HISTORY CHECK AUTHORIZED BY APPLICANT               YES             NO

CREDIT CHECK AUTHORIZED BY APPLICANT                                   YES             NO   

ABILITY TO SIGN A ONE YEAR LEASE                                                YES             NO

Applicant Signature Date_________________________________________

Address of unit ________________________________________________