Name*

This field is mandatory

Phone number*

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E-mail*

This field is mandatory

The e-mail address is invalid

Date of birth

Drivers license number

Other proposed occupants, relationship to applicant, date of birth

Current address

How long have you lived at your current address and what is your reason for moving?

When do you intend to move?

List previous addresses in last 10 years

Current employer, company name and address*

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job title*

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wages and earnings*

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How long have you worked for your current employer?*

This field is mandatory

supervisor name

supervisor phone number

List any income your household currently receives or expects to receive in the next 12 months from sources such as SSI, pension, public assistance, child support, etc.?

Are you a US citizen?

Do you or any other household members have or expect to have any pets?

if yes, please list pet type, breed, name, size, age, color, and if the pet is kid friendly.

Have you ever been served a late rent notice? If yes, explain why.

Have you ever broken a lease? If yes, explain why.

Have you ever left any type of rental property still owing money? If yes, explain why and the amount owed.

Have you ever been served an eviction notice? If yes, provide rental address and date of occurrence.

Have you ever filed for bankruptcy? If yes, when?

Have you ever been convicted of a felony? If yes, explain when and why.

Are you subject to a lifetime state sex offender registration program in any state? If yes, explain and provide state.

Have you ever filed a lawsuit against a landlord/management company? If yes, provide details on lawsuit filed.

Are you or any household member a current smoker?

Applicant understands that the facts represented herein are being relied upon by management and therefore guarantees that all disclosures herein are true and complete. *

This field is mandatory

Applicant authorizes management to contact references and use public records to verify the accuracy of the information provided.*

This field is mandatory

* Indicates required fields

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Thank you! We will get back to you as soon as possible.

Contact us

Telephone: 248-520-2800

E-mail: info@prospectorscapitallc.com

The undersigned understands this application will be evaluated by management for the purpose of renting and occupying valuable real estate. Applicant further understands that the facts represented herein are being relied upon by management and therefore guarantees that all disclosures herein are true and complete.

Any misleading, incorrect, or false statements may be a violation of various fraud statutes.

Management reserves the right to pursue applicant by any means legally available for providing misleading, incorrect, or false statements. Misleading, incorrect, or false statements will be sufficient reason for immediate eviction and loss of security deposit.

The undersigned further acknowledges and agrees that management may confirm information provided in the application and authorizes management to contact references, obtain a personal credit report, check public records, criminal records, and use any other methods of confirmation available to management. Applicant further acknowledges that management may from time to time continue to make efforts to update the information provided herein. Applicant also acknowledges that management, or its collection agency, may contact references, obtain a personal credit report, check public records, criminal records, and use any other methods of confirmation available for collection purposes should it become necessary.

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