The Mallory House

2843 Waters road  Ann Arbor,  Michigan  48103

    Fax: (734)668-2964
 
PLEASE TOUCH BASE WITH US VIA EMAIL BEFORE SUBMITTING APPLICATION
APPLICATIONS FOR UNAVAILABLE APARTMENTS WILL BE DELETED
 
**One Application Per Adult**

                                                                                                                   

Date_________________                                                      

Property Address and Apt. # 844 W. Huron St. Apartment____

Date rent is to start _____________________________

Applicant’s Name ______________________________

No. of adults in family________      children__________ 
Pets (# and type)_____________________________                    

Mailing Address_______________________________             
                      _______________________________

Phone #   ________________  Email ______________________            

Soc Security #  _____-_____-_____              

Date of birth    ________________

Occupation ___________________________              

Employer _____________________________

Employer Phone # ______________________

Employer City  ______________________

                             ______________________

Present Landlord’s Name _____________________________

                            Phone # ___________________________

Reference

Name ________________________                       

City    ________________________                                                                                      
Relationship____________________   

Phone # ______________________                      

Do we have your permission to obtain your consumer credit report?

Yes ______     No______  

 

____________________________

  Signature of prospective tenant