LAKESHORE REALTY INC.

RENTALS

A couple of lines about the rental listings

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Download the Residential Lease Application

Online Residential Lease Application

Please complete application below

Address Applying For :

Occupant Information
Occupant Name:
Present Address:
City:
State:
Zip:
Cell Phone:
Email:

Previous Address:
City:
State:
Zip:

Social Security Number:
Date Of Birth:
Driver's License Number:
Monthly Salary:

Emergency Contact:
Address:
City:
State:
Zip:
Phone Number:

Previous Landlord:
Phone Number:

Other Occupants:

Occupant's Place Of Employment
Name:
Address:
Phone Number:

Occupant's Automobiles
Car 1
Year:
Make :
Model:
Tag Number:

Car 2
Year:
Make:
Model:
Tag Number:

Car 3
Year:
Make:
Model:
Tag Number:

References:
Reference 1
Name:
Address:
Phone Number:

Reference 2
Name:
Address:
Phone Number:

Reference 3
Name:
Address:
Phone Number:

I understand that is not a contract and does not bind either party. The above information is correct to the best of my knowledge and I hereby authorize Lakeshore Realty, Inc. to confirm my employment, previous landlords, and credit references. I hereby certify that I am of legal age (18 or older). Lakeshore Property Management has my permission to process a credit report for their review.
Tenant:
Tenant:

Referred by:
Phone:

Verify Code:	Please enter 42KS5U in this field (required) Case Sensitive