Hickory Management Services
935 John St. Kalamazoo, MI 49001
Phone (269)342-1488, (269)381- 2812 Fax (269)385-2089
E-mail: Daisha@hmsys.com
Hickory Management Services
935 John St. Kalamazoo, MI 49001
Phone (269)342-1488, (269)381- 2812 Fax (269)385-2089
E-mail: Daisha@hmsys.com
All adults must fill out a separate application.
Property Applied for: ______________________________________Date Wanted: ______________________
Name: _______________________________________________________DOB: _________________________
Social Security # ____________________________________Drivers License #: _____________________________
Local Phone #: _______________________________________________Work Phone #:
__________________________
Name,relationship of person going to be living with you.______________________________________________________
Current Address: ______ __________________________________________________________________________________
Street
City
State
Zip
Move-in date____________________________ Date your lease ends______________________________________
Current Landlord Name and Phone #: ______________________________________________________________________________
Previous Address: _________________________________________________________________________________________________
Street
City
State
Zip
Move in Date____________________________ Move out date___________________________________________
How Long At this address?_________________________Monthly
Rent_______________Utilities Inc____________
Reason for moving ____________________________________________________________________________________________
Previous Landlord Name & Phone #: ______________________________________________________________________
Have you ever had a eviction?________If so when?___________________ Where________________________________________
Have you ever filed bankruptcy?______If so when?____________________Date of
discharge____________________
Have you ever been convicted of a felony? ___________________________________________________________
Answering yes to the above
does not automatically disqualify you for tenancy with Hickory Management
Services
Can utilities be put in your name?________Have you ever filed Bankruptcy?_______If
yes when? _______________________
Source of Income: _____________________________________Phone #: _____________________________________
Supervisor: ____________________________________Your Position: ___________________________________________
Monthly Income: ___________________________________Start date: __________
Amount of alimony or child support you pay______________ Or Receive__________________
Where do you Bank? ______________________________________________________________________________________
Name
Account
# City
State
Zip
Are you a student? _______________If yes, what school? _______________________________________
Are you receiving a loan/grant? ________________Amount: _____________
Email Address: _________________________________________________
1. Personal Reference__________________________Address_______________________Phone
No.________________________
2. Personal Reference__________________________Address_______________________Phone
No.________________________
Understand that this application will be submitted to a
Credit Services Company for additional verification of tenancyand credit history.
I also agree to allow Hickory Management Services to do a background check
that will verify the information I provided above.
The application fee is non-refundable.
_______________________________________________________________________
Signature Date
Notes or Comments: ________________________________________________________________________________________
Emergency Contact: __________________________________ Phone#___________________________________________
Address:________________________________________Relationship:
__________________________________________