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

CO-SIGNER APPLICATION

Name of person you are co-signing for:_________________________________________________________

Property they applied for:__________________________________________________________________

Please fill out the following application with your information:

Name____________________________________________ S.S. # _______________________________

Phone Number ____________________________________ Date of Birth _________________________

Email Address: ______________________________________________________________________

Drivers License #: ______________________________________________________________________

Current Address ____________________________________________________________________

Former address if less than 10 years current: ________________________________________________

                                                          ________________________________________________

                                                            ________________________________________________

Job Information: If retired, provide banking information See below.

_______________________________________________________ Company Name              City                                            State _______________________________________________________ Job Position                                     Supervisor's Name _______________________________________________________ Work Phone                                   Monthly Income _______________________________________________________ Start Date                                  Full or Part Time

Where do you bank? __________________________________________________________________
                                  Name                           Branch                       City            State
If retired, please include bank account number and approximate monthly income _______________________________________
                                                                                                                              Account Number           Monthly Income
I understand that this application will be submitted to Credit Services Company for verification of my credit history. I have filled out ALL of the above application
and did not leave any sections blank.

Signiture of co-signer :___________________________________________ Date:_________________________________