PO BOX 1192 – ANN ARBOR – MI –48106 EMAIL:
BigHouseRentals@comcast.net PROPERTY
LOCATION YOU ARE APPLYING FOR: _________________________(APT # __), ANN ARBOR, MI 48104.
Desired
Lease (CIRCLE): MAY SEPTEMBER OTHER: _________
Applicant’s Full Name: _____________________________________________________.
Current Address: ____________________________________
City _________________
State ____________ Zip _________ Country other than USA ______________________.
Permanent Address: __________________________________ City _________________
State __________ Zip _________ Country
other than USA ________________________.
Cell Phone: (
) ________________ Other Current Phone: ( ) __________________
Current Year of College: _____________ Expected Date of Graduation____\ ____\ ____
Date of Birth: ____\ ____\ ____ E-MAIL ADDRESS: ___________________________
Social Security #: _____\ ____\ _____ Driver’s License #: _________________________
Current Landlord/RA: _________________________________ Phone #: _____________
Reason for Moving? _______________________________________________________
In case of Personal Emergency, Notify: ________________________________________
Contact Phone #: ( ) ______________ Relationship
to Applicant: ________________
I hereby make application for a rental unit with Big House Rentals, and certify that the above information is correct.
I authorize Big House Rentals to verify any landlord references I have given. I further agree to supply a copy of my
credit report and/or give permission to Big House Rentals to obtain my consumer credit report on my behalf for the purpose
of this rental lease. In the event a report is unavailable or Big House Rentals requests, I will agree to have my parent/guardian
co-sign any lease made with Big House Rentals.
SIGNED: ____________________________ DATE: ____________
Revised June 2008 | 
