Residential Rental Application

Primrose Holdings LLC · 34 N Huron St, ATTN: Office, Ypsilanti, MI 48197 · [email protected] · 734-272-6612

Each adult (18+) who will live in the unit completes their own application; co-signers also complete an application. Do not enter a Social Security number, driver's license number, or date of birth on this form — the screening service collects what it needs from you directly, and identity is verified from your ID at signing. A non-refundable application fee of $100 is due with this application; see the fee section near the end for how to pay.

1. The place

Unit applying for *

e.g. 34 N Huron, Apt 3 — or "not sure yet"

Monthly rent

if you know it

Desired move-in date *

Parking space needed? *

YesNo

Vehicle — year, make, model, plate

required if you need parking

2. About you

Legal name (first, middle, last — as on your ID) *

Email *

Mobile phone *

Current address (street, unit, city, state, ZIP) *

How long there (months) *

Do you rent or own there? *

Current landlord or manager — name, phone, email

required if you rent

Current lease ends (if renting)

If you have been at your current address less than two years: previous address, how long you were there, and the landlord's name and phone

3. Who will live there

Total people who will live there, including you *

Of those, adults 18+ besides you *

Their names and emails

Each other adult submits their own application. List them so we can review the household together.

Will someone guarantee (co-sign) the lease? *

YesNo

Guarantor — name and email

Any pets? *

YesNo

Each pet — type (dog / cat / caged or tank / other), breed, weight, age

Assistance animals are not pets and are not charged pet fees; if you have one, request an accommodation after approval rather than listing it here. Pets require current vaccination records (attach) and, for dogs, a short meeting with the animal in person or by video.

Does anyone in the household smoke or vape? *

YesNo

4. Work and income

Work situation *

Employer (or your business) and position

Start date (month and year)

Gross monthly pay, before taxes

Employer address

Employer contact who can verify — name, phone, email

a person, not an automated verification portal

If you started less than a year ago: previous employer, phone, and dates

Other regular income — enter the monthly amount for any that apply. Housing assistance or vouchers count as income.

Housing assistance / voucher ($ per month)

Social Security / SSI / SSDI ($ per month)

Retirement / pension ($ per month)

Child support / alimony ($ per month)

Self-employment ($ per month)

Other ($ per month)

Describe the other income

5. Rental history

Ever been evicted, or sued by a landlord? *

YesNo

What happened (year, where, outcome)

Ever filed for bankruptcy? *

YesNo

When, and is it discharged?

6. People we can contact

Emergency contact not living with you — name, phone, relationship *

Personal reference (not a relative, optional) — name, phone, relationship

7. Attach with this application

A photo of your government-issued ID · your two most recent pay stubs (or last year's tax return, or an award letter) · vaccination records for each pet. You can submit now and send documents later, but the application is reviewed only when they are in.

Photo of your government-issued ID

Two most recent pay stubs (or tax return / award letter)

Vaccination records for each pet

8. Application fee

The application fee is $100 per adult applicant, non-refundable, payable to Primrose Holdings LLC. It covers tenant screening and is not applied to rent or a security deposit.

When you submit, you will be taken to a secure card payment. The application is not reviewed until the fee is paid, and unpaid applications are deleted after seven days. To pay by check instead, ask the office for the paper application.

9. Terms, authorization and signature

Primrose Holdings LLC and its agents may verify any statement on this application; contact the employers, landlords and references listed; and obtain a consumer report on you — credit, eviction and criminal-record history — through TransUnion SmartMove, which will contact you at the email above to complete its part. A material misstatement is grounds to refuse this application or, if a lease is later signed, to terminate it. Documents or statements that appear to have been forged or falsified may be referred to law enforcement.

The application fee is non-refundable. Submitting this application does not reserve the unit or create a lease; a lease exists only when a written lease is signed by both parties. Approved applicants pay a security deposit equal to one and one-half months' rent.

Income may be verified from pay stubs, tax returns or other documents, and by contacting your employer. Where an employer uses a third-party verification service, you will provide a person at your employer who can verify directly; the landlord is not obligated to register or pay for such services.

Applications are evaluated under our written Resident Screening Criteria, which are available on request and applied to every applicant in the same way.

The ownership of Primrose Holdings LLC includes a real estate broker licensed in the State of Michigan, and that broker's company, Munro Real Estate & Development LLC, may advertise the property and receive applications on the landlord's behalf. The broker represents the landlord only. No agency relationship exists between the landlord or the broker and the applicant.

I certify that the information in this application is true and complete, that I have read and understand the terms above, and that I submit this application voluntarily.

I have read the terms above and certify that my answers are true and complete.

Type your full legal name — this is your signature *

Must match the legal name you entered above. Signed electronically on submit; we record the time, your IP address and browser.

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