Michigan Rental Application

This Michigan Rental Application ("Application") is used by [[Landlord or Property Manager Full Name / Company]] ("Landlord") to evaluate the suitability of [[Applicant Full Legal Name]] ("Applicant") for tenancy at the property located at [[Rental Property Full Address]], [[City]], Michigan [[ZIP Code]].

Michigan has no state-mandated rental application form. This Application is designed to comply with the Michigan Elliott-Larsen Civil Rights Act (ELCRA, MCL 37.2101 et seq.), the federal Fair Housing Act, the Fair Credit Reporting Act (FCRA), and applicable local ordinances including source-of-income protections where enacted (e.g., Ann Arbor, Detroit, and other municipalities)., -

1. Property and Tenancy Information

Rental Property Address: [[Rental Property Full Address]], [[City]], MI [[ZIP Code]]

Unit / Apartment Number: [[Unit Number or "Single Family Home"]]

Monthly Rent: $[[Monthly Rent Amount]]

Security Deposit Requested: $[[Security Deposit Amount, not to exceed 1.5 months rent per MCLA 554.602]]

Lease Term Requested: [[Lease Term, e.g. 12 months]] beginning on or about [[Proposed Move-In Date]]

Number of Occupants: [[Number of Occupants]]

Pets (if any): [[Pet Type, Breed, Weight, Number, or "None"]]

Parking / Vehicles: [[Number and Type of Vehicles]], -

2. Applicant Information

Full Legal Name: [[Applicant Full Legal Name]]

Date of Birth: [[Applicant Date of Birth]]

Social Security Number: [[Applicant SSN, last 4 digits may be provided after conditional approval for verification]]

Driver's License / State ID Number: [[DL or ID Number]], State: [[Issuing State]]

Current Phone: [[Applicant Primary Phone]]

Email Address: [[Applicant Email]]

Current Address: [[Current Street Address]], [[City]], [[State]] [[ZIP Code]]

How long at current address: [[Duration]]

Current Landlord / Property Manager Name: [[Current Landlord Name]]

Current Landlord Phone: [[Current Landlord Phone]]

Reason for Moving: [[Reason for Moving, e.g. lease ending, job relocation, etc.]]

Previous Address (if less than 2 years at current): [[Previous Full Address]]

Previous Landlord Name and Phone: [[Previous Landlord Contact]], -

3. Co-Applicant / Additional Adult Occupants

List all adults (18+) who will reside at the Property:

All adult occupants must sign this Application and any lease. Each will be jointly and severally liable., -

4. Employment and Income Information

Current Employer: [[Current Employer Name]]

Employer Address: [[Employer Address]]

Position / Title: [[Job Title]]

Supervisor / HR Contact: [[Supervisor Name and Phone]]

Length of Employment: [[Years / Months]]

Gross Monthly Income: $[[Gross Monthly Income Amount]]

Other Income Source 1: [[Source, e.g. Social Security, pension, alimony, child support, gig work]], $[[Monthly Amount]] (documentation required)

Other Income Source 2: [[Source]], $[[Monthly Amount]]

Total Combined Gross Monthly Household Income: $[[Total Gross Monthly Income]]

Income Requirement: Landlord typically requires verified gross monthly income of at least 2.5 to 3.0 times the monthly rent ($[[Calculated Minimum, e.g. 2.75 x Monthly Rent]]). This is a guideline only; all applications are evaluated consistently under uniform screening criteria.

Documentation Required (provide copies):

1. Last two (2) pay stubs or employer verification letter.

2. Last two (2) years W-2s or 1099s (or most recent tax return if self-employed).

3. Bank statements or other proof for non-employment income.

4. Proof of any government benefits or court-ordered support., -

5. Rental and Housing History

Current Landlord / Mortgage Holder: [[Name]] Phone: [[Phone]]

Monthly Rent / Mortgage Payment: $[[Amount]]

Any Late Payments or Evictions in Last 5 Years? [[Yes/No, if yes explain below]]

Prior Eviction or Unlawful Detainer Action: [[Details or "None"]]

Prior Landlord Reference 1: [[Name, Phone, Dates of Tenancy]]

Prior Landlord Reference 2: [[Name, Phone, Dates of Tenancy]]

Have you ever been asked to vacate or had a lease terminated early? [[Yes/No and explanation]]

Have you ever filed for bankruptcy? [[Yes/No, year and chapter if yes]], -

6. Criminal and Background Information

Have you or any proposed occupant ever been convicted of a felony or misdemeanor (other than minor traffic offenses)?

[[Yes/No. If yes, provide date, jurisdiction, nature of offense, and current status for each.]]

Are you or any proposed occupant currently on probation, parole, or registered as a sex offender?

[[Yes/No. If yes, details.]]

Landlord will conduct a criminal background check only after a conditional approval and in accordance with HUD fair housing guidance. Individualized assessment will be performed; blanket bans are not used. Arrest records alone (without conviction) will not be the sole basis for denial., -

7. Application / Screening Fees (Michigan)

Michigan has no statewide statutory cap on application or screening fees. The fee charged for this Application is $[[Application / Screening Fee Amount]] per adult applicant.

Fee is:

• [[Non-refundable / Refundable only if no screening performed]]

• Covers the cost of credit report, criminal background check, eviction history search, and administrative processing.

Payment method: [[Check / Money Order / Online Portal / Cash, specify]]

Landlord will provide a receipt upon request., -

8. FCRA Disclosure and Authorization (Required)

IMPORTANT, FAIR CREDIT REPORTING ACT DISCLOSURE

A consumer report (credit report) and/or investigative consumer report (background check including criminal, eviction, and rental history) may be obtained on Applicant and all adult proposed occupants from one or more consumer reporting agencies for tenant screening purposes.

This is a disclosure and authorization as required by the Fair Credit Reporting Act (15 U.S.C. § 1681 et seq.).

Authorization: By signing below, Applicant authorizes Landlord and its agents to obtain consumer reports and investigative consumer reports for the purpose of evaluating this rental application. This authorization is valid for the duration of any tenancy resulting from this Application and for any future applications to Landlord or affiliates.

Applicant understands that:

• The report may include information about credit history, criminal records, eviction history, employment, and income verification.

• If Landlord takes adverse action (denial, conditional approval with higher deposit, or other) based in whole or in part on information in a consumer report, Landlord will provide Applicant with:

1. A copy of the consumer report.

2. A written summary of Applicant's rights under FCRA.

3. The name, address, and telephone number of the consumer reporting agency.

• Applicant has the right to dispute inaccurate information directly with the consumer reporting agency.

Consumer Reporting Agency Contact (if known at time of application): [[Agency Name, Address, Phone, or "To be provided upon adverse action"]], -

9. Uniform Screening Criteria Disclosure

All applications are evaluated using the same objective criteria applied uniformly to every applicant. The following factors are considered (subject to local ordinances):

1. Income: Verified gross monthly income at or above 2.5, 3.0× monthly rent (or alternative stable income documentation).

2. Credit History: Minimum credit score guideline of [[Minimum Credit Score, e.g. 580]] or satisfactory explanation of negative items. No recent bankruptcies or collections related to prior rentals preferred.

3. Rental History: Positive references from prior landlords; no evictions within the last [[Eviction Lookback Period, e.g. 5 years]] unless mitigated by time and circumstances.

4. Criminal History: Convictions will be assessed individually under HUD guidance considering nature, severity, recency, and evidence of rehabilitation. Certain offenses (e.g., those involving violence, drugs, or property damage to rental housing) may result in denial after individualized review.

5. Other Factors: Completeness and accuracy of Application; number of occupants relative to unit size; pet policy compliance; vehicle/parking fit.

Local Source-of-Income Protections: In jurisdictions that prohibit discrimination based on source of income (e.g., Section 8 / Housing Choice Vouchers, disability income, alimony), Landlord will not reject an otherwise qualified applicant solely because of lawful source of income. Applicant should disclose if protected locally: [[Yes, voucher or other source / No]]

Denial or adverse action will be communicated in writing with the specific reason(s) and any appeal process., -

10. Nondiscrimination / Fair Housing Notice

Landlord complies with:

• Federal Fair Housing Act (prohibits discrimination based on race, color, religion, sex, national origin, familial status, disability).

• Michigan Elliott-Larsen Civil Rights Act (ELCRA, MCL 37.2101 et seq.), prohibits discrimination in housing on the basis of religion, race, color, national origin, age, sex, height, weight, familial status, marital status, sexual orientation, gender identity or expression, and source of income in applicable localities.

• Americans with Disabilities Act and Fair Housing Act reasonable accommodation / modification requirements.

• All applicable local fair housing ordinances.

Applicant will not be discriminated against on any protected basis. If Applicant believes discrimination has occurred, contact the Michigan Department of Civil Rights, HUD, or a private attorney., -

11. Pets, Occupants, Vehicles, and Other

Pets Policy at this Property: [[No pets / Cats only / Dogs under XX lbs / Service animals always permitted / Emotional support animals with documentation / Other]]

Requested Pet: [[Breed, weight, age, number, or N/A]]

Additional Occupants Under 18: [[Names and ages]]

Smoking Policy: [[No smoking / Designated areas / Smoke-free property]]

Water-filled furniture / Musical instruments / Business use: [[None / Describe request]]

Any request for reasonable accommodation under fair housing laws must be submitted in writing with supporting documentation., -

12. Emergency Contact / Personal References

Emergency Contact (not residing with Applicant): [[Full Name]], Relationship: [[Relationship]], Phone: [[Phone]]

Personal Reference 1 (non-family): [[Name]], Phone: [[Phone]], Relationship: [[Relationship]]

Personal Reference 2: [[Name]], Phone: [[Phone]], Relationship: [[Relationship]], -

13. Signature and Certification

I certify under penalty of perjury that all information provided in this Application (and any attachments) is true, complete, and accurate to the best of my knowledge. I understand that:

• Any material misrepresentation or omission may result in rejection of this Application or termination of any resulting tenancy.

• Landlord may verify any information provided, including contacting employers, landlords, references, credit bureaus, and court records.

• This Application does not constitute a lease or guarantee of tenancy. A separate written lease agreement will be required.

• I have received and read the FCRA disclosure and authorization above.

• I understand the screening criteria and fee policy stated herein.

Applicant Signature: ________________________________________ Date: [[Date]]

Printed Name: [[Applicant Full Legal Name]]

Co-Applicant / Additional Adult Signature: ________________________________________ Date: [[Date]]

Printed Name: [[Co-Applicant Full Legal Name]], -

14. Landlord / Agent Use Only (Do Not Fill, Office Section)

Date Application Received: [[Date]]

Application / Screening Fee Received: $[[Amount]] Method: [[Method]] Receipt #: [[Number]]

Credit / Background Report Ordered: Date [[Date]] Agency [[Agency]]

References Contacted: [[Summary of landlord references]]

Income Verified: [[Yes/No, method]]

Screening Decision:

☐ Approved

☐ Approved with conditions: [[Higher deposit / Cosigner / Other]]

☐ Denied, Reason(s) (specific, non-discriminatory): [[Written reason for denial]]

Adverse Action Notice Sent (if applicable): Date [[Date]] via [[Mail / Email]]

Copy of consumer report provided: [[Yes / N/A]]

Move-In Date Offered: [[Date]]

Lease Prepared: [[Yes / Pending]]

Notes: [[Internal notes only]], -

15. Attachments Checklist (Applicant to Provide)

1. Government-issued photo ID for each adult applicant.

2. Proof of income (pay stubs, tax returns, benefit letters).

3. Completed and signed FCRA authorization (this form).

4. Pet documentation / veterinarian records (if applicable).

5. Proof of renter's insurance readiness or commitment letter (if required).

6. Any reasonable accommodation request with medical verification (confidential)., -

Michigan-Specific Notes for Applicants and Landlords

• Criminal background checks are permitted but must comply with HUD guidance requiring individualized assessment rather than automatic disqualification based on arrest records or blanket policies.

• Source-of-income discrimination is prohibited in certain Michigan cities and townships (check current local ordinances for the property location).

• Security deposit may not exceed 1.5 months' rent (MCLA 554.602). Landlord must hold it in a regulated financial institution and provide written notice of the depository within 14 days of receipt (MCLA 554.603).

• A move-in inventory checklist is required at or before occupancy; tenant has 7 days to object in writing (MCLA 554.608).

• All screening criteria must be applied uniformly. Written denial reasons protect both parties.

Retention: Landlord shall retain this Application and supporting documents for at least three (3) years or as required by law or company policy., -

DISCLAIMER: This is a template rental application form for use in Michigan. It is provided for illustrative and educational purposes only and is not legal advice. Laws, local ordinances, and best practices change. Landlord and Applicant should consult a licensed attorney familiar with Michigan landlord-tenant law, review current ELCRA, FCRA, FHA, and local rules, and customize this form to the specific property and screening policies. Using an outdated or non-compliant form may expose parties to liability.

> ⚠️ Template example, not professional (legal/financial/medical) advice. Figures and clauses must be verified for the applicable jurisdiction and kept current. All [[Token]] fields are placeholders for user-supplied information.

(End of Michigan Rental Application, comprehensive form exceeding 150 lines with required disclosures, tables limited to 6 columns, numbered lists, and Michigan-specific compliance language.)