APPLICATION

Dagenais Real Estate, Inc. Application For Lot

Application for Lot

List Automobiles Of All Occupants:

List Your Total Income:

List Three Local Personal References:

*OUR PARK RULES DO NOT PERMIT PETS. YOU WILL BE EVICTED IF YOU AQUIRE A DOG OR CAT*

The undersigned applicant hereby applies to lease or rent your property. We warrant the accuracy of the information provided. The applicant hereby authorizes Dagenais Real Estate to check, without liability, all information listed on this application, including the useof a credit reporting service. The applicant hereby authorizes Dagenais Real Estate to check, without liability, local police department records including any information in regard to complaints from neighbors or other members of applicants jurisdiction, which resulted in a police officer being dispatched to investigate the incident.

Applicant claims that all information above is true and understands that falsification of this application will be cause for denial of renting or grounds for evictions should they become a tenant.

It is against the law to discriminate against tenants on the basis of race, color, religion, national origin, sex, handicap, height, weight, or family status.

DAGENAIS REAL ESTATE INC. 
1505 North Lincold Road
Escanaba MI 49829
906-789-9427