Live Well Apartments

Email: livewellapartmentsro@gmail.com

Phone: (248) 907-0626

PLEASE SELECT A PROPERTY *

TYPE OF APARTMENT DESIRED *

Apartment # (If Assigned)

Desired Move In Date *

PERSONAL INFORMATION

Name *

First

Name *

Last

Email *

Social Security Number *

Phone *

Date of Birth *

Other Occupants

Pets (Number & Kind)

PRESENT ADDRESS

Present Address *

Street Address

City

State

ZIP Code

Length of Time at Present Address *

Present Landlord or Mortgage Holder Phone *

Present Landlord or Mortgage Holder *

Name of Person or Entity

Amount of Rent *

Reason for Moving *

PREVIOUS ADDRESS

Previous Address *

Street Address

City

State

ZIP Code

Length of Time at Previous Address

Previous Landlord or Mortgage Holder Phone

Previous Landlord or Mortgage Holder

Name or Entity

Amount of Rent

Reason for Moving

EMPLOYMENT INFORMATION

Present Status: *

Employed Full-Time
Part-Time
Unemployed
Retired
Student

Employed By *

How Long? *

Employers Address *

Street Address

City

State

ZIP Code

Employer's Phone

Position Held

Income/Wage *

Previous Employer or School *

OTHER INFORMATION

Applicant's Driver's License or ID State *

State

Number of Vehicles

In Case of Personal Emergency, Notify

Name

Emergency Contact Address *

Street Address

City

State

ZIP Code

Contact Number *

Relationship*

BANKING REFERENCES

BANK (1) *

Account Number *

Type of Account *

Checking
Savings
Loan

BANK (2) *

Account Number *

Type of Account *

Checking
Savings
Loan

Please tell us any other information about yourself that might help us evaluate your application:

I warrant that all statements made on this application are true and accurate. Acceptance of the application does not guarantee a specific unit. All units are on the market until a lease agreement is executed and move in amounts are paid. Application fees are NOT refundable.

RELEASE OF INFORMATION AUTHORIZATION

I hereby authorize LIVEWELL APARTMENTS to run credit and background reports.

I hereby release LIVEWELL APARTMENTS its employees, and/or its Company from any and all liability for their acts performed in the investigation , consideration, and evaluation of my background and qualifications, and I further release from any liability all individuals and other entities who provide information concerning my background and qualifications.

I understand that nothing in this authorization is intended to create a promise of tenancy or any contractual rights. I further understand that any misrepresentation of facts or falsification regarding my background or qualifications may cause me to be disqualified from further consideration as a tenant with LIVEWELL APARTMENTS and if accepted may be grounds for termination of tenancy.

I am willing that a photocopy or fax transmittal of this authorization be accepted with the same authority as the original. and I specifically waive any requirement of written notice to any present or previous employers as well as to institutions or individuals providing references, employment and military records, driver and motor vehicle histories, education and credit reports.

Have you Ever Been Evicted? *

Have You Ever Been Convicted of a Felony? *

How Did You Hear About Our Complex?

Your Electronic Signature Indicates Full Understanding and Agreement With The Statements Above.

Applicant's Signature :