| APPLICANT INFORMATION | Today's Date:______________________________ |
| Name: | __________________________________________________ |
| Phone Number(s): | __________________________________________________ |
| Date Property Is Available: | __________________________________________________ |
PROPERTY FOR SALE
| Address: | _________________________________________________________________________ _________________________________________________________________________ | |||
| Asking Price: | _________________________ | # of Bedrooms: | _________________________ | |
| # of Baths: | _________________________ | Garage: | _________________________ | |
| Description/Optional Information: ___________________________________________________________ _____________________________________________________________________________________ |
||||
RENTAL PROPERTY
| Address: | ________________________________________________________________ ________________________________________________________________ |
|||
| Rent: | _____________________ | Utilities Included: | _____________________ | |
| # of Bedrooms (or People): | _____________________ | Furnished: | _____________________ | |
| Type of Parking: | _____________________ | Length of Lease: | _____________________ | |
| Description/Optional Information: ______________________________________________________________ ________________________________________________________________________________________ |
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Mail to: Benefits Office, MTU 1400 Townsend Drive, Houghton, MI 49931. This application will be kept on file no longer than six months. Please contact the benefits office if your property has been sold or rented, or if you would like to renew your application.