Thomas F. Taylor Towers 36500 Marquette Westland, MI 48185-3240 Phone: (734) 326-0700 Fax: (734) 326-6980

E-Mail: Taylor Towers

Pre - Application Form for Rental

Please fill out the following information and either click the Submit button
or print and fax this form to:
Taylor Towers
fax: (734) 326-6980

Your Name:	Spouse's Name:
Date of Birth:	Spouse's Date of Birth
Social Security Number:	Spouse's Social Security Number:
Phone Number:	TDD Number:
Number of Bedrooms	Number of Occupants:
Present Address:	Are You: E-Mail Address:
List Present Amount of Income:
Social Security:	Pension:
Employment:	Federal Aid:
Asset Income:	Other Income:
List any assets disposed of for less than fair market value in the past two years: