Escanaba Housing Commission
110 South 5th Street
Escanaba, MI 49829
(906) 786-6229 Fax (906)786-9411
e-mail – mlsweeney@harbortower.org
Dear Applicant:
In order to process your application you need to furnish the Escanaba Housing Commission your current Landlord’s name, address and telephone number. If you have moved in the last two years we will need to have your past two Landlord’s name, address and telephone number. Please sign the bottom of this page of give the Escanaba Housing Commission permission to contact these Landlords.
Current Landlord _______________________________________________
Address ________________________________________ Phone ____________
Number of months or years at present address ______________
Former Landlord ___________________________________________________
Address ___________________________________________Phone __________
Number of months or years at this address _______________
Former Landlord ______________________________________________________
Address ___________________________________________Phone _____________
Number of months or years at this address____________
By signing this form I (we) ________________________________________________________________________give the above Landlord permission to release any information on my tendency with such Landlord to the Escanaba Housing Commission.
Signature of Applicant (s)_________________________________________________
