Application |

Application

Each adult applicant (18 years or older) must complete an application.
Incomplete applications will not be considered.
Your application will be denied if you misrepresent any information in this application.

Property Name Unit Expected Move-in Date

General Information

*First Name Middle Initial *Last Name List any prior names that you have used *Date of Birth *Social Security Number *Phone Alt Phone Driver's License Number *Email Address I have no email address

Dependents Under 18 Years of Age

All occupants 18 and over must submit a separate application

First Name Last Name Relationship Birthdate
First Name Last Name Relationship Birthdate
First Name Last Name Relationship Birthdate
First Name Last Name Relationship Birthdate
First Name Last Name Relationship Birthdate

Rental History

Current Residence

*Address *City *State *Zip *How Long at this address? Landlord Name Landlord Phone Monthly Rent Reason for moving?

Previous Residence

Address City State Zip How Long at this address? Landlord Name Landlord Phone Monthly Rent Reason for Moving

Employment History

Are You Retired?

Current Employer

If retired, please type NA

*Employer *Starting Date *Address *City *State *Zip Code *Job Title *Gross Monthly Income (before deductions) *Supervisor *Phone

Other Current Employer

Employer Starting Date Address City State Zip Code Job Title Gross Monthly Income Supervisor Phone

Previous Employer

Employer Starting Date End Date Address City State Zip Code Job Title Gross Monthly Income Supervisor Phone

Other sources of income

List any other sources of income to be considered - verification required

Credit & Financial Information

Bank Name Account Type
Bank Name Account Type

Credit References

Type Name Amount Owed Monthly Payment Amount
Type Name Amount Owed Monthly Payment Amount

Other Information

Automobiles and other Vehicles

Make and Type Year Color License Number
Make and Type Year Color License Number
Make and Type Year Color License Number

In case of emergency contact:

(Other than occupants to live at this address)

*Name *Relationship *Phone *Address *City *State *Zip
Name Relationship Phone Address City State Zip

Pets

*How Many?

NOTICE: You may obtain information about sex offender registry and persons registered with the registry by contacting the Wisconsin Department of Corrections at http://offender.doc.state.wi.us/public/ or by phone at 877-234-0085

I certify that all of the information provided in this application is true and accurate to the best of my knowledge. I understand that if I have misrepresented any information on this application that my application will be denied. I authorize verification of all information provided in this application from all invidivuals and/or businesses listed.

The rental of this property is limited to the use and occupancy by the individuals listed above without any right to sublet any or all of the property. I authorize you to contact any individuals listed above, before, during, or after my tenancy.

NOTE: A security deposit is required from every tenant against damage or loss to the premises and the security deposit cannot be used for the last month's rent. A written sixty (60) day Notice to Vacate must be given by the 1st of the month 60 days prior to vacating. Resident(s) on a month to month basis are also required to give a written 60 day Notice to Vacate. If applicant refuses to accept the apartment after the application is checked and accepted, applicant waives right to deposit.

Please note: Landlord is using public records provided by a third party service to determine your eligibility to rent; a credit report will be generated. Neither Landlord, nor the third party service, can vouch for the accuracy of the records as they have no control over such records. It is the responsibility of the applicant to check the accuracy of their own public records.

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