Rental Application

Apply

Please complete all sections legibly. Separate applications must be submitted by each applicant over 18 (including spouse) who will be residing at these premises.

Property Information

Address to be Rented Apt./Unit #

Personal Information

First Name Middle Name Last Name Maiden/Other Names Used Social Security Number

Date of Birth Email Home Phone Work Phone Cell Phone

Residential & Rental History Information

Current Address

Address City State Zip Move-in Date

Monthly Payment Rent or Own Given Proper Notice to Vacate? If No, Please Explain

Current Landlord Landlord Address City State Zip

Landlord Phone Reason for Moving

Previous Address

If you have lived at the above address for less than 3 years, please list your previous residence

Address City State Zip Move-in Date

Monthly Payment Rent or Own Given Proper Notice to Vacate? If No, Please Explain

Previous Landlord Landlord Address City State Zip

Landlord Phone Reason for Moving

Employment & Income Information

Current Employer

Employer Name Address City State Zip

Phone Supervisor Date Employed Monthly Gross Pay Job Title/Duties

Previous Employer

Employer Name Address City State Zip

Phone Supervisor Date Employed Monthly Gross Pay Job Title/Duties

Other Occupants

Please list all other applicants that will be living with you

First Name Last Name Social Security Number Phone Relationship

Emergency Contact

Name Address/City/State/Zip Phone Relationship

Do You Have or Intend To Have Any Pets?

If Yes, What Type?

Authorization

The purpose of this application is to determine whether I quality as a tenant. If my application is approved, the Landlord and I shall sign a written lease or rental agreement. The Landlord and I have no rental agreement until the time that the lease or written rental agreement is signed.

I have paid the earnest money deposit and credit report fee indicated on this application. The earnest money deposit will be applied to my security deposit or my first month's rent if the Landlord enters into a lease or rental agreement with me. If this application is approved, and I fail to enter into a lease or rental agreement, the earnest money and any subsequent payments may be retained to compensate the Landlord's costs and damages, subject to the Landlord's duty to mitigate. The earnest money and any subsequent payments will be refunded to me by the end of the next business day if: 1.) this application is rejected, or withdrawn before approval; or 2.) if the Landlord takes no action on this application by the end of the 21st day following the Landlord's receipt of the earnest money. The credit report fee is non-refundable.

I hereby authorize the Landlord and Manager to investigate my credit and financial responsibility, income, rental and eviction history, and the statements made in this application, and to obtain a consumer credit report on me from a consumer reporting agency that compiles and maintains files on consumers on a nationwide basis. My performance under any lease or rental agreement that I may enter into with the Landlord may be reported to such reporting agency.

I acknowledge that the Manager and the agents and employees thereof represent the interests of the Landlord, but they also have a duty to treat all parties fairly and in accordance with the fair housing law, and to disclose material adverse facts about the property.

I was given the opportunity to review a sample lease or rental agreement, and the Landlord's rules and regulations. I warrant and represent that I am at least 18 years of age and that all statements herein are true and correct, to the best of my knowledge.

Notice: You may obtain information about the sex offender registry and persons registered with the registry by contacting the Wisconsin Department of Corrections on the Internet at https://appsdoc.wi.gov/public/offenders or by phone at 877-234-0085.

Signature of Applicant:
By selecting "Yes" you are verifying that you are indeed the applicant listed in the fields above and 18 years of age or older.

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