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rental application
UNIT INFORMATION
This is NOT a lease or rental agreement
I am submitting an application to rent apt./unit/house located at:
unit number:
Monthly rent:
APPLICANT INFORMATION
Each co-applicant (named tenant) must complete a separate rental application.
First name:
*
Middle name:
*
Last name:
*
Phone number:
*
Cell phone number:
Work phone number:
Email Address
*
Date of birth:
*
Social Security number:
*
Driver's license number:
*
Upload copy of Drivers License
*
Choose File
No file chosen
Delete uploaded file
Emergency contact name:
*
Emergency contact phone number:
*
Pets to occupy unit (number and kind):
*
Additional pet info? Bite history, vaccinations, how old?
ADDITIONAL UNIT OCCUPANT(S)
ADD OCCUPANTS
Name
Social security number:
Date of birth:
RENTAL HISTORY
Have you ever failed to pay rent when due?
*
Yes
No
Have you ever been evicted?
*
Yes
No
Rental history
Include the last three (3) years.
Address:
Tenancy dates:
Rent:
Landlord name:
Landlord phone number:
EMPLOYER & INCOME
Employment history
Present employer:
Address
Employer phone number
Position/job title
Dates of employment:
Monthly pay:
Upload Proof of Income
*
Drag and Drop (or)
Choose Files
Screenshot of last three pay stubs
Previous Employment history
For the last three (3) years.
Previous employer:
Address
Previous employer phone number
Position/job title
Dates of employment:
Monthly pay:
Other sources of income
Amount:
Source:
Confirmation person name:
Confirmation person phone number:
CREDIT REFERENCES
Have you ever filed for bankruptcy?
*
Yes
No
Bank/Credit Union(s)
Include all that apply.
Bank/Credit Union name:
City/State of location:
Type & account number:
Credit reference(s)
You must include at least one (1) credit reference.
Reference name:
Address:
Phone number:
PLEASE READ THIS CAREFULLY
The purpose of this application is to determine whether I qualify as a tenant. If my application is approved, the landlord and I shall sign a written lease or 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 months rent if the landlord enters into a lease or rental agreement with me. If this application is approved, and I failed to enter into a lease or rental agreement, the earnest money and any subsequent payments may be retained to compensate the landlords costs and damages, subject to the landlords 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 landlords receipt of the earnest money. The credit report fee is nonrefundable. I hereby authorize the landlord and manager to investigate my credit and financial responsibility, income, rental in addiction history, and the statements made in this application, and to obtain a consumer credit report on me from a consumer reporting agency that complies 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'll acknowledge that the manager and their agents and employees there of represent the interest of the landlord, but they also have a duty to treat all parties fairly and in accordance with 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 then I am at least 18 years of age and that all statements here in 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
http://www.widocoffenders.org
or by phone at 877–234–0085.
*
I understand and agree
Submit Application