Rental Application

Personal Information

Applicant's Full Name(Required)

First Middle Int. Last

Date of Birth(Required)

List any prior names that you have used:

Social Security Number(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Other Occupants

Include Full Names, Relationship, DOB, & Social Security Number

Rental History

Current Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Current Landlord

First Last

Landlord Phone Number

How long have you lived there?(Required)

Reason for Moving?(Required)

Current Rent Amount(Required)

Employment History

Current Employer(Required)

Starting Date(Required)

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title(Required)

Gross Monthy Income(Required)

(Before Deductions)

Supervisor Name(Required)

First Last

Supervisor Phone Number(Required)

Other Sources of Income

List any additional income to be considered - verification required

Other Information

Automobiles and Other Vehicles

Include Make, Model, Year, Color, & License Plate Number

Do you have any pets?(Required)

Yes

If yes, what type and how many?

Do you own furniture?(Required)

Yes

Do you or anyone in your household smoke?(Required)

Yes

Have you ever been evicted?(Required)

Yes

If yes, please provide circumstances:

Emergency Contact

Name

First Last

Phone

Relationship

Please read the following statement and consent below(Required)

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

I understand that if I have misrepresented any information on this application that my application will be denied.
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.
Tenant may request in writing within seven days after delivery of the rental unit a list of physical damages or defects, if any, charged to the
previous tenants security deposit. I authorize Landlord to do the following: (1) contact any individuals and/or businesses listed above and verify all of the information provided in this application before, during, and/or after my tenancy, and (2) obtain a copy of my consumer credit report.
I acknowledge being furnished copies of the Rental Agreement, Rules & Regulations, and if applicable, any Nonstandard Rental Provisions.
I agree to sign the Rental Agreement, Rules & Regulations and Nonstandard Rental Provisions, if applicable, prior to taking occupancy of
the unit.
I certify that all of the information provided in this application is true and accurate to the best of my knowledge.
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.
Please Note: Landlord is using public records provided by a third party service to determine your eligibility to rent. 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.

I certify I read the above statement and that all of the information I provided is true and accuate to the best of my knowledge

Signature of Applicant(Required)

Date(Required)

Rental Application