Warnimont Ave.

Which location are you applying for? ---Beloit Rd.Oakland Ave.Loomis Rd.Good Hope Rd.Warnimont Ave.Austin St.Harwood Ave.Appleton Ave.

Your Full Name (required)

Date of Birth (required)

List any prior names that you have used

Address(required)

Soc. Sec. No. (required)

City, State, Zip (required)

Phone (required)

D.L. No.(required)

Email (required)

Other Phone

OTHER OCCUPANTS Full Names

RELATIONSHIP

DATE OF BIRTH

SOC. SEC. NO.

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RENTAL HISTORY

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Current Address

How Long?

Current Landlord

Phone

Reason for moving?

Current Rent Amount

Previous Address

How Long?

Previous Landlord

Phone

Reason for moving?

Rent Amount

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EMPLOYMENT HISTORY

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Current Employer(required)

Starting Date(required)

Address

Job Title

Gross Monthly Income (required)

Supervisor

Phone

Other Employer

Starting Date(required)

Address

Job Title

Gross Monthly Income

Supervisor

Phone

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OTHER SOURCES OF INCOME

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List any additional income to be considered - Verification required

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CREDIT & FINANCIAL INFORMATION

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Bank

Account No.

Account Type
---CheckingSavings

Bank

Account No.

Account Type
---CheckingSavings

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Credit References (auto loans, personal loans, credit cards)

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Type

Name of Creditor

Account No.

Total Amount Owed

Monthly Payment Amount

Type

Name of Creditor

Account No.

Total Amount Owed

Monthly Payment Amount

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OTHER INFORMATION

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Automobiles and Other Vehicles

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Make and Type

Year

Color

Lic. No.

Make and Type

Year

Color

Lic. No.

Make and Type

Year

Color

Lic. No.

Do you have any pets (required)
---YesNo

If yes, what type and how many?

Do you own furniture?
---YesNo

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Emergency Contacts

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Name

Phone

Relationship

Address

Name

Phone

Relationship

Address

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://ofender.doc.state.wi.us/public/ or by phone at 877-234-0085.

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 understand that if I have misrepresented any information on this application that my application will be denied.

I authorize the 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

Date

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 MONTHS RENT.

Please Note: Landlord is using public records provided by a third party service to determine your eligibility to rent. Nether 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 record.