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Property:*
Size of Apartment Desired:*
Apartment Rental Rate:*
Lease Terms From:*
To:*
Security Deposit Amount:
1/2 Month Rent Amount:
Move Date:*
Which Apartment Are You Applying For?
Rental Application
The Fair Credit Reporting Act, Public Law 91 – 501, requires that we let you know that a routine inquiry will be made as a part of our normal renting procedure. This inquiry will provide us with information concerning your general character, and mode of living. Upon written request, this information will be available to you.

Receipt for the sum of $100 is acknowledged. This deposit will be returned to the applicant if the application is not accepted. If accepted, the sum will be applied to the security deposit. If the application has been approved and the applicant decides not to sign the lease, then the applicant is responsible for the costs of re-rental plus any lost rents, subject to the Landlord’s duty to mitigate, and the earnest money may be applied to those amounts.

A standard City of Madison or State of Wisconsin lease will be used with the terms listed above. Applicant is aware of all Application Standards as listed.

I hereby submit this application for an apartment, and certify that the information is correct. I hereby authorize the Landlord to investigate my credit and financial records, income, rental and eviction history, conviction record, and the statements made in this application, and to obtain a consumer credit report on me. The applicant acknowledges that the Landlord shall have up to twenty-one (21) calendar days from acceptance of the earnest money deposit within which to approve or deny this application.
Applicant's Signature:*

Personal Information
Name of Persons to occupy apartment:
Number of Applicants over 18:*
Applicant:*
Birth Date:*
Email:*
Social Security Number:*
*Disclosure of an Applicant’s social security number (SSN) is required.
Co-Applicant 1:
Birth Date:*
Email:*
Social Security Number:*
*Disclosure of an Co-Applicant’s social security number (SSN) is required.
Co-Applicant 2:
Birth Date:*
Email:*
Social Security Number:*
*Disclosure of an Co-Applicant’s social security number (SSN) is required.
Co-Applicant 3:
Birth Date:*
Email:*
Social Security Number:*
*Disclosure of an Applicant’s social security number (SSN) is required.
Present Address
Address:*
Street Address Address Line 2 City State ZIP Code
Monthly Rent/Mortgage:*
Home Phone:*
Work Phone:
Current Landlord:*
Landlord Phone:*
Dates:*
To:*
Reason For Moving:
Present Address - Co-Applicant
Present address is required.
Address:
Street Address Address Line 2 City State ZIP Code
Monthly Rent:
Home Phone:
Work Phone:
Current Landlord:
Landlord Phone:
Dates:
To:
Reason For Moving:
Previous Address
Address:*
Street Address Address Line 2 City State ZIP Code
Monthly Rent:*
Home Phone:*
Work Phone:
Previous Landlord:
Previous Landlord Phone:
Landlord Phone
Dates:
To:
Reason For Moving:
Previous Address - Co-Applicant
Previous address is required.
Address:
Street Address Address Line 2 City State ZIP Code
Monthly Rent:
Home Phone:
Work Phone:
Previous Landlord:
Previous Landlord Phone:
Landlord Phone:
Dates:
Date
Reason For Moving:

Employment Information
Employed by:*
How Long?*
Position Held:*
Income:*
Supervisor:*
Supervisor’s Phone:*
Supervisor’s Email:
Co-Applicant Employed by:
Position Held:
How Long?
Income:
Supervisor:
Supervisor’s Phone:
Supervisor’s Email:
Additional Source Of Income:
Amount:
Do You Have A Section 8 Voucher?

Vehicles
Make And Year:
Color:
License Plate:
State:
Make And Year:
Color:
License Plate:
State:

Other
In Case Of An Emergency, Please Notify:*
Do You Intend To Have Any Pets Living In the Apartment?*
Please explain (if any), the type weight and number of pets that you have.
The Fair Credit Reporting Act, Public law 91-501, requires that we let you know that a routine inquiry will be made as a part of our normal renting procedure. This inquiry will provide us with information concerning your general character, and mode of living. Upon written request, this information is available to you.

I hereby submit this application for an apartment, and certify that the information is correct. I also authorize you to contact my references listed.
Signature
Applicant's Signature:*
Date:*
Co-Applicant's Signature:
Date:
*Disclosure of an Applicant's social security number (SSN) is voluntary, and housing may not be denied solely on the Applicant's decision to withold their social security number.
Do you wish to receive a written explanation of a denial of tenancy?*
How did you hear about us?:*
Where did you hear about us?
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Step 1 of 5

Rental Application

Personal Information

Present Address

Present Address - Co-Applicant

Previous Address

Previous Address - Co-Applicant

Employment Information

Vehicles

Other

Signature