Online Rental Application

Property Information

Number of Bedrooms Requested

City/Town

Applicant Information

Each Co-Applicant (named tenant) must complete a separate application

Name(Required)

First Last

Birth Date(Required)

Driver's License(Required)

Phone(Required)

Email(Required)

Pet Information

Please list the number and breed of all pets that will be occupying the unit.

Emergency Contact

Emergency Contact Name(Required)

Emergency Contact Phone(Required)

Names of other persons (non-tenants) who will be occupying the unit

Occupant #1 Name

Occupant #1 Birth Date (if under 18)

Occupant #2 Name

Occupant #2 Birth Date (if under 18)

Occupant #3 Name

Occupant #3 Birth Date (if under 18)

Occupant #4 Name

Occupant #4 Birth Date (if under 18)

Rental History

Please go back at least three years.

Have you ever been evicted?(Required)

Have you ever failed to pay rent when due?(Required)

Current Address

Current Address(Required)

Street Address Address Line 2 City State

Rent(Required)

Move-In(Required)

Move-Out(Required)

Landlord Name(Required)

Landlord Phone

Landlord Email

Previous Address #1

Address

Street Address Address Line 2 City State

Rent

Move-In

Move-Out

Landlord Name

Landlord Phone

Landlord Email

Previous Address #2

Address

Street Address Address Line 2 City State

Rent

Move-In

Move-Out

Landlord Name

Landlord Phone

Landlord Email

Employment History

Present Employer

Employer Name(Required)

Employer Phone(Required)

Position(Required)

Monthly Pay(Required)

Start Date(Required)

Address(Required)

Street Address City State

Previous Employer #1

Employer Name

Employer Phone

Position

Monthly Pay

Start Date

End Date

Address

Street Address City State

Previous Employer #2

Employer Name

Employer Phone

Position

Monthly Pay

Start Date

End Date

Address

Street Address City State

Previous Employer #3

Employer Name

Employer Phone

Position

Monthly Pay

Start Date

End Date

Address

Street Address City State

Other Income

You do NOT have to reveal alimony, child support or spouse's annual income unless you want it considered in this application.

Other Income Source #1

Amount

Name & Phone # Of Confirmation Person

Bank References

Bank #1 - Name

Bank #1 - City/State

Bank #1 - Type & Number Of Account

Bank #2 - Name

Bank #2 - City/State

Bank #2 - Type & Number Of Account

Bank #3 - Name

Bank #3 - City/State

Bank #3 - Type & Number Of Account

Credit References

Have you ever filed for bankruptcy?(Required)

Reference #1 Name(Required)

Reference #1 Address and/or Phone(Required)

Reference #2 Name

Reference #2 Address and/or Phone

Reference #3 Name

Reference #3 Address and/or Phone

Reference #4 Name

Reference #4 Address and/or Phone

Please Read This Carefully Before You Submit This Application!

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. The Landlord and I have no rental agreement until the time of the lease signing.

I hereby authorize the Landlord or 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 fair housing law, and to disclose material adverse facts about the property.

I was given the opportunity to review a sample lease and the Landlord's rules and regulations. The Landlord/Manager disclosed any building code violations, any utilities not included in the rent, and how utilities that are not separately metered are allocated between the units and any common spaces.

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 ABOUT SEX OFFENDER REGISTRY 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.doc.wi.gov or by telephone at (608) 240-5830.

By clicking the "Submit Application" button below, you are submitting your application to rent the property listed above. After a preliminary background check, somebody from our office will be contacting you to obtain your social security number for a full credit check.

By entering your full name in the box below, you are digitally signing this form and you acknowledge and consent to the review of your personal information and application as described above.

Digital Signature(Required)
First Last