Rental Application

Each adult applicant (18 years of age or older) must complete an application.

Incomplete applications will not be considered.

Your application will be denied if you misrepresent any information in this application.

*Proof of identification is required.

Property Information


Applicant Information





Additional Occupants


General Information







Rental History

Current Residence


Employment History

Current Employer


Previous Employer


Other Income

Income

Please indicate each source of ESTIMATED ANNUAL income that you receive or anticipate receiving in the next twelve (12) months.

Check all that apply.

* Income Type * Family Member * Source * Annual Income
Employment #1
Employment #2
Self - Employment (2 years taxes)
Social Security #1
Social Security #2
Public Assistance
Veterans Benefits
Pension/Annuity (periodic payments)
Disability
Child Support/Alimony
Military Compensation
Unemployment Compensation
Rental Income/Land Contract
Other Income
Lottery Payments (periodic)
Workers Compensation
Claiming ZERO income
Anticipated Income
Recurring Gift

Assets

Please list where the asset(s) is held, the current value of each asset(s), and all income derived from the assets over the previous 12 months, for All household members.

Check all that apply.

* Asset Type * Where Held * Balance/Value * Interest Amount
Checking Account #1
Checking Account #2
Savings Account #1
Savings Account #2
Trust Account
Certificate of Deposits #1
Certificate of Deposits #2
Money Markets
Mutual Funds
Pension/Annuity (Not paid periodically)
IRA/Keough/401k
Stocks/Bonds
Real Estate (FMV - Mortgage Balance)
Land Contract (provide amortization sch)
Personal Property/Investment
Cash kept at home ($500 or more on hand)
Safe Deposit Box
Lump Sum Payment
Assets disposed of in the past 2 years
Whole life insurance policy
Total Household Assets Less than $5,000 (Select only if total assets listed above equal $5,000 or less)

Credit & Financial Information

Bank Accounts

Bank Balance Account Type

Credit References

Type Creditor Amount Owed Monthly Payment

Pets


Vehicles


Emergency Contacts

* Name * Relationship * Home Phone Work Phone

Application forms

Please review the following forms prior to submitting this application.

* I acknowledge that I have reviewed the above forms and agree to sign the Rental Agreement, Rules & Regulations and Non-Standard Rental Provisions, if applicable, prior to taking occupancy of the unit.


Authorization

* I certify that all of the information provided in this application is true and accurate to the best of my knowledge. I understand that if I have misrepresented any information on this application that my application will be denied. I authorize you to contact any individuals listed above, before, during, or after my tenancy.

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. You may obtain information about sex offender registry and persons registered with the registry via the Wisconsin Department of Corrections website 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.

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.

The undersigned certify that the information and statements provided above are true and complete to the best of my/our knowledge and belief. I/We consent to release the information in order to qualify for Section 42 Housing. I/We understand that providing false information or making false statements may be grounds for denial of my/our application and may subject me/us to criminal penalties. I/We agree to provide verifications of all income and assets as required by the Owner or its agent. I/We further authorize disclosure of all information which will verify my/our income and assets. I/We understand applicants must be eligible for the Section 42 Tax Credit program. Subject to approval, this will be my/our primary residence.

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. You may obtain information about sex offender registry and persons registered with the registry via the Wisconsin Department of Corrections website 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.

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.