RENTAL APPLICATION
Please fill out the application completely and accurately. Falsification of any information or incomplete applications will delay processing and may be grounds for denial.
Desired Property To Rent
What property are you interested in renting?
*
3 bed, 2 bath 1/2 Duplex in Baraboo (1265 Jefferson St)
Furnished 2 bed 1 bath in Reedsburg, WI (1733 Hemlock Dr)
Other
Expected Move In Date? (this must be on or after property availability date)
*
Personal Information
First Name
*
Last Name
*
DOB
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
Social Security Number (see terms and conditions listed below)
Current Address
Current Address
*
City
*
State
*
Zip Code
*
Do you rent or own this place?
*
Own
Rent
Monthly Payment
*
Move In Date
*
-
Month
-
Day
Year
Date
Potential Move Out Date
*
-
Month
-
Day
Year
Date
Landlord Name
*
Landlord Phone Number (DOUBLE CHECK this the CORRECT NUMBER, if not this will cause delays or denial of application)
*
Are you sure this is the correct number for your current landlord?
*
Yes
No
Landlord Fax Number (not required but will speed up application process)
Landlord Email (not required but will speed up application process)
example@example.com
Reason for Leaving
*
Were you ever late to pay rent
*
Yes
No
If YES, please explain
Previous Address
Previous Address
*
City
*
State
*
Zip Code
*
Did you rent or own this place?
*
Own
Rent
Monthly Payment
*
Move In Date
*
-
Month
-
Day
Year
Date
Move Out Date
*
-
Month
-
Day
Year
Date
Landlord Name
*
Landlord Phone Number (DOUBLE CHECK this the CORRECT NUMBER, if not this will cause delays or denial of application)
*
Are you sure this is the correct number for your previous landlord?
*
Yes
No
Landlord Fax Number (not required but will speed up application process)
Landlord Email (not required but will speed up application process)
example@example.com
Reason for Leaving
*
Were you ever late to pay rent
*
Yes
No
If YES, please explain
*
Employment Information
Current Employer
*
Phone
*
Full Address (Street, City, State, Zip)
*
Position
*
Work Status
*
Temporary
Permanent
Hourly Rate
*
Monthly Gross Income
*
Start Date With Employer
*
-
Month
-
Day
Year
Date
Are you self employed
*
Yes
No
Manager/Supervisor's Name
*
Manager/Supervisor's Phone Number
*
Manager/Supervisor's Email (not required but will speed up application process)
example@example.com
Please list any additional sources of verifiable income
Upload Last 2 Most Recent Pay Stubs
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload Last 2 Years of Taxes (self employed applicants only)
Browse Files
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Choose a file
Cancel
of
Upload Proof Documents of "additional sources of verifiable income" stated above
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Financial Information
Other Current Monthly Financial Obligations
Car
Credit
Loan
Other
Have you ever filed for bankruptcy?
*
Yes
No
How do you prefer to pay rent?
*
Online
Check
Money Order
Personal Background & Questionnaire
In the past seven (7) years, have you been convicted of, or do you currently have any charges pending for any criminal offense?
*
Yes
No
If YES, please explain
*
Have you ever been convicted of, or plead guilty or no contest to, any charge involving sexual misconduct or a crime against a child (whether or not it resulted in a conviction)
*
Yes
No
If YES, please explain
*
Are you a smoker?
*
Yes
No
Do you EVER smoke in the house?
*
Yes
No
Sometimes
Do you have Renter's Insurance
*
Yes
No
What kind of animals do you have?
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Cat(s)
Dog(s)
Other
None
Have you read the pet policy stated in the rental ad? (It will say if pets are considered, specify a pet fee, and specify a pet deposit)
*
Yes
No
All animals (assistance animals and pets) are required to be screened through www.Petscreening.com. If selected for this property, you will receive an email from us with a custom link for on the next steps. Do you understand that this will be required for a complete rental application?
*
Yes
No
How long will you live here?
*
How many vehicles do you own?
*
Emergency Contact Name
*
Emergency Contact Phone Number
*
Emergency Contact Relationship
*
Occupancy Information
Besides yourself are there ANY other adults OR children who plan to reside in the apartment? (Anyone listed 18 or older who is not a dependent of the yourself must complete a separate rental application and pay a screening fee)
*
Yes
No
If YES, please list full names and relationship to you
*
Has everyone 18 or older who is not a dependent of yourself completed a separate rental application or will do so in the next 24 hours? (This is a requirement)
*
Yes
No
Additional Information
Please use the space below for additional information, comments, or explanations
Consent to Release Information
Applicant Signature
Printed Name:
*
Date
*
-
Month
-
Day
Year
Date
Application Fee
*
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Credit and Background Screening Fee
This fee to pay for the credit and background check
$
20.00
Credit Card
Submit
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