TENANT APPLICATION FORM

North Country Aire Properties

2514 Golf Road, Suite 3

Eau Claire, WI 54701

715-829-1801

jody@northcountryrents.com

APPLICATION FOR RESIDENCY

We subscribe to all federal, state, and local fair housing laws. This is NOT a lease or rental agreement. Application must be completed in full. Falsification or lack of information is grounds for denial.
Application for:*

Property AddressRent AmountPreferred Move In Date
Name of Applicant*

First NameMiddle NameLast Name
Date of Birth*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
E-mail*
example@example.com
Civil Status:*
Current Address*

Street Address

Street Address Line 2

City, State and Zip CodeState / Province

Postal / Zip Code
Beginning & End Lease dates*
Monthly Rent*
Landlord contact information*
Name
*
Phone Number
Additional Occupants
Previous Address*

Street Address

Street Address Line 2

City, State and Zip CodeState / Province

Postal / Zip Code
Beginning & End Lease dates*
Monthly Rent*
Landlord contact information*
Name
*
Phone Number
Additional Occupant Name

First NameMiddle NameLast Name
Additional Occupant Date of Birth

MonthDayYear
Additional Occupant Relationship
Additional Occupant Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Additional Occupant Name

First NameMiddle NameLast Name
Additional Occupant Date of Birth

MonthDayYear
Additional Occupant Relationship
Phone Number
Additional Occupant Name

First NameMiddle NameLast Name
Additional Occupant Date of Birth

MonthDayYear
Additional Occupant Relationship
Phone Number
Does Applicant or any Proposed Occupant smoke?*

YesNo
Do you own a pet? *

YesNo
If yes, number of pets and type:
Place of Employment*
Employer *

Contact Person Name

Business Address

City, State and Zip CodeState / Province

Postal / Zip Code
Business Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
E-mail
example@example.com
Amount of Monthly Income*
Additional Income
Been convicted of a felony? *

YesNo
If yes, describe:
Been evicted from a rental? *

YesNo
If yes, describe:
Has anyone listed on this application ever been convicted for dealing or manufacturing illegal drugs?*

YesNo
Have you had a judgement filed against you?*

YesNo
If yes, describe:
In case of emergency, please notify:*

First and Last NamePhone Number
Emergency Contact Address*

Street Address

City, State and Zip

CityState / Province

Postal / Zip Code
Relationship:*
I, the undersigned do hereby and forthwith give NCAP, LLC and any agent thereof, the legal right to verify information from sources listed above including a criminal activity check. I hereby certify that the above information is true and correct to the best of my knowledge. I have read and understand this document.
Signature
Should be Empty: