Lease Application

Primary Applicant
Name*

First NameLast Name
Social Security Number*
Phone Number*

Area CodePhone Number
Email Address*
example@example.com
Date of Birth*

MonthDayYear
Date
Driver License Number*
Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
Landlord's Name*

First NameLast Name
Landlord's Phone Number*

Area CodePhone Number
Amount of Rent*
Length of Tenancy*
Reason for Leaving?*
Has any Landlord ever filed Eviction proceedings against you? If yes, please explain*
Have you ever been convicted of a non-traffic related criminal offense? If yes, please explain*
Employer Name*
Employer's Phone Number*

Area CodePhone Number
Employer's Address*

Street Address

Street Address Line 2

CityState

Zip Code
Your Position Title*
Name of Supervisor*

First NameLast Name
Length of Employment*
Monthly Gross Income*
Co-Applicant Applying?

YesNo

Co-Applicant
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email Address
example@example.com
Date of Birth

MonthDayYear
Date
Current Address

Street Address

Street Address Line 2

CityState

Zip Code
Landlord's Name

First NameLast Name
Landlord's Phone Number

Area CodePhone Number
Amount of Rent
Length of Tenancy
Reason for Leaving?
Has any Landlord ever filed Eviction proceedings against you? If yes, please explain
Have you ever been convicted of a non-traffic related criminal offense? If yes, please explain
Employer Name
Employer's Phone Number

Area CodePhone Number
Employer's Address

Street Address

Street Address Line 2

CityState

Zip Code
Your Position Title
Name of Supervisor

First NameLast Name
Length of Employment
Monthly Gross Income

Additional Information
Please list all persons who will occupy the apartment regardless of age*
SSN, First Name, Last Name
Do you have any pets? If yes, please complete below*

YesNo
Pet Information
Vehicles*
Year, Make, Model, Color, License Plate

Emergency Contact
Name*

First NameLast Name
Relationship*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Main Phone Number*

Area CodePhone Number
Alternate Phone Number*

Area CodePhone Number

Equal Housing Opportunity
Equal Housing Opportunity: It is our policy to lease apartments to the public on a non-discriminatory basis, without regard to race, religion, creed, color, sex, handicap, familial status, national origin, age, ancestry, sexual orientation, marital status or lawful source of income or any other protected class pursuant to federal, state or local laws. We practice equal opportunity.

Qualifying Criteria: The criteria listed below must be met in order for an application to be accepted. If any of the criteria is not met, an application is subject to rejection.
1. Income: Monthly rent shall not exceed 33% of the applicant’s gross monthly income. All lawful sources of income will be verified with employer verbally or by providing a most recent check stub. Self employment must be verified by most recent tax return.
2. Residence: Present and previous residence must have satisfactory payment history and satisfactory residency history.
3. Credit: The application review will include a credit report on each applicant. If an applicant is not accepted due to an unsatisfactory credit history, the applicant will be given the name, address and telephone number of the credit reporting agency. An eviction or open judgment by a Landlord is reason for automatic application denial.
According to the State of Wisconsin Statutes, chapter 704 and the Wisconsin Department of Agriculture, Trade and Consumer Protection Chapter 134, Rental of said premises is to be for personal use only. No business may be conducted from any apartment home.

I/We certify that all the information given above is true and correct and understand that my Lease Agreement may be terminated if I have made any false or incomplete statement on this application. I/We authorize verification of the information provided in this application from my credit scores, credit bureaus, current and previous landlords and employers, and any other sources including but not limited to the sex offender hotline
Primary Applicant's Signature

Clear
Date

MonthDayYear
Date
Co-Applicant's Signature

Clear
Date*

MonthDayYear
Date
By submitting your application, you are agreeing to share your information with Southwind Prairie Apartment Homes and it's associates.
Should be Empty:

Primary Applicant

Co-Applicant

Additional Information

Emergency Contact

Equal Housing Opportunity