Secure Application

Each adult must complete a separate application. This online application is not a lease agreement and does not guarantee rental of an apartment. Verification and acceptance of this application to enter into a lease agreement is subject to receipt of an earnest money deposit.

Property Applying For *

First Name	Middle Initial	Last Name	Date of Birth*	Social Security #	Drivers License #
Applicants
Name(s) of all persons to occupy apartment: (full legal names, including middle initials-no nicknames.)
First *	MI	Last *	Date of Birth* *	Social Security #	Driver's License #
First	MI	Last	Date of Birth*	Social Security #	Driver's License #
First	MI	Last	Date of Birth*	Social Security #	Driver's License #
First	MI	Last	Date of Birth*	Social Security #	Driver's License #
First	MI	Last	Date of Birth*	Social Security #	Driver's License #
First	MI	Last	Date of Birth*	Social Security #	Driver's License #
* DATE OF BIRTH IS NECESSARY FOR BACKGROUND CHECKS AND WILL NOT BE USED IN ANY DISCRIMINATORY MANNER.

How did you first learn of us?

Housing References
Present Address
Present Address	City	State	Country	Zip	Phone
Rent	Landlord	Landlord Phone	Length of Stay	Reason for Leaving
Previous Address
Previous Address	City	State	Country	Zip	Phone
Rent	Landlord	Landlord Phone	Length of Stay	Reason for Leaving

Income References
Employer (if applicable)
Employer (if applicable)	Position	How Long	Office Phone
Supervisor	Supervisor Phone	Monthly Gross Income
Employer (if applicable)
Employer (if applicable)	Position	How Long	Office Phone
Supervisor	Supervisor Phone	Monthly Gross Income
Other Income
Other Sources of Income (please explain)			Monthly Gross Income
Do you have a Section 8 voucher? * Yes No
Applicant's Total Monthly Income

Credit References

Resident Services, Inc. will request a credit report through a credit reporting agency.

Pets
Cats * Yes No	How many?
Dogs * Yes No	Breed	Weight (lbs)
Written authorization required for pets, see rules and regulations.

Vehicles

How many vehicles?

CERTAIN VEHICLES ARE RESTRICTED; SEE RULES AND REGULATIONS.

In Case of Emergency Contact
Must be someone other than a co-occupant of the apartment for which you are applying.
Name	Address	City	State	Phone	Relationship

Disclaimers

Have you been convicted of an offense which must be reported under the Sex Offender Reporting Requirement in Wis. Stat. s.973.048 *

Yes

No

Verification and acceptance of this application is subject to receipt of an earnest money deposit. The undersigned agree (s) that the landlord shall have up to twenty-one (21) calendar days from the acceptance of the earnest money deposit to approve or deny the rental application. This deposit is to be returned if this application is not approved. If approved this sum will be applied to the security deposit and/or first month's rent. At the time of entering into a rental agreement the applicant agrees to pay the balance of the security deposit, if any. If the applicant refuses to enter into a rental agreement after this application has been approved, actual costs and damages incurred will be deducted from the deposit. Deposits may be withheld as compensation for lost rent if the landlord makes reasonable efforts to mitigate the rental loss in accordance with 704.29 Wis. Statutes. The applicant consents to a routine inquiry of references and credit agencies and criminal background. This inquiry will provide information concerning the applicant's character, credit-worthiness and reliability. At applicant's request, landlord will advise if a credit report is requested and the name and address of the credit reporting agency. Applicant acknowledges receipt of a copy of this application with disclosures as part thereof which may be applicable. THIS APPLICATION IS SUBJECT TO THE APPROVAL OF THE LANDLORD OR AGENT. FALSE, INACCURATE, OR INCOMPLETE INFORMATION MAY RESULT IN THE REJECTION OF THIS APPLICATION. IF A MATERIAL MISREPRESENTATION IN THE APPLICATION IS DISCOVERED AFTER A LEASE IS EXECUTED, LANDLORD MAY TERMINATE THE TENANCY.

NOTICE: You may obtain information about the sex offender registry and persons registered with the registry by contacting the Wisconsin Department of Corrections at http://offender.doc.state.wi.us/public or at 1-877-234-0085 or 1-608-240-5830

By electronically entering my name below I acknowledge that I have read the full application and disclosures located here by clicking the link below. The electronic submission of my name below represents my full signature, hereby authorizing a complete inquiry into my credit, housing, employment, criminal background and character references.

By electronically entering my name below, I hereby authorize my references (including current and past housing; current, past and future employment; banking, credit agencies and personal references) to provide Resident Services, Inc. and the properties they manage any information requested pertaining to the approval of my application for tenancy.

Click here to view the full application and disclosures.

Each applicant must complete a separate application.

Agreements
Enter applicant Name Here *
Date *
I have read and will abide by the pet policy * Yes Click here to view the pet policy
I have read and agree with the rules and guidelines * Yes Click here to view the Rules and Guidelines.
An email address is required to receive acknowledgement of receipt of this application. *

Please click "submit" once and wait. Depending on your internet connection speed, it may take a moment or two for a printable PDF of your completed application form to be generated. You will be redirected to a page where you can download your application momentarily.

Housing References

Income References

Pets

Vehicles

In Case of Emergency Contact

Must be someone other than a co-occupant of the apartment for which you are applying.

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Secure Application

Applicants

Housing References

Present Address

Previous Address

Income References

Employer (if applicable)

Employer (if applicable)

Other Income

Credit References

Pets

Vehicles

In Case of Emergency Contact

Disclaimers

Agreements