Rental Application

Credit Application

*You will be denied rental if you misrepresent any information on this application. If misrepresentations are found after a rental agreement is signed, your rental agreement will be terminated.

(One application for each applicant 18 years of age or older)

PERSONAL INFORMATION

Applicant's Name

First Name

Last Name

Date of Birth

Driver's License No.

Social Security Number

Current Address

Current Phone Number

(###)

###

####

Names of Person's to Occupy Premises

Include each person's name, age, and date of birth.

RESIDENT'S HISTORY

Present Landlord

Present Landlord Phone Number

(###)

###

####

Present Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How Long Have You Been at Your Present Address?

Rent Cost at Present Address

Reason for Moving

Previous Landlord, if less than 1 year

Landlord Phone Number

(###)

###

####

Previous Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How long were you at this address?

Rent Cost

Reason for Moving

EMPLOYMENT

Current Employer

Start Date

Phone Number

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Position

Monthly Income

Immediate Supervisor

First Name

Last Name

Phone

(###)

###

####

Other Employer

Only if applicable

Start Date

Phone Number

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Position

Monthly Income

Immediate Supervisor

First Name

Last Name

Phone

(###)

###

####

List Any Other Sources of Income

CREDIT REFERENCES

Bank

Checkbox

Savings

Checking

Bank

Checkbox

Savings

Checking

Credit References

(auto loans, personal loans, credit cards)

OTHER INFORMATION

Car

Make, model, and year

License Plate No.

Are you currently active military

Yes

EMERGENCY CONTACT(S)

Name

First Name

Last Name

Phone

(###)

###

####

Relationship

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name

First Name

Last Name

Phone

(###)

###

####

Relationship

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

NOTICE: you may obtain information about sex offender registry and persons registered with the registry by contacting the Wisconsin Department of Corrections on the internet at http://www.widocoffenders.org or by phone at 877-234-0085.

By pressing submit, you agree that your rental of said premises is to be limited to use and occupany by those persons identified above without any right on my part to sublet all or any part of said premises or permit additional tenants to occupy said premises. You will also agree that Capital Investments of Northern Wisconsin, LLC (Capital Investments), their contractors, sub contractors, or other related entities either mentioned or otherwise herein are not liable for any disclosure of sensitive information submitted in this form whether legal or otherwise. You also agree that the information you inputted is factually accurate. Failure to provide accurate information may result in your application being declined..

NOTE: A security deposit is required from every tenant against damage or loss to the premises or breach of the lease, and said security deposit cannot be used for the last month's rent.

Rental Application

Credit Application

Thank you for filling out the credit application!

We’ll reach out to you within the next 4-7 business days.

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