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49001
Rental Properties
518 Quincy Street, Onalaska, WI
625 Amy Drive, Holmen, WI
725 N 11th La Crosse, WI
Rental Application
Maintenance Request
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Rental Application
Rental Application
Date of Application
*
MM slash DD slash YYYY
Desired Move-In Date
*
MM slash DD slash YYYY
Address of Property
*
Personal Information
Full Name
*
First
Middle
Last
Phone Number
*
Email Address
*
Date of Birth
*
MM slash DD slash YYYY
DL State and #
*
Do you have a co-signer?
*
No
Yes
Name of the co-signer
First
Last
Phone number of co-signer
Co-signer will also need to fill out a separate application form.
Have you ever been convicted of a felony?
*
Yes
No
If Yes, please explain
Current Residence
Address
*
Street Address
City
State / Province / Region
Month/Year Moved In
*
Rent
*
Owner/Agent
*
First
Last
Phone Number
*
Reason for Leaving
*
Credit History
Have you declared bankruptcy or been evicted from a rental residence in the past 7 years?
*
Yes
No
If Yes, please explain
Employment Information #1
Your Status
*
Full Time
Part Time
Student
List school attending
*
Employer
*
Employed as
*
Supervisor Name
*
First
Last
Date Employed
*
Salary: $
*
Per
*
Phone Number
*
Employment Information #2
Your Status
Full Time
Part Time
Student
List school attending
Employer
Employed as
Supervisor Name
First
Last
Date Employed
Salary: $
Per
Phone Number
References
Name
*
First
Last
Phone Number
*
Name
*
First
Last
Phone Number
*
*
I certify that the above information is true and correct, to the best of my knowledge. I agree to permit a criminal background check and an investigation of my tenant, credit, and employment history for the purposes of renting an apartment with this owner/manager.
Date
*
MM slash DD slash YYYY
CAPTCHA
66485
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