Credit Application 

There is no cost or fee to apply. Simply fill out all of the information and click the submit button at the end. If you make an error, there is also a clear form button at the end. You may also print this application out and return via fax or postal service. All occupants over 18 years old must fill out a separate application.

Address applying for: 

Type of apartment:  Move-In Date: 


First Name  MI  Last Name 

E-Mail Address  SS# 
Date of Birth 

Home Phone  Work Phone 

Present Address  Apt #  City 
State  Zip code 

Country       Date moved in 
Reasonfor Moving 

Present Landlord 
Landlord Phone 

Landlord Full Address 

Previous Address  Apt#  City  State  Zip 

From when towhen 

Reason for Moving 
 

Previous Landlord address and Phone 


List Names Relationship and Birthdate of all occupants, other than yourself, who will live in apartment:

1.Name  Relationship 
Birthdate 

2.Name  Relationship 
Birthdate 

3.Name  Relationship 
Birthdate 


During the term of your lease for this apartment, please list below your income source and amount. 

1. Income Source 

Phone Numberto Verify  Monthly Amount$ 

2. Income Source 

PhoneNumber to Verify  Monthly Amount$ 


List Below any Credit References such as loans, creditcards, etc.

Nameof Creditor  Name of Creditor 
Name of Creditor 


Have you or your spouse ever been evicted? yes  no 

Have you or your spouse ever been convicted of a felony? yes    no 

Have you or your spouse ever filed for bankruptcy? yes  no 

Certification and Release: 

I hereby certify that, to the best of my knowledge, all of the information contained in this application is true and complete. I understand that if the management selects me(us) as residents, they may terminate the lease immediately ifitis learned that any of the information contained herein is false.

I authorize the management and its agents to thoroughly investigate and verify all of the statements contained herein. I understand the management may investigate my background as it pertains to housing and hereby authorize the management to contact my references, landlords, and verify other statements on this rental application with respect to me or my spouse.

I hereby release and hold harmless the management and its agents from and against all actions, claims, costs, damages, expenses, liabilities, losses and suits arising out of or resulting from the investigating and obtaining of the information described above.

Please type name and date this release: 

Name  Date 
 

The policy of the management is equal opportunity in housing, as defined by federal, state and local laws.
William Scott Properties  4720 Farwell Street  McFarland, WI  53558 Phone and Fax 608-838-9606


Copyright © 2002-2003 William Scott Properties