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
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