Have you been evicted in the past 3 years? NO YES Explain______________________________
Have you declared bankruptcy in the past 3 years? NO YES Explain__________________________
Have you been delinquent in paying rent /fees in the last 3 years? NO YES Explain___________________
Name of last or present landlord / agency?________________________________
Telephone Number: _______________________ May we contact them if you are pre-approved? YES NO
NEXT PAGE ( Turn Over )
Is the total move-in amount available now (1st month & deposit)? ______________________
Do you have any pets? ______________________________________________________
Why are you moving out of your current home? _____________________________________________________
How long do you intend to stay if you are chosen for this home? ________________________________________
Is there any information we may find on your credit and rental history you would like to explain at this time? _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
As material inducement to be considered as a tenant for the premises, I herewith consent to and authorize ___________________________, or any agent of same, to contact all references named in this application, verify any information, and to conduct a credit review, including obtaining my credit report from any authorized credit reporting agency.
I declare under penalty of perjury that the information listed in this application is true and correct.
I understand that this information is private and may only be used to conduct a review for tenancy and be used in the event of a dispute regarding tenancy and the rental agreement I will sign if I am chosen to rent this unit.
Executed on this________(day of month) day of________________________(month), 20___, in the city of Oshkosh state of Wisconsin.