Name
     

Date of Birth

Current Address

Current Landlord

Previous Address

Previous Landlord

Current Employer

In Case of Emergency Contact

Have you ever been evicted?  Yes    No  

Have you ever been sued by a landlord?  Yes    No  

Have you ever been convicted of a felony?  Yes    No  

I give my permission to verify the above information, including a credit report.

1. Pursuant to Wisconsin Law – Megan’s Law can be accessed at
   (800)398-2403 or CCAP.courts.state.wi.us
2. IF THIS APPLICATION IS NOT APPROVED, THE DEPOSIT WILL BE RETURNED IN FULL.
3. IF VERBAL NOTIFICATION OF APPLICATION APPROVAL WAS GIVEN AND THE APPLICANT(S) SHOULD FAIL TO COMMENCE OCCUPANCY THE EARNEST MONEY WILL BE WITHHELD BY THE LANDLORD TO COMPENSATE FOR ACTUAL COSTS, LOST RENTS. Wis. Statute 704.29

Thank You!