Rental Property Address________________________________
                                        Mauston, WI 53948
Conditions:  No Smoking - No Pets

General Information for Occupancy: (list all persons)
Name Birth Date SS#
     
     
     
     

Present Address_________________________________________   How Long_______________________
                         ________________________________________  Phone#__________________________

Present Landlord____________________________  Landlord's am Phone#__________________________
Reason for leaving:________________________________________________________________________
Have you ever been evicted?______________

Financial and Credit Information:

                                                   Applicant

Co-Applicant
Employed by    
Address    
     
Business Phone    
Position    
How Long    
Income/Month/Week/Other    

In Case of Emergency Contact: Name:______________________________________
                                                      Address:____________________________________
                                                                     ____________________________________
                                                      Phone # ____________________________________
                                                      Relation:___________________________________

The Fair Credit Reporting Act, Public Law 91-508, requires that we notify you that as apart of our normal procedure, a routine inquiry be made.  This inquiry will provide applicable information concerning character, general reputation, personal characteristics, and mode of living.  Upon written request, additional information is to the nature and scope of the report, if one is made, will be provided.  Inquiry will be made through Trans Union Credit Bureau.

THIS APPLICATION IS NOT A RENTAL AGREEMENT, CONTRACT, OR A LEASE.  ALL APPLICATIONS ARE SUBJECT TO APPROVAL OF OWNER OR MANAGING AGENT.

To the best of my/our knowledge, all of the above information is true.

Applicants Signature ____________________________  Date _____________________

Co-Applicants Signature_________________________   Date _____________________
Mail to:   Kevin Erickson
                    PO Box 73 Mauston, WI 53948

Last Updated: 01/22/2010