Lovejoy Rentals - La Crosse Apartment and Commercial Rentals

RENTAL APPLICATION

Landlord: Peggy Lovejoy dba CASA Properties	Manager:
Address: 9452 East 16 Frontage Road Onalaska, WI	Address: 9452 East 16 Frontage Road Onalaska, WI
Telephone: (608)781-1100	Telephone: (608)779-2128

Unit Information - This is NOT a lease or rental agreement
The undersigned hereby makes an application to rent apartment/unit/number	Located at	Monthly Rent	Lease term
Earnest Money Paid	Credit Check Fee	Security Deposit

Applicant Information - Each Co-Applicant (named tenant) must complete a separate Rental Application
Full Name	Home Phone	Date of Birth	Social Security No
Work Phone	Driver's License No.	Emergency Contact	Pets (Number and kind)

Names of Other Persons (Non-applicants) to Occupy Unit	Social Security Number	Birth date if Under 18
1.
2.
3.

Applicants Rental History For last 3 years
Have you ever failed to pay rent when due? YES NO	Have you ever been evicted? YES NO
Current Address	Rent
Since(date)	Landlord	Phone

Previous Address	Rent
How Long?	Landlord	Phone

Applicants Employer and Income
Present Employer	Address	Phone
Since (date)	Monthly Pay	Position
Previous Employer	Address	Phone
Since (date)	Monthly Pay	Position

Other sources of income - You do NOT have to reveal alimony, child support or spouse's annual income unless you want it considered in this application.
Amount	Source	Confirmation Person	Phone
1.
2.

Applicant's Credit References
Have you ever filed for bankruptcy? YES NO
Banks	City & State	Type and Number of Account
1.
1.
Credit References		Address and/or Phone
1.
2.

Comments

Please read the following carefully

The purpose of this application is to determine whether I qualify as a tenant. If my application is approved, the Landlord and I shall sign a written lease or rental agreement. The Landlord and I have no rental agreement until the time that the lease or written rental agreement is signed.

I have paid the earnest money deposit and credit report fee indicated on this application. The earnest money deposit will be applied to my security deposit or my first month's rent if the Landlord enters into a lease agreement with me. If this application is approved, and I fail to enter into a lease or rental agreement, the earnest money and any subsequent payments may be retained to compensate the Landlord's costs and damages, subject to the Landlord's duty to mitigate. The earnest money and any subsequent payments will be refunded to me by the end of the next business day if: (1) this application is rejected, or withdrawn before approval; or (2) if the Landlord takes no action on this application by the end of the 21st day following the Landlord's receipt of the earnest money. The credit report fee is nonrefundable.

I hereby authorize the Landlord and Manager to investigate my credit and financial responsibility, income, rental and eviction history, and the statements made in this application, and to obtain a consumer credit report on me from a consumer reporting agency that compiles and maintains files on consumers on a nationwide basis. My performance under and any lease or rental agreement that I may enter into with the Landlord may be reported to such a reporting agency. I acknowledge that the Manager and the agents and employees thereof represent the interests of the Landlord, but they also have a duty to treat all parties fairly and in accordance with fair housing law, and to disclose material adverse facts about the property.

I was given the opportunity to review a sample lease or rental agreement, and the Landlord's rules and regulations. I warrant and represent that I am at lease 18 years of age and that all statements herein are true and correct to the best of my knowledge.

Notice: You may obtain information about the sex offender registry and persons registered with the registry by contacting the Wisconsin Department of Corrections on the Internet at http://www.widocoffenders.org or by phone at 877-234-0085.

Signature (Enter your initials as an electronic signature)	Date Signed