RentalApplication
This document is NOT a lease or rental agreement. This document will not be considered a valid application for residency unless it is signed by the applicant. Incomplete application forms, failure to submit an application form for every individual proposed resident, and the submission of incomplete earnest money all invalidate the application process, and any application(s) submitted containing such omissions may be rejected.
UnitInformation
Application for ________________________________________________________________________________ (address of premises)
Pick One q Apartment Unit Number _____________ Optional Unit Preference 1 ____________ Optional Unit Preference 2 ___________
q A Private Bedroom in an Available Unit |
Optional Unit Details ___________________________________________________ |
q A Shared Bedroom in an Available Unit |
Optional Unit Details ___________________________________________________ |
The appx. monthly installment is $_______ Earnest money paid is $_______ Preferred Occupancy Dates Are _________ through _________
Utility charges (enter R for utilities paid by resident, O for those paid by owner) Electric ___ Heat ___ |
Gas ___ |
Water ___ Hot Water ___ |
Trash ___ |
(If applicable) Would you also like to rent a parking lot space q No q Yes A garage space |
q No |
q Yes A moped space |
q No q Yes |
If allowed, would you also like to have a pet, and if so what kind and how many q No q Yes ________________________________________
If available, do you want one lease for all roommates, or a lease where you’re only responsible for you q One lease q Individual lease (fees apply)
PersonalInformation
Each co-applicant must complete a separate application.
Full Name _________________________________________________________________ Phone ____________________________
Street Address _________________________________________________________ City______________________ State _________
Driver’s License # _______________________ Make/Model of Car ____________________ License Plate # _____________ State ____
E-mail address ___________________________________Social Security #______________________ Date of Birth _____/_____/______
Permanent/Summer Address (if applicable)______________________________________________________________Apt. # ________
City _____________________________________ State ______ ZIP ___________ Do you prefer to be contacted by e-mail q No q Yes
How did you hear about us/this apartment ____________________________________________________________________________
EmergencyContactInformation
Full Name ___________________________________________________________ Relationship ______________________________
Address_____________________________________________________________ Daytime Phone ____________________________
City ______________________________________ State ______ ZIP ___________ Evening Phone ____________________________
GuarantorInformation
If you are under 18 yrs. of age, or you have chosen a property that requires a guarantor, you must have a guarantor (co-signer) on your lease. If applicable, please complete this section.
Full Name _____________________________________________________________ Relationship ____________________________
Address __________________________________________________________________ Phone ____________________________
Employer ___________________________________ Position Held ____________________ E-mail ____________________________
Rental/OwnerHistory
Have you ever been served a notice of intent to evict, or been evicted? q No q Yes
Have you lived with Steve Brown Apartments before? q No q Yes If yes, when? ______________________________________________
Current Address __________________________________________________________________________________Apt. # ________
City _______________________________________ State ______ ZIP ___________ From ________________ To ________________
Monthly Rent/Mort. $ _____________ Owner Name ______________________________ Owner Phone ___________________________
Previous Address _________________________________________________________________________________Apt. # ________
City _______________________________________ State ______ ZIP ___________ From ________________ To ________________
Monthly Rent/Mort. $ _____________ Owner Name ______________________________ Owner Phone ___________________________
Please complete the remaining sections on the reverse side ➡
SteveBrownApartments•120WestGorhamStreet•Madison,WI53703•608.255.7100•www.SteveBrownApts.com•info@stevebrownapts.com
Otherresidentswhoareapplyingattheresidence
Should you choose, a Roommate Matching service is available at select communities. Please check here if you would like Roommate Matching. q
1 ___________________________________________________ 3 ___________________________________________________
2 ___________________________________________________ 4 ___________________________________________________
Who is the main contact for your group ________________________________________ Phone _______________________________
EmploymentandIncomeInformation
Present Employer _____________________________________________ Position Held _______________________________________
Address _____________________________________ City ________________ State _____ Phone _____________________________
Monthly Pay $ _________ Hire Date __________ Supervisor’s Name ________________________ Title __________________________
Other sources of income:
Amount $ _________ Source _______________________ Confirmation name, phone # ________________________________________
Amount $ _________ Source _______________________ Confirmation name, phone # ________________________________________
Amount $ _________ Source _______________________ Confirmation name, phone # ________________________________________
Are you a student? q No q Yes If yes which school? _________________________________ Academic Status ____________________
CreditInformation
Bank ______________________ Account type ________________ |
Bank ______________________ Account type ________________ |
Bank ______________________ Account type ________________ |
Bank ______________________ Account type ________________ |
Major credit cards ______________________________________________________________________________________________
PLEASE READ THE FOLLOWING CAREFULLY AND THEN SIGN THIS APPLICATION. IF APPLICANT
FAILS TO SIGN, THIS DOCUMENT CANNOT BE CONSIDERED A VALID APPLICATION FOR OCCUPANCY.
The purpose of this application is to determine whether I qualify as a resident. If my application is approved, the Owner and I shall sign a written lease. It is my intent to lease the apartment units indicated but I understand that the Owner and I have no rental agreement until the time of the lease signing.
I understand that there is no application fee, nor is there any administrative fee for completing the lease signing process provided there is no change in residents or terms from the time of the initial submission of (an) application(s) until the signing of the Lease (and guarantor copies if applicable). I also understand that there is a schedule of fees for re-writing leases, completing a second lease- signing process, or creating additional addenda to modify the Lease, either before or after the initial lease signing.
I acknowledge the following fee structure: |
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1. Credit Check (per person) |
$16 |
2. Rewriting Any Lease or Lease Addenda |
varies, $100 max |
3. Sublet Agreements |
$130 |
4. Individual Lease Premium |
$105 |
5. Additional Resident Fee (each) |
$125 |
➧I have paid the earnest money deposit indicated on this application. The earnest money deposit will be applied toward my first month’s rent if the Owner enters into a lease or rental agreement with me. The remainder of the earnest money is due at the time said lease or rental agreement is signed.
➧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 Owner’s costs and damages, subject to the Owner’s duty to mitigate. A minimum $100.00 fee plus any costs and damages to re-rent the apartment may be retained, and no earnest moneys shall be refunded unless and until the apartment is re-rented to another party and a new lease signed.
➧If this application is rejected, or withdrawn before approval, the earnest money and any subsequent payments will be refunded to me. Requests to withdraw applications must be made either in writing or in person.
I hereby authorize the Owner, or his Representative, to investigate my credit and financial responsibility, income, rental and eviction history, criminal background, 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 any lease or rental agreement that I may enter into with the Owner may be reported to such reporting agency.
I have carefully reviewed the unit information section of this application and have received any related documents as regards the habitability of the dwelling unit from the Owner, or his Representative, and I understand my financial respon- sibilities as regards the payment of utility billing for this unit. I was given the opportunity to review a sample lease and the Owner’s rules and regulations.
Although the Owner may not have shown me the specific apartment for which I am applying, or I may not have seen the apartment at all, I fully intend to execute a Lease with the Owner for these Premises.
I warrant and represent that I am at least 18 years of age and that all statements herein are true and correct, to the best of my knowledge.
I understand that application forms incompletely filled out, not submitting an appli- cation form for every individual proposed resident, and the submission of incomplete earnest money can all invalidate the application process and that any application(s) submitted containing such omissions may be rejected at Owner’s sole option.
If your application for occupancy is denied and you wish to be notified in writing of the reason(s) for denial, you must check here. q
➧SIGN HERE
______________________________________________________________________________________________________________________________________
APPLICANT SIGNATURE |
DATE OF APPLICATION |
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OFFICE USE ONLY: |
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We do business in accordance with the federal fair housing law (The Fair Housing Amendments Act of 1988). It is illegal |
Date _____________ Time ___________ |
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to discriminate against any person because of race, color, religion, sex, handicap, familial status, or national origin. |
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Check# ___________ Initials __________ |
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