RENTAL APPLICATION

ONE APPLICATION FOR EACH ADULT APPLICANT (AGES 18+)

You will be denied rental if you misrepresent any information on this application. If misrepresentations are found after a rental agreement is signed, your rental agreement will be terminated. Proof of identification is required. Further personal and financial information including Social Security #, banking institution and credit references will be requested after rental application is received.

Today's Date

YYYY

UNIT INFORMATION

Unit Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Unit No. #

Monthly Rental Amount

Security Deposit Amount

PERSONAL INFORMATION

Applicant's Full Name

First Name

Last Name

Date of Birth

YYYY

Current Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

(###)

###

####

Please list the names and ages of any persons (roommates, children, spouses, etc.) planning on living at this property:

Do you have pets?

Yes

If yes, what pets do you have and how many? If you have a dog(s) please note the breed.

RENTAL HISTORY

Current Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How long have you lived here?

Current Landlord Name

First Name

Last Name

Landlord Phone #

(###)

###

####

Reason for Moving?

Current Rent Amount

Previous Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How long did you live there?

Previous Landlord

First Name

Last Name

Landlord Phone #

(###)

###

####

Reason for Moving?

Previous Rent Amount

EMPLOYMENT HISTORY

Current Employer

Start Date

YYYY

Employer Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Job Title

Gross Monthly Income (before deductions)

Supervisor

First Name

Last Name

Phone #

(###)

###

####

Other Employment/Employer

Start Date

YYYY

Employer Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Job Title

Gross Monthly Income (before deductions)

Supervisor

First Name

Last Name

Phone #

(###)

###

####

OTHER SOURCES OF INCOME

Sources of other income and average monthly amounts:

Automobiles and Other Vehicles

Make and Type, Year, Color, Lic. No

In case of personal emergency, notify:

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Relation

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Relation

Agreement

By entering my name, I certify that all of the information provided in this application is true and accurate to the best of my knowledge and that my rental agreement may be terminated if I have made any false, misleading or incomplete statements.

Agreement

Be entering my name, I agree to provide further personal and financial information upon request including Social Security #, banking institution, and credit references. I authorize verification of the information provided in this application from my credit sources, current and prior landlords, employers and personal references.

Agreement

Be entering my name, I give consent for Keren Properties LLC to do a background and/or credit check, contact my previous landlords, and confirm work history.

Note

A security deposit is required from every tenant against damage or loss to the premises and said security deposit cannot be used for the last month's rent. NOTE: You may obtain information about sex offender registry and persons registered with the registry by contacting the Wisconsin Department of Corrections or by visiting https://appsdoc.wi.gov/public. NOTE: Landlord is using public records provided by a third party service to determine your eligibility to rent. Neither Landlord nor third party service can vouch for the accuracy of the records as they have no control over such records. It is the responsibility of the applicant to check the accuracy of their own public records.