Apt Model Desired: 2BR3BR Date Wanted: # in Family
Do You Plan to Apply for the Occupancy of a Pet?Yes Dog or Cat No IF YES OBTAIN COPY OF PET RULES! Maximum size 15" or 20lbs.
(Additional Security Deposit of $300 per Dog, and $150 per cat. $15.00 each per cat per month, and $25.00 each per dog per month minimum *subject to change* Admin Fee)
Certain Breeds Not Allowed by Our Insurance Carrier.
Has Your Tenancy Ever Been Terminated Based On: Fraud Yes No
Non Payment of Rent Yes No
Has ANY Member of the Household been Convicted of or is under Indictment for a violent or drug related Crime? Yes No
Is Any Member of the Household Disabled or Handicaped as per Section 223 of the Social Security Act? Yes No
Is Any Member of the Household Handicapped as per Section 202 of the Housing Act of 1959 or 1990? Yes No
Is Any Member of the Household Disabled under the American for Disabilities Act of 1990? Yes No
If Yes to Any of the Above Please Explain:
RENTAL REFERENCES or HOUSING OWNERSHIP
Current Landlord or Lender Institution:
Landlord/Lender Address: City:
State: Zip:
Phone Number:
IF YOU HAVE LIVED AT PRESENT ADDRESS FOR LESS THAN ONE YEAR
Previous Landlord or Lender:
Address: City: State: Zip:
Phone Number:
1333 Wayland Street
Beaver Dam, WI 53916
(800)589-1018
Office Hours:
Mon-Fri: 8:00-6:30
Sat-Sun:10:00-3:00 Schedule A Tour
