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WILLY STREET CENTRAL

315 S. Paterson St., Madison, WI 53703 www.WillyStreetCentral.com (608) 692-6007

APPLICATION FOR TENANCY (please print clearly)

Unit Information


Apartment Number: Rent: Security Deposit:

Lease Terms: From: to:

Pet (Yes/No): (If Yes) Pet Type:

Parking $130/month (Yes/No):

Applicant's Personal Information (each adult co-applicant must complete a separate application)


*First Name (Requried to submit form)

Middle Last

Last Name

Social Security #

*Phone (Requried to submit form)

Email Address

Date of Birth

Auto Make/License Plate #

Driver License #

In case of emergency contact name

Relationship

Home & Cell #s

Emergency contact address

Rental Information


Present Address

How Long

Rent $

Present Landlord Name

Present Landlord Phone

If less than one year, previous address

If less than one year, How Long

Rent $

Previous Landlord Name

Previous Landlord Phone

Have you ever been evicted, asked to leave, or been served an eviction notice?

If YES, please explain

Employment Information


Employed by

How Long

Gross Monthly Pay

Position

Supervisor

Phone

Credit References (names of credit cards, loans, etc.) & Bank References (bank names only)


CREDIT

CREDIT

CREDIT

SAVINGS

CHECKING

LOANS

NOTICE TO APPLICANTS

You may also provide us with an acceptable co-signer or guarantor if some or all of the rent will be paid by someone on your behalf.

We do not participate in the Section 8 housing program.

This is not a lease, rental agreement or contract. Furnishing your Social Security number is voluntary and your application will not be denied if you withhold your Social Security number.

THIS APPLICATION GIVES AUTHORIZATION FOR INVESTIGATION OF REFERENCES AND TO RUN A CREDIT CHECK. THIS APPLICATION IS SUBJECT TO APPROVAL OF OWNER OR MANAGEMENT COMPANY.