Application: We must receive one completed Rental Application from each adult (18 years of age older) applying. If the completed application contains any omissions (not satisfactory explained) it will be returned to you


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NameApplication: We must receive one completed Rental Application from each adult (18 years of age older) applying. If the completed application contains any omissions (not satisfactory explained) it will be returned to you
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902 Belknap Street, Suite C

Superior, WI 54880

Cell/Text: (218) 464-8792

Office: 715 718-2261

www.NorthlandRentalResource.com

info@northlandrentalresource.com
We are working with neighbors and other landlords in this area to maintain the quality of the neighborhood. We are working to make sure that people do not use rental units for illegal activity. Therefore, we use screening procedures to evaluate each prospective tenant before we rent. These procedures are listed below. Reasons why an application may be rejected are also listed. Please review our list criteria. If you feel you meet the criteria please apply. Please note that we provide equal housing opportunity; we do not discriminate on the basis of race, color, religion, sex, handicap, national origin, familial status, marital status, sexual orientation, lawful source of income, age or ancestry.

Application: We must receive one completed Rental Application from each adult (18 years of age older) applying. If the completed application contains any omissions (not satisfactory explained) it will be returned to you.

Personal Identification We require two forms of identification. A photo ID and one other type of ID to be presented with your completed application.

Rental History It is your responsibility to provide us with the information necessary to contact your past landlords. We reserve the right to deny your application if, after making a good faith effort, we are unable to verify your rental history. If you owned-rather than rented-your previous home, you will need to furnish mortgage company references and proof of title ownership or transfer.

Income We must be able to verify independently the amount and stability of your income. (For example: through pay stubs, employer/source contact, or tax records. If self employed: business license, tax records, bank records, or a list of client references.) For Rent Assistance applications, the amount of assistance will be considered part of your monthly income for purposes of figuring the proportion.

You will be denied rental if:

  1. You misrepresent any information on the application. If misrepresentations are found after agreement is signed, your rental agreement will be terminated.

  2. In the past three years, you have had a conviction for any type of crime, including manufacture or distribution of controlled substances that would be considered a serious threat to real property or to other residents’ peaceful enjoyment of the premises.

  3. Your credit checks show accounts that are not current. For example, occasional credit records showing payments within (30 to 59) days past due could be acceptable, provided you can justify the circumstances. Records sowing payment past (60) days or a judgment against you for financial delinquency are not acceptable.

  4. If you have been evicted during the past two years for late or non-payment of rent or for behavior that includes causing disturbance, threatening other persons, damaging an apartment or other reason, your application will be rejected. If a previous landlord reports such behavior, your application will be rejected.

  5. Previous landlords report significant complaint levels of noncompliance activity such as: repeated disturbance of the neighbors peaceful enjoyment of the area; reports of gambling, prostitution, drug dealing, or drug manufacturing, reports of violence or threats to landlords or neighbors; allowing persons not on the rental agreement to reside on the premises; failure to give proper notice when vacating the property.

  6. Previous landlords would be disinclined to rent to you again for any other reason pertaining to the behavior of yourself, your pets, or others allowed on the property during your tenancy.

________________________________________________________________________________________________

Earnest Money Deposit There is earnest money deposit required that is conditionally refundable. If you are accepted the earnest money will be applied to your security deposit (or rent). If you withdraw your application after you have been accepted, certain deductions, allowed by law, may be made.

You may review a copy of the rental agreement and all written rules and regulations before you complete this application or pay any earnest money.

I have read and understand the screening criteria.

Signature___________________________________________________________________________ Date __________________


.Tenants must fill out the section below:
Address: ____________________________Unit #:_________

Move in Date requested ______________________________

Lease Term/# of months:______________________________

Monthly rent $______________________________________


Utilities paid by Owner/Tenants (strike one)

Credit Check Fee Paid $_______________________________

Security Deposit Paid $_______________________________

Total Paid $________________________________________


_________________________________________________________________________________________

The Undersigned hereby makes application to rent or lease

Applicant Information (Each Co-Applicant (named tenant) must complete a separate Rental Screening and Application)

Name (First, MI, Last) _________________________________________ Home Phone_____________________________________

Cell Phone___________________________ Email __________________________________________________________________

Facebook? Yes________ No_________ If yes, User Name____________________________________________________________

Date of birth_________________ Social Security ______________________ Driver’s License No. ___________________________

Emergency Contact:_____________________________________________Number for Contact____________________________

__________________________________________________________________________________________

Names of Other Persons (Non-Applicants) to Occupy Unit: Date of Birth if under 18

1.__________________________________________________2._______________________________________________________

3.__________________________________________________4._______________________________________________________

__________________________________________________________________________________________

Auto:

Make/Model: _____________________ Year________ License Plate # _____________________Color _______________________

Make/Model: _____________________ Year________ License Plate # _____________________ Color ______________________

__________________________________________________________________________________________

Applicant’s Rental History:

Current Address____________________________________City___________________________State__________Zip______________

Rent $_________ Lease Dates__________ to _________ Landlord__________________________ Phone No.__________________

Previous

Address #1____________________________________ City___________________________ State_________ Zip______________

Rent $________ Lease Dates _________ to __________Landlord __________________________ Phone No.___________________

Previous

Address #2 _______________________________________ City ___________________________ State _______ Zip ____________

Rent $ ________ Lease Dates _________ to __________ Landlord __________________ Phone No. __________________________

Applicant’s Employer and Income

Present Employer________________________________ Address _____________________________________________________

Phone__________________ Date Started_____________________ Monthly Pay $ _____________ Position ____________________

Previous Employer ____________________________________________ Address ________________________________________

Phone__________________How long? _____________ 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______________

Amount $___________ Source _________________ Confirmation Person ____________________________ Phone _____________

Amount $ ___________ Source _________________ Confirmation Person _____________________________ Phone ____________

__________________________________________________________________________________________

Applicant’s Credit References:

Bank: City and State: Type and Number of Account:

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

Credit References: Address and /or Phone:

____________________________________________________________________________________________________________

____________________________________________________________________________________________________________

Have you ever failed to pay rent when due? Yes_____ No______

Have you ever been evicted? Yes_____ No______ If yes when and where?____________________________

Have you ever filed for bankruptcy? Yes_____ No______

Do you have Pets? Yes_____ No______ Number and Kind) ________________________________

__________________________________________________________________________________________

List Immediate Family References:

Name and Phone:

1._________________________________________________

2._________________________________________________

3._________________________________________________

List Non-family References:

Name and Phone:

1_________________________________________________

2._________________________________________________

3._________________________________________________

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Consent to Release of Information

Please Read This Carefully and Sign This Application

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 or rental 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 complies and maintains files on consumers on a nationwide basis. My performance under any lease or rental agreement that I may enter into with the Landlord may be reported to such 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 least 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 of Applicant ___________________________________ Date __________________

Print Name ____________________________________________

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