The Monticello: Apartments in Madison, Wisconsin • 1 and 2 Bedroom

Each Prospective Resident Over 18 Must Fill Out an Application
APPLICANT INFORMATION
Name of Applicant:
Date of Birth:
Social Security Number:
Total Number of Occupants:
Name of Additional Occupant:
Name of Additional Occupant:
Name of Additional Occupant:
HOUSING REFERENCE #1
Present Phone Number:
Best Time to be Reached:
Present Address:
Present Landlord Name:
Present Landlord Phone:
Present Landlord Address:
Length of Residency:
Amount of Rent Paid:
Reason for Leaving:
HOUSING REFERENCE #2
Previous Address:
Previous Landlord Name:
Previous Landlord Phone:
Previous Length of Residency:
Previous Reason for Leaving:
INCOME
Present Employment:
Employment Dates:
Business Address:
Business Phone:
Position Held:
Name of Immediate Supervisor:
May We Contact:	Yes No
Supervisor Phone Number:
Gross Monthly Income:
Previous Employment:
Previous Employment Dates:
Previous Business Phone:
Previous Business Address:
Source 1:
Monthly Amount 1:
Source 2:
Monthly Amount 2:
Source 3:
Monthly Amount 3:
Total Annual Income:
Ever Declared Bankruptcy:	No Yes
If Yes When Declared:
Ever Been Evicted from Apartment:	No Yes
If Yes When Evicted:
BANK/CREDIT
Bank Name 1:
Checking Account Number 1:
Savings Account Number 1:
Bank Name 2:
Checking Account Number 2:
Savings Account Number 2:
Credit Card Name 1:
Account Number 1:
Credit Card Name 2:
Account Number 2:
VEHICLE/DRIVER IDENTIFICATION
Drivers License Number:
State of DL:
License Plate Number:
State of LP:
Type and Make of Car:
Year:
EMERGENCY CONTACT
Emergency Contact Name:
Emergency Contact Address:
Emergency Contact Home Phone:
Emergency Contact Work Phone:
How did you hear about us:
THIS APPLICATION IS NOT A RENTAL AGREEMENT, CONTRACT OR LEASE. ALL APPLICATIONS ARE SUBJECT TO THE APPROVAL OF THE OWNER AND /OR MANAGING AGENT. RECEIPT in the sum of $_____________ is hereby acknowledged as an earnest money deposit and is to be returned to the undersigned if the application is not accepted. If accepted, this sum will be applied to the Security Deposit. If you do not enter into a lease after we accept the application, actual expenses incurred in processing this application will be deducted from the deposit and the balance will then be refunded. I hereby authorize the Landlord and Manager to investigate my credit and financial responsibility, income, rental and eviction history and statements made in this application and to obtain a consumer credit report 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 Landlord may be reported to such a reporting agency. The applicant hereby certifies that the information given herein is true and complete to the best of his/her knowledge and further authorizes investigation of all statements contained in this application for residency as may be necessary. If any information provided is false or misleading, the landlord will refuse to rent to such applicant and refund all earnest money deposited. I further understand that Landlord uses minimum income requirements or minimum income-to-rent ratio and requires reliable demonstrable evidence of ability to pay the rental amount as part of the screening process. Upon denial of an application for housing that is based solely on minimum income requirements or minimum income-to-rent ratio, Landlord shall furnish in writing a notice of reason for denial. Reasons for denial and earnest money shall be furnished within 21 days after receipt of completed application. Applicant will receive another consideration if there is an available unit and applicant furnishes to the Landlord evidence of actual ability to pay the rental amount. Notice of denial shall also include information acceptable for Landlord’s reconsideration. Nothing in this subsection requires the Landlord to hold the apartment for an applicant who has initially been denied based on a minimum income requirement or minimum income-to-rent ratio. I acknowledge the Manager, 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. By pressing the SUBMIT button you acknowledged you read and agreed with the above.