GREENPOINT-SCHEPPKE

4330 GOLF TERRACE, SUITE 100EAU CLAIRE, WI54701

OFFICE715-833-9625FAX715-833-9028

APPLICATION FOR RENTAL PROPERTY

Property Address
Applying For: / 1st Choice: / 2nd Choice:

APPLICANT INFORMATION

Last Name, First, MI Social Security Number

______

Maiden Name (If applicable) Date of Birth Drive License Number State Issued

Current Street AddressCell Phone Number (Include area code)

CityStateZipE-mail Address

$

Current Employer (if none, state “none”)/PositionStart DateWage/Income

Mo/Yrly

CO-APPLICANT OR CO-SIGNOR INFORMATION

(**PLEASE CIRCLE ONE IF APPLICABLE**)

Last Name, First, MISocial Security Number

Maiden Name (If applicable) Date of BirthDrive License Number State Issued

Current Street AddressCell Phone Number (Include area code)

CityStateZipE-mail Address

$

Current Employer (if none, state “none”)/PositionStart DateWage/Income

Mo/Yrly

Name of Financial Guarantor /Co-Signer (if applicable)Social Security NumberDate of Birth

REQUIRED INFORMATION

Occupancy Date Number of Adults Children: Yes No If yes, how many

Pets:(1) Cat Limit (2)Other*Note: NoPet Dogs Allowed In Scheppke Real EstateRentals.

$25.00 per cat per month plus an additional $250.00 security deposit per cat. Must be spayed/neutered and front declawed.

Have you applied to or rented from Scheppke Real Estate LLC in the past? Yes No If yes, approximate date of occupancy and property address?

Have you ever been evicted or refused to pay rent? Yes No If yes, please explain:

Explanation:

Have you, or any other person on this application, ever been convicted of a crime? Yes No If yes, please explain:

Explanation:

Have you ever filed bankruptcy? Yes No If yes, date filed:

Have you ever foreclosed on a property? Yes No If yes, please explain:

RENTAL REFERENCES

1)

Current LandlordLandlord Telephone Number

From:To:

Address of Property RentingDates Leased or Rented (MM/DD/YY)

2)

Previous LandlordLandlord Telephone Number

From:To:

Address of Property RentedDates Leased or Rented (MM/DD/YY)

3)

Previous LandlordLandlord Telephone Number

From:To:

Address of Property RentedDates Leased or Rented (MM/DD/YY)

4)

Previous LandlordLandlord Telephone Number

From:To:

Address of Property RentedDates Leased or Rented (MM/DD/YY)

The purpose of this application is to determine whether I qualify as a tenant or subleasee. Greenpoint-Scheppke reserves the right to process and accept other applications received in the same time frame for the same apartment. Greenpoint-Scheppkewill select the best applicant. The landlord and I have no rental agreement until the time the lease or written rental agreement is signed.

False information, intentional misrepresentation or incomplete applicationmay lead to your application being rejected, possible termination of lease, or increased rental amount.It is also understood that the application may be rejected if uncooperative or argumentative with Greenpoint-Scheppke staff. I/We authorizeGreenpoint-Scheppke to conduct routine housing references, credit checks criminal background checksto determine eligibility, future collections or future eligibility toGreenpoint-Scheppkeand to prospective sublettor(s).I/We authorize Greenpoint-Scheppke to release all information regarding the denial of my rental application to potential sublettor(s).

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 by phone at 1-877-234-0085.

Applicant SignatureDate

Co-Applicant SignatureDate

How did you hear about us? Friend/RelativeCraigslist Leader-Telegram Spectator Apartment Connextion Facebook Other ______

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