Application for Tenancy

Golden Plover Apartments Application For Tenancy 3570 Page Dr. Phones: 715-341-4002 Plover, WI 54467 715-341-0997 Visit our website www.goldenploverapartments.com Fax : 715-342-4278

First months rent due at acceptance of TENANCY APPLICATION. Security Deposit is due at move-in time. If moving in before the first of the month, both Security Deposit and pro-rated amount of that sum is due at move-in. First months rent and security deposit is due in cash or money order. No out of county personal checks accepted. Will not hold apartment without first month rent being paid. Check stubs may be needed to verify income. INCOME MUST BE THREE TIMES APARTMENT RENT TO QUALIFY. (EX. RENT $400 X 3 = $1200.00) Persons to occupy apartment Date of birth 1) ______Rent Amt. ______Lease term from ______to ______2) ______No. of dependants ______Ages______Housing references 1) Present address ______Apt # _____ City ______Zip ______Date From ______Date To ______Phone______Name of Landlord/Manager ______Phone______Reason for leaving ______Rent Amt Paid ______Previous address ______Apt # _____ City ______Zip ______Date From ______Date To ______Name of Landlord/Manager ______Phone ______Reason for leaving ______Rent Amt Paid ______2) Present address ______Apt # _____ City ______Zip ______Date From ______Date To ______Phone______Name of Landlord/Manager ______Phone______Reason for leaving ______Rent Amt Paid ______Previous address ______Apt # _____ City ______Zip ______Date From ______Date To ______Name of Landlord/Manager ______Phone ______Reason for leaving ______Rent Amt Paid ______Employment 1) Present employer ______Address ______How Long? ______Position ______Supervisor ______Work Number ______2) Present employer ______Address ______How Long? ______Position ______Supervisor ______Work Number ______Income: 1) Gross Monthly Income $ ______2) Gross Monthly Income $ ______Other Information Have you ever been evicted or been served an eviction notice? 1) Yes ___ No ___ 2) Yes ___ No ___ Have you ever filed for bankruptcy? 1) Yes ___ No ___ 2) Yes ___ No ___ Have you ever been convicted of a felony? 1) Yes ___ No ___ 2) Yes ___ No ___ If yes explain ______Bank References 1) Name and Address of Bank ______Checking Account No ______Savings Account No. ______Personal Loans : ______Amount Per Month ______Name and Address of Bank ______Checking Account No ______Savings Account No. ______Personal Loans : ______Amount Per Month ______Automobiles 1) Make of auto ______Year ______License Plate No.______Driver’s License No. ______2) Make of auto ______Year ______License Plate No.______Driver’s License No. ______In case of emergency, please notify: 1) Name: ______Address ______Relationship: ______Phone No. ______2) Name: ______Address ______Relationship: ______Phone No. ______How did you hear of our apartments? apartments.com_____ goldenploverapartments.com_____ Newspaper _____ Business card ______

Other______Applicant(s) consents to routine inquiry of references and credit agencies to provide applicable information concerning applicant’s character, creditworthiness, reliability, income amount. To the best of my knowledge all the above information is true. Signature ______Soc. Sec. No. ______Date ______Signature ______Soc. Sec. No. ______Date ______