WALTON RENTALS 1005 W. Main Street, Ste C

WALTON RENTALS 1005 W. Main Street, Ste C Whitewater, WI 53190 Telephone: 262-473-8646 Fax: 262-473-8360 rrwalton.com / [email protected]

The undersigned hereby makes application to rent apartment / house at ______. Rent amount:______

Lease Term______Security Deposit______

Completion of an application does not constitute a lease agreement with Walton Rentals. There will be a $50 application fee with each application taken. If declined, fee will be returned. If accepted, fee will be applied towards security deposit. If applicant back’s out fee will be kept by Walton Rentals.

PERSONAL INFORMATION

Applicant’s Name ______Date of Birth ______

Social Security # ______Marital Status ______

Driver’s License # ______Phone # ______

Other Residents Relationship

______

RESIDENT HISTORY

Present Address ______How Long ______

Present Landlord ______Rent $______

Landlord Phone # ______Reason for moving ______

May we contact your present landlord for a reference? Yes No

Parents name to contact for reference:______

Parents phone number:______Best time to contact:______EMPLOYMENT INFORMATION

Employer ______Date of Hire ______

Phone # ______City ______

Supervisor ______Weekly Income ______

May we contact your employer for a reference? Yes No

OTHER INFORMATION

Automobiles and Other Vehicles

Make and Model Year Color Lic. No.

______

In case of personal emergency notify ______

Address ______

Phone # ______Relationship ______

At the end of my lease please mail my security deposit to: ______

______

REFERENCES

Name Phone Number Relationship

______

My rental of said premises is to be limited to use and occupancy by family of size and description above without any right on my part to sublet all of any of said premises. I hereby authorize my employer and Landlord to release employment and rental information to Walton rentals.

Signature of Applicant ______Date ______