<p> WALTON RENTALS 1005 W. Main Street, Ste C Whitewater, WI 53190 Telephone: 262-473-8646 Fax: 262-473-8360 rrwalton.com / [email protected]</p><p>The undersigned hereby makes application to rent apartment / house at ______. Rent amount:______</p><p>Lease Term______Security Deposit______</p><p>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.</p><p>PERSONAL INFORMATION</p><p>Applicant’s Name ______Date of Birth ______</p><p>Social Security # ______Marital Status ______</p><p>Driver’s License # ______Phone # ______</p><p>Other Residents Relationship</p><p>______</p><p>______</p><p>______</p><p>______</p><p>RESIDENT HISTORY</p><p>Present Address ______How Long ______</p><p>Present Landlord ______Rent $______</p><p>Landlord Phone # ______Reason for moving ______</p><p>May we contact your present landlord for a reference? Yes No</p><p>Parents name to contact for reference:______</p><p>Parents phone number:______Best time to contact:______EMPLOYMENT INFORMATION</p><p>Employer ______Date of Hire ______</p><p>Phone # ______City ______</p><p>Supervisor ______Weekly Income ______</p><p>May we contact your employer for a reference? Yes No </p><p>OTHER INFORMATION</p><p>Automobiles and Other Vehicles</p><p>Make and Model Year Color Lic. No.</p><p>______</p><p>______</p><p>In case of personal emergency notify ______</p><p>Address ______</p><p>Phone # ______Relationship ______</p><p>At the end of my lease please mail my security deposit to: ______</p><p>______</p><p>REFERENCES</p><p>Name Phone Number Relationship</p><p>______</p><p>______</p><p>______</p><p>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.</p><p>Signature of Applicant ______Date ______</p>