Move-in date__________

Address Applying For: __________________ Rent___________

Security Deposit_________

Key Deposit________(refundable)

RENTAL APPLICATION

Name_______________________ S.S.#______________________ Birth date________________

Cell Phone___________________ Home Phone___________________

Present Address_________________________________________ Zip Code_____________

Rent/month___________ How long?_________ Reason for moving_________________________

Present landlord_________________________ Phone #_______________________

Previous Address_________________________________ Zip Code__________ How long?________

Previous landlord_________________________________ Phone #____________________

Reason for moving___________________________________________________________

The apartment will be occupied by myself and:

Name Relationship Age S.S.#

______________________ ___________________ ___________ ___________________

______________________ ___________________ ___________ ___________________

______________________ ___________________ ___________ ___________________

______________________ ___________________ ___________ ___________________

Any Pets?______ Waterbed?____________

Employer____________________________ Position________________________ How long?_________

Supervisors Name_____________________ Phone #________________________

Take home pay per month?_______________________

Previous Employer________________________ Position__________________ How long?___________

Supervisors Name________________________ Phone #_____________________

Take home pay per month?____________________ Reason for leaving?___________________________

Amount of Alimony or child support you pay/receive $_________________________

Any other income?______________________ (SSI, Food stamps, etc.)____________________

Do you receive Rent Assistance?__________

Car Make/Model__________________ Year_____ Color__________ License Plate #____________

Car Make/Model__________________ Year_____ Color__________ License Plate #____________

In Case of Emergency – Contact

Name Phone Relationship

________________ ______________ ______________________

________________ ______________ ______________________

Who were you referred by?_______________________

Have you filed for bankruptcy?_____Yes_______No. If so, when and why?____________________

______________________________________________________________________________________

Have you ever been served an eviction notice or been asked to vacate a property you lived in?_______If so, when & why?_________________________________________________________________________________________

______________________________________________________________________________________________

I declare that the statements above are true and correct and I hereby authorize verification of tenancy, employment and references given and a credit check.

Signed________________________________________ Date_________________________

Send application to DAK Property Management, 7448 N Teutonia Ave, Milwaukee WI 53209 • 351-1232 office • 351-1327 fax