Goldleaf Development, LLC 885 Garden Drive Sun Prairie, WI 53590 (608) 837-3478 or (608) 834-8608 Fax (608) 825-0184 www.goldleafdevelopment.com Please fill out the application completely and accurately. The purpose of this application is to determine whether I qualify as a tenant. If my application is approved, the Landlord and I shall sign a written lease; I have no rental agreement with the Landlord before the time of the lease signing. I also acknowledge that falsification of information is grounds for denial. All approved applicants are required to provide a valid driver's license or state identification card. Please complete your current and prior landlord information and two-year employment history, including names and telephone numbers. If your application is otherwise not complete, one telephone call will be placed to the applicant to obtain the information in order to further the process. If this call does not provide the needed information, rejection may be based on an incomplete application. Please list all sources of income. Employment references may be checked to verify income or provide pay stubs for two most recent months. If an applicant receives an income subsidy, the applicant must provide verification when turning in the completed application. A credit check will be conducted on your application. A rental history check will be conducted on your application. Applicants are required to have at least one or two years of satisfactory housing history, depending on the property for which one is applying. Satisfactory housing history does not include time residing with parents, relatives, or friends. If an applicant owes or has owed money to another landlord, applicant will automatically be denied. Each property may have different acceptable qualifications for tenancy. Goldleaf Development, LLC. rents to applicants in the order that their applications are approved. We will contact you after your application has been processed. We provide copies of the lease agreement and lease rules upon request. The application fee is $100 per apartment and will be applied to the security deposit (or first month’s rent in the case of a sublet). Applicant Info First Name Middle Initial Social Security # Home and/or Cell Phone # Drivers License # Last Name Date of Birth Work Phone # Email Address Other Persons to Occupy Residence Occupant First Name Occupant Last Name Relationship Expected Length of Stay Employment Information Current Employer Employer Fax From Employer Address To Monthly Income $ (Before Tax) Employer City Employer Phone # Employer State Employer Zip Other Income Sources and Amounts (Verification must be provided) Sources of Income Source / Contact Name Address Phone Number Total Income(Before Tax) Self-employed applicants: If you are self-employed, you will need to provide the following information: tax returns and bank records for the last two years. Housing Information (All information is required.) Current Address City Landlord Phone # State Sate Landlord Fax # Zip Rent Paid per Month $ Zip Landlord Landlord Address From City To Previous Residence Previous Address Previous Landlord Phone # State Zip City State Previous Landlord Fax # Previous Rent Paid per Month $ Zip Previous Landlord Previous Landlord Address From City To Lease History Details Has an eviction action ever been filed against you or someone you were living with at the time? (Circle One) Yes / No Have you ever been convicted of a crime involving violence to persons or property? (Circle One) Yes / No Have you ever been convicted of any drug-related offenses? (Circle One) Yes / No Do you owe money to your current landlord or any former landlord? (Circle One) Yes / No Will you have a pet? (Circle One) Yes / No If yes, what kind? ______________________________ Have you or a roommate ever had bed bugs? (Circle One) Yes / No __________________ Have you or a roommate ever had bed bugs? (Circle One) Yes / No I, the undersigned, hereby acknowledge that I have read and understand this application, and all information that has been submitted, including the information listed on this application, is true and correct. I understand that all application information and materials are being relied upon in application processing and are a pre-condition to approval by Goldleaf Development, LLC. Any false statements or omissions are grounds for immediate application rejection, or future termination of any lease signed pursuant to this application. I hereby authorize management to conduct routine housing references, employment verification, criminal background checks, public records checks, financial reference investigations, and to obtain and rely on credit agency reports for the purpose of processing this application. Signature ___________________________________________ Date__________________ Print _______________________________________________
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