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The Wisconsin Rental Application form is a crucial document for anyone looking to rent a property in the state. This form requires each adult applicant, aged 18 and older, to provide detailed personal information, including their full name, date of birth, and contact details. Applicants must also disclose their rental history, including current and previous addresses, landlord contact information, and reasons for moving. Employment history is equally important; applicants need to list their current and past employers, job titles, and gross monthly income. Additionally, the form collects information about other sources of income, credit references, and financial obligations, such as bank account details and outstanding debts. It also addresses other relevant aspects, like vehicle ownership, pet ownership, and smoking habits. Importantly, the application emphasizes the necessity of accurate information, as any misrepresentation can lead to denial. To complete the process, applicants must provide proof of identification and may need to pay a fee for a consumer credit report. Understanding the various sections of this form can help streamline the rental process and increase the chances of approval.

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Form 996-D Rental Application

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Wisconsin Legal Blank Co., Inc.

 

 

 

 

is filled the text gets smaller to

 

 

 

 

Milwaukee, Wisconsin

 

 

 

 

 

 

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Page 1 of 2

1

RENTAL

 

• Each adult applicant (18 years of age or older) must complete an application.

2

 

• Incomplete applications will not be considered.

 

 

• Your application will be denied if you misrepresent any information in this application.

3

APPLICATION

 

54

 

• Please print legibly.

 

 

 

 

 

Import Data

 

 

 

• Proof of identification is required.

 

 

 

 

 

 

 

 

 

 

 

 

 

6

7

8

Proof of Identification is required.

Date

 

Name of Landlord/Agent:

 

 

 

 

UNIT INFORMATION (To be Completed by Landlord)

 

 

 

 

9

Address

 

 

 

Unit No.

 

10

Monthly Rental Amount

 

Security Deposit Amount

 

11Type of Tenancy (i.e. 12 month lease, month to month, etc.)

12Utilities Included

13

 

 

 

 

 

 

 

 

PERSONAL INFORMATION

 

 

14

Applicant’s Full Name

 

 

 

 

 

 

 

Date of Birth

 

 

 

 

 

 

 

 

 

 

FIRST

 

 

MIDDLE INT.

LAST

 

 

 

 

 

 

 

 

 

 

15

List any prior names

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16

that you have used:

 

 

 

 

 

 

 

 

Soc. Sec. No.

 

 

 

17

Address

 

 

 

 

 

 

 

 

 

 

 

 

Phone

 

 

 

 

 

 

 

18

City, State, Zip

 

 

 

 

 

 

 

 

 

 

 

Other Phone

 

 

 

 

 

19

D.L. No.

 

 

 

 

 

 

E-mail

 

 

 

 

 

 

 

 

 

 

 

 

 

20

OTHER OCCUPANTS include full names.

 

 

RELATIONSHIP

 

 

DATE OF BIRTH

 

SOC. SEC. NO.

21

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

22

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24

 

 

 

 

 

 

 

 

 

 

RENTAL HISTORY

 

 

 

 

 

 

 

 

 

 

25

Current Address

 

 

 

 

 

 

 

How Long?

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

STATE

ZIP

 

 

 

 

 

 

 

26

Current Landlord

 

 

 

 

 

 

 

 

Phone

 

 

 

27

Reason for Moving?

 

 

 

 

 

 

 

Current Rent Amount ___________ / _______

28

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

29

Previous Address

 

 

 

 

 

 

 

How Long?

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

STATE

ZIP

 

 

 

 

 

 

30

Previous Landlord

 

 

 

 

 

 

 

 

Phone

 

 

 

31

Reason for Moving?

 

 

 

 

 

 

 

 

Current Rent Amount ___________ / _______

 

 

 

 

 

 

 

 

 

 

 

 

32

 

 

 

 

 

 

 

 

EMPLOYMENT HISTORY

 

 

33

Current Employer

 

 

 

 

 

 

 

 

Starting Date

 

 

 

34Address

 

 

 

 

 

 

CITY

STATE

ZIP

35

Job Title

 

Gross Monthly Income

 

 

 

Supervisor

 

Phone

 

(before deductions)

36

 

 

37

Other Employer

 

Starting Date

 

 

 

38Address

 

 

 

 

 

 

 

CITY

STATE

ZIP

39

Job Title

 

Gross Monthly Income

 

 

 

 

 

 

 

 

 

 

(before deductions)

40

Supervisor

 

 

Phone

 

 

 

 

10/26/15 - Drafted by Attorney Tristan R. Pettit of Petrie & Stocking S.C.

 

 

© 2015 Wisconsin Legal Blank Co., Inc.

 

 

 

 

Wisconsin Legal Blank Co., Inc. • 749 N. 37th Street •

Milwaukee, WI 53208 • 800-890-6890 • www.wilegalblank.com

 

Complete 2nd page

Page 2 of 2

41

OTHER SOURCES OF INCOME

42List any additional income to be considered – verification required

43

44

CREDIT & FINANCIAL INFORMATION

45

Bank

 

Account No.

 

Account Type

46

Bank

 

Account No.

 

Account Type

47Credit References (auto loans, personal loans, credit cards)

48

Type

 

Name of Creditor

 

Account No.

 

49

Total Amount Owed

 

Monthly Payment Amount

 

 

 

50

Type

 

Name of Creditor

 

Account No.

 

51

Total Amount Owed

 

Monthly Payment Amount

 

 

 

 

 

 

 

 

 

 

52

 

 

 

OTHER INFORMATION

 

 

 

 

 

 

 

 

 

 

 

53Automobiles and Other Vehicles

54

Make and Type

 

Year

 

Color

 

Lic. No.

55

Make and Type

 

 

Year

 

 

Color

 

 

Lic. No.

56

Make and Type

 

 

Year

 

 

Color

 

 

Lic. No.

57

Do you have any pets?

 

If yes, what type and how many?

 

58

Do you own furniture?

 

 

Do you smoke?

 

 

59

Have you ever been evicted?

 

 

If yes, please provide circumstances:

 

 

60

61Emergency Contact:

62 Name

 

Phone

 

Relationship

63Address

CITY

STATE

ZIP

64NOTICE: You may obtain information about sex offender registry and persons registered with the registry by contacting the

65Wisconsin Department of Corrections on the Internet at http://offender.doc.state.wi.us/public/ or by phone at 877-234-0085

66The rental of this property is limited to the use and occupancy by the individuals listed above without any right to sublet any or all of the property.

67Tenant may request in writing within seven days after delivery of the rental unit a list of physical damages or defects, if any, charged to the

68previous tenants security deposit.

69I enclose the sum of $ _______________ (not to exceed $20) for the purpose of purchasing my consumer credit report.

70I understand that if I have misrepresented any information on this application that my application will be denied.

71I authorize Landlord to do the following: (1) contact any individuals and/or businesses listed above and verify all of the information provided

72in this application before, during, and/or after my tenancy, and (2) obtain a copy of my consumer credit report.

73I acknowledge being furnished copies of the Rental Agreement, Rules & Regulations, and if applicable, any Nonstandard Rental Provisions.

74I agree to sign the Rental Agreement, Rules & Regulations and Nonstandard Rental Provisions, if applicable, prior to taking occupancy of

75the unit.

76I certify that all of the information provided in this application is true and accurate to the best of my knowledge.

77

78

79 Signature of ApplicantDate

80

81

NOTE:  A SECURITY DEPOSIT IS REQUIRED FROM EVERY TENANT AGAINST DAMAGE OR LOSS TO THE PREMISES AND THE SECURITY DEPOSIT CANNOT BE USED FOR THE LAST MONTH’S RENT.

82Please Note: Landlord is using public records provided by a third party service to determine your eligibility to rent.  Neither Landlord, nor

83the third party service, can vouch for the accuracy of the records as they have no control over such records.  It is the responsibility of the

84applicant to check the accuracy of their own public records.

10/26/15 - Drafted by Attorney Tristan R. Pettit of Petrie & Stocking S.C.

© 2015 Wisconsin Legal Blank Co., Inc.

Wisconsin Legal Blank Co., Inc. • 749 N. 37th Street • Milwaukee, WI 53208 • 800-890-6890 • www.wilegalblank.com

Document Specs

Fact Name Description
Applicant Requirements Every adult applicant (18 years and older) must fill out a rental application.
Completeness Applications that are incomplete will not be considered for approval.
Misrepresentation Consequences If any information is misrepresented, the application will be denied.
Identification Proof Proof of identification is required to process the application.
Rental History Applicants must provide their current and previous addresses along with landlord contact information.
Income Verification Applicants need to disclose their gross monthly income and employment details.
Security Deposit A security deposit is required and cannot be used for the last month’s rent.
Credit Report Fee Applicants may need to pay a fee (not exceeding $20) to obtain their consumer credit report.
Pet Policy Applicants must disclose if they have pets, including type and quantity.
Legal Compliance This application is governed by Wisconsin rental laws, ensuring tenant rights are protected.
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