Application for Residency

Which location is the apartment you’re applying for:*
Fields marked with an asterisk (*) are required.
Please enter the address of the apartment you are applying for:
Address:*
Street Address Address Line 2 City State ZIP Code
APT#:*
Monthly Rent:
Lease Start Date:*
MM slash DD slash YYYY
End Date:*
MM slash DD slash YYYY
Security Deposit Amount:

Hidden
Applicant Information
Applicant Information
EACH ADULT APPLICANT MUST COMPLETE A SEPARATE APPLICATION. Complete the following information for each household member that will occupy the unit at the time of move-in and throughout the term of the lease. Application MUST be completed in FULL.
Falsification of information is grounds for denial.
Name:*
First Middle Last
Birth Date ( mm/dd/yy ):*
MM slash DD slash YYYY
M / F:*
- Male
- Female
Social Security No:*
Driver’s License No:*
Photo ID*
Accepted file types: jpg, jpeg, png, Max. file size: 2 MB.
Add Names of Other Occupants Below:
Name:

ADULT?

YES

NO
EACH ADULT APPLICANT MUST COMPLETE A SEPARATE APPLICATION.

CURRENT ADDRESS:*
Street Address Address Line 2 City State ZIP Code
Rent ($):
From (date):*
MM slash DD slash YYYY
To (date):*
MM slash DD slash YYYY
Landlord’s Name:*
Landlord’s Address:*
Landlord’s Phone:*
Landlord Fax:
PREVIOUS ADDRESS:*
Street Address Address Line 2 City State ZIP Code
Rent ($):*
From (date):*
MM slash DD slash YYYY
To (date):*
MM slash DD slash YYYY
Landlord’s Name:*
Landlord’s Address:*
Landlord Phone#:*
Landlord Fax #:

EMERGENCY CONTACT (Other than Applicant, Co-applicant or Occupant listed above).
Name:*
Address:*
Street Address Address Line 2 City State ZIP Code
Phone:*
Relationship:*
PLACE OF EMPLOYMENT:
Name:*
How many hours per week?*
Address:*
Street Address Address Line 2 City State ZIP Code
How long have you been employed here? (Give dates):
From (date):*
MM slash DD slash YYYY
To (date):*
MM slash DD slash YYYY
Gross Month Income:*
Supervisor’s Name:*
Phone:*

Will you be receiving any other income that you want considered with this application? (e.g. Parents paying rent, alimony, child support, savings, trust funds, Scholarships. If so, please provide the information for verification.
Source of Income (Name of Agency):
Amount of Income:
Address:
Street Address Address Line 2 City State ZIP Code
Phone:

The purpose of this application is to determine whether I qualify as a tenant. If my application is approved, the Landlord and I shall signa written Lease. I have no rental agreement with the Landlord before the time of the lease signing.

My performance under any lease or rental agreement that I may enter into with the Landlord may be reported to such reporting agency. I acknowledge that the Manager and the agents and employees thereof represent the interests of the Landlord, but they also have a duty to treat all parties fairly and in accordance with fair housing law, and to disclose material adverse facts about the property. I warrant and represent that I am at least 18 years of age and that all information and answers to the above questions are true and complete to the best of my knowledge.

I understand that providing false information or making false statements may be grounds for denial of my application. I also understand that such action may result in criminal penalties. I understand that my occupancy is contingent on meeting management’s resident selection criteria. I further understand that pets are not permitted and this rule is strictly enforced. Pet sitting and/or pets visiting are also prohibited.

I hereby authorize the Landlord to investigate my credit and financial responsibility, income, rental and eviction history, and the statements made in this application, and to obtain a criminal background check and a consumer credit report on me from a consumer reporting agency that compiles and maintains files on consumers on a nationwide basis.
Sign here by typing your name into the box and add date:
Date
MM slash DD slash YYYY
LANDLORD DISCLOSURES AND REQUIREMENTS – APPLICANT ACKNOWLEDGES HAVING BEEN ADVISED:
Copies of the proposed Lease and rules and regulations of the landlord have been made available to applicant for inspection. I/we have been given the name and address of the person authorized to receive rent, manage, and maintain the premises, who can readily be contacted, and an owner or agent with an address within the state authorized to receive and receipt for notices and demands, and at which service of process can be made in person.
I/we have been advised of my/our right to inspect the dwelling unit and notify the landlord of any damage or defect that exist before the beginning of my/our tenancy. I/we have been advised of my/our right to request, in writing, a written list of the physical damage and defects, for which the landlord deducted money from the previous tenant’s security deposit. I/we have been advised of utility charges not included in rent.
APPLICATION PROCESS and CRITERIA
1. Applications will only be received at the office between the hours of 8:00AM & 5:00PM Monday-Friday, in person, by mail, email, or online through our website, KellerApartments.com. Applications are not leases or rental agreements.
2. All prospective Tenants must each complete a separate application, filled out completely and signed. ALL applications from ALL applicants(roommates) must be received by Landlord before management will process them. Any incomplete, inaccurate, falsified or unsigned applications will be rejected.
3. Applications submitted BEFORE a tour/showing of apartment will not be considered. Please call 608-227-6543 to ensure that the apartment you choose to apply for is still available.
4. The full security deposit must be paid at lease signing.
5. Management will not “hold” an apartment/house for applicants.
6. Past and present housing references satisfactory to Management will be required. Housing references shall include, but not limited to the following: a) timely rent payments, b) abiding by lease, rules and regulations, c) mortgage verification.
7. Applicant may be denied if there are any criminal convictions.
8. Application for residency may be approved or denied based on credit bureau results
Thank you for your information. Once you click Submit, you will be routed to our payment page to pay the non-refundable $25 application fee.

Application for Residency

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Applicant Information

Applicant Information

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