LOFT
HOLDINGS
APPLY.
To apply for a Loft Holdings townhome, please copy and paste the rental application information below to a Word doc (or similar), fill it out, and email it to:
or mail it to:
Loft Holdings | PO Box 118 | Trempealeau, WI 54661
You may request a Rental Application be emailed to you in PDF form by contacting us at the email address above.
WISCONSIN RENTAL APPLICATION
1101 Linden Drive, Holmen, WI 54636 Date _______________
TENANT INFORMATION:
Full Name _____________________________________________________________________________
Home Phone ( ) _____________ Work Phone ( ) ________________ Cell Phone ( ) ________________
Date of Birth _____________________ Social Security No. ___________________________________
Drivers License No. ___________________________________________ State ____________________
Co-Applicant Name ____________________________________________________________________
Co-Applicant Date of Birth ___________ Co-Applicant Social Security No. _____________________
Names and Ages of everyone who will live in the residence
_______________________________________________________________________________________
List all pets ____________________________________________________________________________
Email Address _________________________________________________________________________
Vehicle Make/Model ________________________ Year ________ License/State _________________
EMPLOYMENT INFORMATION:
Applicants Employment Status ____ Full Time _____ Part Time _____ Student ____ Unemployed
Employer______________________________________________________________________________
Address _______________________________________________________________________________
Job Title ___________________________________ Dates employed ____________________________
Supervisor Name __________________________________ Phone ( ) ___________________________
Monthly Pay __________________
If you would like us to consider other sources of income for this Rental Application, please list the amount and the person we may contact for confirmation. Please do not reveal alimony, child support, or anyone else’s income unless you want us to consider it in this Wisconsin Rental Application.
Amount $_____________ Contact Name___________________________________________________
RESIDENTIAL HISTORY FOR LAST 3 YEARS:
Current Address _______________________________________________________________________
Move In Date ________________________________ Rent $____________________________________
Owner/Agent ________________________________________________Phone ( ) __________________
Reason for Leaving _____________________________________________________________________
Previous Address _______________________________________________________________________
Move In Date _____________________ Move Out Date ____________________ Rent $____________
Owner/Agent ________________________________________________ Phone ( ) _________________
Reason for Leaving _____________________________________________________________________
Previous Address _______________________________________________________________________
Move In Date _____________________ Move Out Date __________________ Rent $______________
Owner/Agent ___________________________________________ _____Phone ( ) _________________
Reason for Leaving _____________________________________________________________________
CREDIT HISTORY:
Have you ever filed bankruptcy? Yes ___________ No ___________
Have you ever been evicted from a rental residence? Yes ___________ No ___________
Are you a party to any lawsuits? Yes ___________ No ___________
Have you had any late rental payments in the last year? Yes ___________ No ___________
Are there any judgments against you? Yes ___________ No ___________
If you answered yes to any of the above questions, please explain
_______________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________
REFERENCES:
Bank References
Bank Name ____________________________________________________________________________
Account Type _________________
Bank Name ____________________________________________________________________________
Account Type _________________
Credit References
Name ______________________________________________________ Phone ( ) __________________
Name ______________________________________________________ Phone ( ) __________________
Name ______________________________________________________ Phone ( ) __________________
By my signature below, I represent that all of the information that I have disclosed in this Wisconsin Rental Application is true, accurate, and complete. I acknowledge that all of the information I have disclosed is material and Landlord is relying on the information to decide whether to grant or deny this Application.
NAME __________________________________________________ DATE ________________________
NAME __________________________________________________ DATE ________________________
AUTHORIZATION
I authorize Landlord to order and review my credit and criminal history and investigate the accuracy of all information contained in this Wisconsin Rental Application. I further authorize all banks, employers, and creditors to provide Landlord any and all information concerning my credit.
NAME ___________________________________________________ DATE _______________________
NAME ___________________________________________________ DATE _______________________
WELCOME TO A PLACE
you'll love to call home.