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:

 

hiltonproperties01@yahoo.com

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 _______________________