Credit Check Fee $25.00. The applicant agrees to pay this fee. The credit report fee is non-refundable.
Two forms of identification are required when submitting this application.
"Applicant must be at least 18 years old to apply for apartment"
* APARTMENT ADDRESS: The undersigned hereby makes application for the apartment located at Apt #
* Desired Occupancy Date:
APPLICANT INFORMATION: Each applicant must complete a separate rental application!
* First Name: * Middle Initial: * Last Name: * Social Security #: - -
* Birth Date / / * Driver License Number
* One phone number is required.
Home Phone #: - - or Work Phone #: - - or Cell Phone #: - -
* Auto License Plate Number * Make * Model Color
Pets are not permitted unless separately agreed upon. Pets Pet Type "Pet Type" is required if "Pets" is yes.
Emergency Contact
* Name: * Address: * City: * State:
* Phone #: - - * Relationship to Applicant:
Names of other persons (Non-Applicants) to occupy apartment:
Please provide only “non” applicant information.  All applicants must submit individual applications
1. Name: Social Security #: - - Birth Date / /
2. Name: Social Security #: - - Birth Date / /
3. Name: Social Security #: - - Birth Date / /
* Have you ever failed to pay rent when due? Yes No
* Have you ever been evicted? Yes No
Current Address
* Address: * City: * State: * Zip: * Dates occupied: to
Do you rent?
If you rent, all current landlord information is required
Landlord Name: Phone #: - - Rent/per month
Previous Address:
If previous address is filled in all other fields are required.
Address: City: State: Zip: Dates occupied: to
Did you rent?
Landlord Name: Phone #: - - Rent/per month
Are you employed?
If employed, all other fields are required.
Present Employer Name: Contact Name Name:
Address: Phone #: - - How Long?
Monthly Pay $ Position
Previous Employer Name: Contact Name Name:
Address: Phone #: - - How Long?
Monthly Pay $ Position
If Income "Type" is filled in the rest of the fields are required.
Payer's Name: Phone #: - - Monthly Pay $
Payer's Name: Phone #: - - Monthly Pay $
Please provide all information, including dates, state, county, offense, type, etc. regarding criminal/civil convictions or forfeitures.
Questions? Comments?
The purpose of this application is to determine whether I qualify as a tenant. Cornerstone, Inc. reserves the right to process and accept other applications
received in the same time frame for the same apartment. Cornerstone, Inc. will select the first approved applicant. If my application is approved, the landlord and I shall sign a written lease or rental agreement. The landlord and I have no rental agreement until the time the lease or written rental agreement is signed. I hereby authorize landlord/manager to investigate my credit and financial responsibility, income, rental and eviction history, criminal/civil convictions and
forfeitures, statements made in this application, to obtain a consumer credit report on me from a consumer reporting agency that complies and maintains files on consumers on a nationwide basis or other reasonable measures to evaluate me as a prospective tenant. 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 understand I may stop by the manager’s office to review a sample lease and rental agreement at anytime. I warrant and represent that I am at least 18 years of age, I agree to provide a copy of my drivers license when requested. All statements herein are true and correct. Intentional/unintentional misrepresentation may lead to eviction or other legal recourse by landlord. Notice: You may obtain information about the sex offender registry and persons registered with the registry by contacting the Wisconsin Department of Corrections on the internet at or by phone at 877-234-0085.
This is NOT a lease or rental agreement!
Upon clicking the “Submit Application” button this application will be digitally signed. A digital signature is, by law, considered a legal signature
If “none” please type “none” * Email Address