Application - Hatchery Hill Towne Center

Hatchery Hill Apartments 3000 Cahill Main, Suite 113 Fitchburg, Wisconsin 53711 608-658-9284

NOTICE: Co-Applicant must complete a separate Rental Application form.
PLEASE TELL ABOUT YOURSELF (please be specific)
FULL NAME (First, Middle, Last)*
Date of Birth*
MM slash DD slash YYYY
Social Security Number*
Cell Phone
Home Phone
Work Phone
Email Address*
Driver's License No.*
Driver's License State/Exp. Date*
In Case of Emergency, Please Notify*
Emergency Phone*
Name of Co-Applicant
Other Occupants & Relationship
Number of Dependents
Age(s) of Dependents
Pets (Number, Kind Weight)

PLEASE GIVE US YOUR RESIDENCE HISTORY FOR THE PAST 5 YEARS (beginning with most recent)
CURRENT ADDRESS*
Street Address City State ZIP Code
Date Moved In*
MM slash DD slash YYYY
Date Moved Out*
MM slash DD slash YYYY
Monthly Rent/Mortgage*
Reason for Leaving*
Landlord Name*
Landlord Email*
Landlord Phone*
Landlord Address*
Street Address City State ZIP Code
PREVIOUS ADDRESS (If within 5 years)
Street Address City State ZIP Code
Date Moved In
MM slash DD slash YYYY
Date Moved Out
MM slash DD slash YYYY
Monthly Rent/Mortgage
Reason for Leaving
Landlord Name
Landlord Email
Landlord Phone
Landlord Address
Street Address City State ZIP Code
PREVIOUS ADDRESS (If within 5 years)
Street Address City State ZIP Code
Date Moved In
MM slash DD slash YYYY
Date Moved Out
MM slash DD slash YYYY
Monthly Rent/Mortgage
Reason for Leaving
Landlord Name
Landlord Email
Landlord Phone
Landlord Address
Street Address City State ZIP Code

PLEASE GIVE YOUR EMPLOYMENT INFORMATION
*
- Employed Full Time
- Employed Part Time
- Student/Full Time
- Student/Part Time
- Retired
- Unemployed
CURRENT EMPLOYER
Start Date
MM slash DD slash YYYY
Employed As
Employer Address
Street Address City State ZIP Code
Supervisor's Name
Supervisor's Email
Supervisor's Phone Number
Supervisor's Address
Street Address City State ZIP Code
Gross Monthly Income
SECOND EMPLOYER
Dates Employed
Employed As
Second Employer Address
Street Address City State ZIP Code
Supervisor's Name
Supervisor's Email
Supervisor's Phone
Supervisor's Address
Street Address City State ZIP Code
Gross Monthly Income
PREVIOUS EMPLOYER OR SCHOOL
Dates Employed
Employed As
Previous Employer or School Address
Street Address City State ZIP Code
Supervisor's Name
Supervisor's Email
Supervisor's Phone
Supervisor's Address
Street Address City State ZIP Code
Gross Monthly Income
OTHER INCOME
If there are other sources of income you would like us to consider, please list income, source and person (Banker, Employer, etc.) who we could contact for confirmation. You do NOT have to reveal alimony, child support of spouse’s annual income unless you want us to consider it in this application.
Amount $
Source
Amount $
Source

OTHER INFORMATION
Your Driver's License Number*
Driver's License State*
Expiration Date*
MM slash DD slash YYYY
Your Vehicle Year/Make/Model
Tag Number
State
Second Vehicle Year/Make/Model
Tag Number
State
Have you ever:
- Filed for bankruptcy?
- Been evicted from tenency?
- Willfully or intentionally refused to pay rent when due?
- Been convicted of a felony?
Earnest Money Deposit*
Number of months you wish to execute a lease for:*
I hereby deposit the amount listed above as earnest money for this application, payable to: Hatchery Hill Investments, LLC and LaCorona and Associates, LLC. Upon approval of this application, this deposit shall be retained and applied as part of the security deposit. In the event this application is rejected, Landlord will refund the earnest money within three (3) business banking days. When so approved and accepted, I agree to execute a lease for the number months listed above before possession is given and to pay the balance of the security deposit, if any, within four (4) business banking days after being notified of acceptance, or the deposit will be forfeited as liquidated damages. As allowed under ATCP, Landlord shall have twenty-one (21) calendar days from acceptance of the earnest money deposit to approve or deny the rental application.

City of Madison General Ordinance Section 32.08(5) provides that if your application is denied, you must be provided written reasons for the denial by the end of the third business day after the denial, unless you indicate on this application that you do not wish to receive such written explanation. By initialing below, you hereby waive receiving a written explanation if your application is denied.
Check the appropriate box below regarding written explanation from the landlord if your application is denied.*
- No, I do not wish to receive a written explanation
- Yes, I do wish to receive a written explanation

APPLICANT SCREENING CRITERIA
PERSONAL IDENTIFICATION: We require two forms of identification. A photo ID and one other type of ID to be presented and photocopied with your completed application.

RENTAL HISTORY: It is your responsibility to provide us with the information necessary to contact your past landlords. We reserve the right to deny your application if, after making a good faith effort, we are unable to verify your rental history. If you owned - rather than rented - your previous home, you will need to furnish mortgage company references and proof of title ownership or transfer. A minimum of two (2) years of rental history is required.

INCOME: We must be able to verify independently the amount and stability of your income and it is your responsibility to provide evidence of your ability to pay rent. (For example: through pay stubs, employer/source contact, or tax records. If self-employed: business license, tax records, bank records, or a list of client references.) Monthly Income must be continuous to satisfy all months of the lease and Rent cannot exceed 35% of your gross income unless you can provide other reliable, demonstrable evidence of your actual ability to pay rent.

STUDENTS: If you are a full time student, a parental or guardian's rent guarantee will be required unless proof of adequate or other sources of revenue are available: (example: trust fund established for student's education).

YOUR APPLICATION FOR RENTAL WILL BE REJECTED IF:
- You misrepresent and information on the application. If misrepresentations are found after a rental agreement is signed, your rental agreement may be terminated.
- If within the last two (2) years, you or a member of your household has been charged with a crime and the circumstances of the offense bear a substantial relationship to tenency. The applicant screening process will include a conviction record check as allowed by law.
- Your credit check shows accounts that are not current. For example, occasional credit records showing payments within [30 to 59] days past due could be acceptable, provided you can justify the circumstances. Records showing payments past [60] days are not acceptable.
- If during the last three (3) years, you have been through a court-ordered eviction, or had a judgement filed against you for financial delinquency. This restriction my be waived if there is no more than one instance, the circumstance can be justified, and you provide a qualified co-signer on your rental agreement.
- Previous landlords report significant complaint levels of noncompliance activity such as: Repeated disturbances of the neighbors' peaceful enjoyment fo the area; reports of gambling, prostitution, drug dealing, or drug manufacturing: reports of violence or threats to landlords or neighbors; allowing person not on the rental agreement to reside on the premises; failure to give proper notice when vacating the property.
Until Landlord executes and tenders a Lease to applicant(s), Landlord shall have the right to reject this application based on the screening criteria.

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. I authorize Hatchery Hill Investments, LLC and LaCorona and Associates, LLC to verify this information through any means, including consumer reporting agencies, other rental housing owners and obtaining criminal record information. 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 the screening criteria above. I understand that the disclosure of an applicant’s Social Security Number (SSN) is voluntary, and housing may not be denied solely on the applicant’s decision to withhold their SSN. I hereby acknowledge that I have been provided an opportunity to review a copy of Hatchery Hill Towne Center's Lease and applicable rules and regulations for residing at Hatchery Hill Towne Center prior to paying a security deposit. Indicate your agreement to the provisions of this application by typing your name in the signature box below.
Signature of Applicant*

Please sign application.
Date*
MM slash DD slash YYYY
By clicking SUBMIT below this application will be sent via secure electronic transmission to the property management. They will be in contact with you as soon as possible to discuss your application.
FOR LANDLORD USE ONLY:
Earnest Money Deposit of $
Check/Money Order No.:
Date of receipt:
Received by:

Step 1 of 6

PLEASE TELL ABOUT YOURSELF (please be specific)

PLEASE GIVE US YOUR RESIDENCE HISTORY FOR THE PAST 5 YEARS (beginning with most recent)

PLEASE GIVE YOUR EMPLOYMENT INFORMATION

OTHER INCOME

PLEASE LIST YOUR BANK AND CREDIT REFERENCES

OTHER INFORMATION

APPLICANT SCREENING CRITERIA

FOR LANDLORD USE ONLY: