* Property applying for: 6725 Hammersley Rd Clardell Drive - East Bay 822 N Thompson Dr 401 Cottage Grove Rd 6701 East Pass 802-808 Brandie Rd 4326 Nakoosa Trail 66 Sinykin Circle 611 Crawford Dr
* Applicant's name: * Phone #:
E-mail Address:
* Move-In Date: Lease End Date:
* Base Rent: Rental discount of $20, if entire month's rent is received before the first day of that month.

Person(s) to occupy residence (please include children)
* 1) Name: Birthdate: SS#:
2) Name: Birthdate: SS#:
3) Name: Birthdate: SS#:
4) Name: Birthdate: SS#:
5) Name: Birthdate: SS#:

Your Current Residence: (Street address, Apt #, City & State)
* 1) Address: Apt #: Phone #:
2) Address: Apt #: Phone #:
3) Address: Apt #: Phone #:
4) Address: Apt #: Phone #:
5) Address: Apt #: Phone #:

Current & Past Landlords (each applicant over 18 must provide housing history):
1) Phone #: Reason Left:
2) Phone #: Reason Left:
3) Phone #: Reason Left:
4) Phone #: Reason Left:
5) Phone #: Reason Left:

Your Current Employer:
1) Phone #: Refer To:
2) Phone #: Refer To:
3) Phone #: Refer To:
4) Phone #: Refer To:
5) Phone #: Refer To:

Your Bank References (Include account numbers):
1) City: Phone #: Acct #:
2) City: Phone #: Acct #:
3) City: Phone #: Acct #:
4) City: Phone #: Acct #:
5) City: Phone #: Acct #:

Your Income:
Person 1 - Annual Salary: Other Income: * Annual Income:
Person 2 - Annual Salary: Other Income: Annual Income:
Person 3 - Annual Salary: Other Income: Annual Income:
Person 4 - Annual Salary: Other Income: Annual Income:
Person 5 - Annual Salary: Other Income: Annual Income:

* Have you ever been evicted? No Yes If yes, when: Reason:

* Have you ever had a judgement or lien filed against you? No Yes If yes, when:
Reason:

Security deposit: $300.00 - Utilities I pay for: All Heat Electric Water Heat & Electric only
Pet Policy: $15 per pet per month
maximum of 2 (Pets not permitted: pit bull, rottweiler, doberman pincher, ferret, snakes, rats or mice.)

All information requested must be provided to process the application. Failure to complete any section of the application can result in rejection of the application due to insufficient information. Applicants are entitled to review the lease, rules & regulations, previous tenant damages, & other forms as may be required by law for occupancy. Information on sexual predators may be obtained at http://offender.doc.state.wi.us, and signing this form attests that this information has been provided to their satisfaction. The Fair Credit Reporting Act, Public Law 91-508 requires that we notify you that as a part of our normal procedure, routine inquiries will be made to provide information concerning character, general reputation & style of living. Upon written request, the nature and scope of any report, if one is made, will be provided.

Vehicle Registration:
Car 1 - Make: Model: Year: License Plate #
Car 2 - Make: Model: Year: License Plate #

Driver Registration:
Driver 1 Name: Driver 1 License #:
Driver 2 Name: Driver 2 License #:

Emergency Contact:
Name: Phone #:
Name: Phone #:

This application is subject to the approval of the landlord or agent. False, inaccurate or incomplete information may result in the rejection of this application. Applicant further understands this form is NOT a rental agreement or contract.

By clicking submit I certify my application is accurate and true. I agree to allow Vista Property Management, LLC. to obtain a copy of my credit history and check my creditworthiness.

LANDLORD DISCLOSURES AND REQUIREMENTS
Items one though ten below are required of a landlord/agent by the State of Wisconsin and all items are required by the City of Madison prior to entering into a rental agreement with a tenant and/or prior to accepting earnest money or a security deposit. Other governmental jurisdictions may have additional laws and regulations that apply.
TENANT/APPLICANT ACKNOWLEDGES HAVING BEEN ADVISED:
1. A receipt for money collected has been given to tenant.
2. Copies of the proposed lease and rules and regulations of the landlord have been made available to tenant for inspection.
3. The name and address of the person authorized to receive rent, manage and maintain the premises who can readily be contacted and an 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.
4. Tenant has seven days after the beginning of tenancy to inspect the dwelling unit and notify landlord of any damages or defects.
5. Utility charges not included in the rent.
6. The following uncorrected building and housing code violations, for which the landlord has received notice from code enforcement authorities and which affect the entire premises (in the City of Madison) or, only the dwelling unit and common areas (State of WI).
7. The premises contain the following conditions adversely affecting habitability: NONE
8. Attached is an itemized description of any physical damages or defects for which deductions were made from the security deposit of the previous tenant. (OR) No determination has been made as to the amount, if any, of deductions and if such deductions are made, tenant will be provided with a written itemized description of said damages or defects at the time the previous tenant is notified. (Strike provision not applicable)
9. Landlord promises to repair, clean, or improve the premises as follows by the dates noted: NONE
10. Security deposits may be withheld only for tenant damage, waste or neglect of the premises or the nonpayment of rent, utility services or mobile home parking fees for which the landlord becomes liable and other reasons specifically and separately negotiated and agreed to by the tenant in writing other than in form provision.
THE FOLLOWING DISCLOSURES APPLY TO THE CITY OF MADISON ONLY:
11. A copy of notices of eligibility for rent abatement, if any, which affect the rental unit or common areas has been provided to the tenant.
12. The occupancy limit imposed upon the dwelling by 27.06 of the city of Madison Ordinance is 2 per bedroom, however, occupancy is restricted to those persons named in the application and rental agreement.
13. The definition of a "family " pursuant to 28.03(2), Madison General Ordinances, is as follows: "A family is an individual or two or more persons related by blood, marriage, or legal adoption living together as a single housekeeping unit in a dwelling unit, including foster children, and not more than four (4) roomers except that the terms "family" shall not in R1, R2, R3, R4A and R4L residence districts include more than one roomer except where such dwelling unit is owner occupied. For the purposes of this section, "children" means natural children, grandchildren, legally adopted children, stepchildren, foster children, or a ward as determined in a legal guardianship proceeding. Up to two (2) personal attendants who provide services for family members or roomers who, because of advanced age or a physical or mental disability, need assistance with activities or daily living shall be considered part of the "family". Such services may include personal care, housekeeping, meal preparation, laundry or companionship.
14. The zoning district in which the dwelling unit is located in: Apartment -- Muliti-family.
15. The off-street parking requirements of the dwelling unit is pursuant to 28.11 Madison Ordinances except in the "central area" as per section 28.07(1)(g) of the Madison Ordinances.

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