Rental Application

I acknowledge the following statements:

• This property requires tenants to maintain Renters Liability coverage of at least 100K throughout their tenancy.
• This property may not be able to guarantee the availability of parking without paid garage parking.
• This property is a NON-SMOKING housing community, tenants must comply to the No-Smokign policy.  

* The complete social secuirty number for all ADULT household members is necessary for processing purposes and must be supplied upon request. 

Please list the past TWO years of employment/income sources for yourself AND any minors that will be turning 18 within the next 12 months.

Include all assets held and the corresponding annual interest rate, dividends or any other income derived from the asset.An asset is defined as any lump sum amount that you hold and have access to. Include the value of the asset and
corresponding income from the asset in the space provided.

Include ALL assets held by ALL household members listed on this application, including minors.

Do YOU or ANYONE listed on this application have the following ASSETS:

Include all income anticipated for the next 12 months (include employment income for minors turning 18 in the next 12 months) and all other unearned income for minors such as social security benefits.

If you receive unemployment benefits or workmans compensation, please upload a copy of your benefit letter dated within 120 days of your requested lease start date. 

If you receive unmployment through the State of Wisconsin, your statement can be obtained via the Wisconsin Unemployment website. 

Wisconsin Unemployment Website: https://my.unemployment.wisconsin.gov/ 

If you receive public assistance, general relief or W2 benefits, please upload a copy of your benefit letter dated within 120 days of your requested lease start date. 

If you receive child support or alimony, please upload a copy of the payment history. 

If your child support was ordred through the State of Wisconsin, a copy of your payment history can be obtained via the Wisconsin Child Support Website.

Wisconsin Child Support Website: https://csos.wisconsin.gov/login 

If you receive social security, please upload a copy of your benefit letter dated within 120 days of your requested lease start date.  A copy of your benefit letter can be obtained via the Social Security Website. 

Social Security Website: https://www.ssa.gov/manage-benefits/get-benefit-letter 

If you receive veteran benefits, please upload a copy of your benefit letter dated within 120 days of your requested lease start date. 

All live-in care attendants must undergo a background check and pass all resident selection criteria except for criteria in releation to credit. LIve in care attendants that are related to the applicant/tenant may be required to meet program eligibility in terms of income eligibility.

IF YES, CONTINUE WITH THE FOLLOWING QUESTIONS:

Please complete emergency contact information.

Once your applicaiton is received, you will be sent a Student Status Certification form for each adult household applicant/resident to complete.

The purpose of our resident selection criteria is to inform you of our screening processes and guidelines when determining your eligibility.

It is our declared policy that all persons shall have an equal opportunity for housing regardless of gender, race, color, sexual orientation, disability, religion, national origin, marital status, family status, lawful source of income, age, ancestry, physical appearance, political beliefs, military discharge, gender/genetic identity, domestic partnership status, student status (unless allowed by program restrictions), receipt of rental assistance, citizenship status, mental & physical disability and being a victim of domestic abuse and other crimes.

Applications are accepted in the order in which they are received and may take up to 21 days to be fully processed. If you are denied for any reason, you have the right to reapply after 90 days or appeal the decision (instruction for which would be outlined in the letter of denial.)

I. Your application can be denied if one or more of the following pertain to you:
1. You provided false or misleading information on your application.
2. You do not meet our occupancy standards of no more than 2 persons per bedroom. (Children under 2 years of age may be excluded from this restriction.)
3. You do not meet income/program requirements for the Section 42 affordable housing program.
4. The Head of Household or co-head applicant(s) is not at least the age of 18.
5. You have a pending bankruptcy or a bankruptcy that has not been discharged.
6. Your conviction record presents a demonstrable risk to resident and employee safety and/or property. Arrest records, without a subsequent conviction will not be considered. If any of the following apply to you, your application may be denied:
a) If you have ever been convicted of manufacturing or distributing a controlled substance as defined in Sec. 102 of the Controlled Substances Act, then your application will be denied.
b) Registry on the Sex Offenders Registry will be a basis for the denial of your application. NOTE: Discretion will be given for certain offenses and misdemeanors where reporting is not automatically required.
c) If you have been convicted of any other crime that shows a demonstrable risk to tenant safety and/or property within the past 10 years, your application may be denied after consideration of the nature and severity of the crime and the amount of time that has passed since the criminal conduct occurred. Additional factors may also be considered on a case-by-case basis. Along with your application, you may provide any mitigating information or documentation that you would like to have considered regarding any prior conviction.
7. You have been evicted from an apartment within the past 2 years, are currently being evicted from an apartment, have a history of 2 or more evictions, currently owe another landlord money or have an unfavorable housing reference within the past 2 years.

II. Your application must also meet our combined criteria for credit, employment, and rental references.

CREDIT HISTORY: You must have no more than 3 accounts that have been reported to a collection agency, placed for collection in the past 2 years and the address on your credit report (current and past) must match that on the application.

RENTAL/MORTGAGE REFERENCES: You must have at least 2 years of a positive housing/mortgage reference within the past 3 years. NOTE: Family housing references are not accepted.

EMPLOYMENT / INCOME: You must be able to prove income or available cash assets are at least 1.5 times the amount of the proposed monthly rent (your portion). If employment is your prime income source, you must have at least 2 years of current employment history (does not have to be with the same employer). All legal sources of income will be used when calculating household income.

If you do not meet one of the above criteria, Landlord may offer other options such as cosigner, full month security deposit, etc. to cover the selection requirement deficiency.

If you do not meet 2 or more of the above criteria, your application will be automatically denied.

I agree that I have read the above-mentioned Resident Selection Criteria and understand that the Landlord will be checking all references relative to income, credit, housing, and criminal conviction record and I give permission to the Landlord to make these inquiries. If denied tenancy, I may reapply after 90 days or request an appeal form which will allow me to start the appeal process. In the event my application is denied, and the decision is overturned because of an appeal, I understand that the apartment will not be held for me during the appeal process, and I will be placed on the waiting list if one exists.

Initial Below:

Please fill out the following information.  All the information provide will be given to HUD.  Please note the completion of this form is voluntary.  There is no penalty for persons who do not complete this form.

All questions that were answered YES will be verified through the appropriate third-party and it is the applicant’s responsibility to provide management with all necessary information to verify eligibility. This includes all contact information and account numbers where applicable as well as any other information required to expedite this process.

XI. Signature Clause:

I/We understand that management is relying on this information to prove my/our household’s eligibility for the Low-Income Housing Tax Credit Program and any associated supportive housing programs. I/We certify that all information and answers to the above questions are true and complete to the best of my/our knowledge. I/We consent to release the necessary information to determine my/our eligibility. I/We understand that providing false information or making false statements is grounds for denial of my/our application as well as forfeiture of all application fees and deposits as liquid damages for time and expense, as well as termination of my/our right of occupancy. I/We also understand that such action may result in criminal penalties.

I/We authorize my/our consent to have management verify the information contained in this application for purposes of proving my/our eligibility for occupancy. I/We will provide all necessary information and expedite this process in any way possible. I/We understand that occupancy is contingent on meeting management’s resident selection criteria and the Low-Income Housing Tax Credit Program requirements.

I acknowledge that copies of the Rental Agreement, Rules & Regulations and Non-Standard Rental Provisions (ifa pplicable) were made available to me. I agree to sign all of these forms prior to taking occupancy of the unit.

Terms and Conditions

By my/our signature above, I/we hereby indicate my/our desire to lease an apartment from Stone House Development, Inc. I/We do also hereby consent to and authorize any representative of Stone House Development, Inc. or the above-mentioned development to obtain, verify and exchange information or any reports concerning me/us as are maintained by, but not limited to: City, County, State, Federal law Enforcement Agencies, Credit Reporting Agencies, present and/or past employers, present and/or past residences and educational institutions. I/We understand that any information obtained may be considered by Stone House Development, Inc. at their sole discretion, as a factor in any decision they make with respect to the apartment for which I am making the application.

Furthermore, I/We authorize Stone House Development, Inc. or the above-mentioned development to obtain information regarding my/our income, assets, and household status for purposes of determining my/our eligibility for participation in the Low-Income Housing Tax Credit Program. I understand that any information obtained may be considered by Stone House Development, Inc. at their sole discretion, as a factor in any decision they make with respect to the apartment for which I am applying.

Furthermore, I/we hereby release and hold harmless the above named organization, its subsidiaries or managing agents, including but not limited to their officers, directors, employees, agents, Law Enforcement Agencies, Credit Reporting Agencies, present and/or past employers, present and/or past residences, its officers and employers that shall provide information to the above named organization, its subsidiaries or managing agents from and against any and all claims, demands, suits or expenses arising from or related to the content, validity or handling of said reports.

This release for information will expire thirteen (13) months from the date of signature.