Application

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Application Download
Please click here to download our rental application or fill out an application using the form displayed.
Dear Applicant,
Country Meadows Apartments asks that each prospective resident fill out a complete application. Each application is thoroughly reviewed and accepted or rejected based on the criteria listed below: Income - The applicant must show a verifiable monthly income of three times the amount of the rent each month OR ability to pay comparable rent with two or more of the following documentation for the past 24 months: 1. Rental references for the past 24 months from a rental housing provider not related to you. 2. References from the past 24 months from employers. 3. A statement from your current employer that you will continue to be paid the same amount for the coming year that you were paid for the last 24 months. 4. Other written documentation of rent payment history for the past 24 months. 5. Other written documentation of income history for the past 24 months. 6. Prior leases for the past 24 months. 7. Cancelled checks or receipts for the past 24 months. 8. Proof of governmental assistance. 9. Wage statements for the past 24 months. 10. Pay stubs for the past 24 months. 11. Tax returns for the past two years. 12. List any expenses you have incurred or will incur over the rental period which you did not have during the previous 24 months. Credit History - A credit report will be requested from the Madison Credit Bureau. Current and previous rental history - Verification will be completed to determine timely rental payments, current lease expiration, noise complaints, and if a renewal was offered. All prospective tenants will be informed of the availability of apartments, tenant selection criteria, and rental policies. Each adult applicant (over 18 years of age) must fIll out an application completely. Management reserves the right to reject any application that is incomplete, falsified, or does not meet qualifying criteria. Management reserves the right to modify the criteria subject to current market factors. None of the following factors will be used to assess an application: race, color, national origin,gender, religion, disability, age (over 18), family status, marital status, lawful source of income, ancestry, sexual orientation, physical appearance, political beliefs, military discharge, student status, and arrest/conviction records (excluding applications who have certain conviction records - City of Madison only - or an offense that would cause a reasonable person to have a justifiable fear for the safety of other residents or employees). We will make every reasonable effort to check an application promptly but please remember that the time required depends upon the availability and cooperation of your reference sources. Notification of the acceptance or denial will be given no more than 21 calendar days from date of application. We require an earnest money deposit of $100.00 to accompany the application. If your application is not accepted, the earnest money deposit will be returned to you. If your application is accepted, the earnest money is applied towards the security deposit. With signing this document, the applicant gives permission for Country Meadows apartments to investigate all statements on the application. This includes verification of employment, rental history and credit report.
Online Application for Residency
When is your anticipated move-in date? Month Day Year	Please select desired floor plan
Name of Applicant	E-Mail *
Social Security Number
Total Number of Occupants	Date of Birth Month Day Year
Present Phone Number	Cell Phone Number
Housing Reference
Current Housing
Present Address	Rent
City	State
Zip Code
Landlord	Landlord's Phone Number
Landlord's Address	Length of Residency
Reason for Leaving
Past Housing
Previous Address	Rent
City	State
Zip Code
Landlord	Landlord's Phone Number
Landlord's Address	Length of Residency
Reason for Leaving
Income
Current Employment
Present Employment	Employment Start Date Month Day Year Employment End Date Month Day Year
Business Address	Business Phone Number
Position Held	Supervisor
Wage $	Per
Hours Per Week
Past Employment
Previous Employment	Employment Start Date Month Day Year Employment End Date Month Day Year

If you are not presently employed or have additional sources of income, please indicate the source and monthly amount you receive (i.e. pensions, social security, disability, grants, loans)
Source	Monthly Amount $
Source	Monthly Amount $
Approx. Total Annual Income $
Have you ever declared bankruptcy? Yes No	If yes, when did you declare bankruptcy? Month Day Year
Have you ever been evicted from an apartment? Yes No	If yes, when were you evicted? Month Day Year
Vehicle/Driver Identification
License Plate #	State Issued
Type and Make of Car	Year Month Day Year
Emergency Contact Information
Name	Relationship
Address
City	State
Zip Code
Home Phone	Work Phone

Notice RECEIPT in the sum of $100 is hereby acknowledged. This deposit is to be returned to the undersigned if the application is not accepted. If accepted, this sum will be applied to the security deposit. If you do not enter into a lease after we accept the application, actual expenses incurred in the processing this application will be deducted from the deposit and the balance will then be refunded. Fill out and sign the application, then simply drop off, fax or mail (6840 Schroeder Road Madison, WI 53711) your $100 check or money order to reserve your apartment. We will be unable to reserve your new apartment home unless we receive both the completed application and $100 earnest money. The application hereby certifies that the information given herein is true and complete to the best of his/her knowledge and further authorizes investigation of all statements contained in this application for residency as may be necessary. If any information provided is false or misleading, the landlord will refuse to rent to such applicant and refund all earnest money deposited.
How do you intend to pay the $100 deposit? * Please note: We require a completed application form and deposit in our office to reserve an apartment. We do not take cash as payment.	Applicant's Signature	Date Month Day Year

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