Contact Information

Phone: 715-832-0133
Email: sacia@charter.net

Mailing Address & Dropbox

2809 East Hamilton Avenue, Box 113
Eau Claire, WI 54701

Rental Application

New Occupant Application

Instructions: Please fill out the form below, then click PROCEED TO PAYMENT to pay the $20 non-refundable fee and submit your application. Incomplete applications are not accepted. We do not rent without rental references.  Your information is SECURE; protected by 128 bit encryption.

Are you applying as a co-signer for another applicant?*
(**If yes, please provide name of applicant.)

Address of the apartment you are interested in renting
IMPORTANT: Your application will not be processed until an application is received from everyone age 18 or older who will be living in the unit.

SCHOOL
Are you a student? If yes, please enter your permanent address below.
If you are a full-time or part-time student, please answer these questions...

EMPLOYMENT
Leaving this section blank immediately denies your application. You must prove you are able to pay your rent.

EMERGENCY CONTACT

VEHICLE

RENTAL HISTORY OR CURRENT ADDRESS

If you owned a home, who was your loan company?
Have you ever been served an eviction notice or been asked to leave the unit you were renting?*
Have you ever been convicted of a misdemeanor or felony? ( Selecting Yes does not automatically deny you approval.)*
Have you ever intentionally refused to pay your rent?*
Application: We must receive one completed Rental Application from each adult(18 years of age or older) who will be living in the unit. If the completed application contains any omissions (not satisfactorily explained), it will be immediately denied.
Personal Identification: We require two forms of identification. A photo ID and one other type of ID to be presented with your completed application or upon lease signing.
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 then rental, you will need to furnish mortgage company references and proof of title ownership or transfer. Relatives of any kind do not count as rental history.
Background Check: We will do background check of your credit history and criminal records check on you and any others who will be living in the apartment. The following are web sites of some of the services we use for background checks. Please keep in mind we may use other public or screening service records.:
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 www.widocoffenders.org or by telephone at 877-234-0085.
Income: We must be able to verify independently the amount and stability of your income. For example - by pay stubs, by contacting your employer, or through tax records. If you are self-employed, we will need to see a business license, tax records, bank records, or a list of client references. For Rent Assistance applicants, the amount of assistance will be considered part of your monthly income for purpose of figuring the proportion. You may be asked to provide documentation of payments towards any outstanding debts.  The proposed rent must be around 30% of your monthly income.
YOU WILL BE DENIED RENTAL IF...
You misrepresent any information on the application. If misrepresentations are found after the lease is signed, your rental agreement will be terminated.
In the past five years you have had a conviction of any type of crime, including manufacture or distribution of controlled substances that would be considered by owners or management a serious threat to property or to other residents, or a threat to the peaceful enjoyment of the premises.
Your credit check shows accounts that are not current. Occasionally credit records showing payments within 30 to 59 days past due could be acceptable, provided you could justify the circumstances. Records showing payments past 60 days or a judgment against you for financial delinquency is not acceptable.
If you have been evicted during the past five years for late or non-payment of rent or for behavior that includes causing disturbance, threatening other persons, damaging an apartment or other reasons, your application will be denied. If a previous landlord reports such behavior, your application will be denied.
Previous landlords, other references listed, or the background check report significant complaint levels of noncompliance activity such as: repeated disturbance of the neighbors' peaceful enjoyment of the area; reports of gambling, prostitution, drug dealing, or drug manufacturing; reports of violence or threats of landlords or neighbors; allowing persons not on the rental agreement to reside on the premises; failure to give proper notice when vacating.
Previous landlords would be disinclined to rent to you again for any other reason pertaining to the behavior of yourself or others allowed on the property during your tenancy.
Earnest Money (security) Deposit: There is an earnest money deposit required that is conditionally refundable. If you are accepted, that earnest money will be applied to your security deposit(or rent if over required deposit amount). If you withdraw your application after you have been accepted, certain deductions allowed by law may be made. Earnest money ( security deposit) is required before you sign a lease. The apartment will not be held until a lease contract is signed. Application fee is non-refundable and does not count as earnest money.
  I hereby offer this application for rental consideration of an apartment offered and certify that all the information provided is true and correct. I understand that this is an application to determine eligibility for residence only, and in no way guarantees a lease contract. I give permission for you to contact past landlords, management companies, credit agencies, and any other parties listed. Misrepresentations found after lease signing are grounds for immediate rental termination.
I understand that pets of any kind are not allowed in the apartment.
By typing my name in the box below, I am declaring that I have read and understand/agree to the screening criteria. My name serves as my electronic signature.
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Sacia Real Estate Rentals is managed by Lesniewski, LLC
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