To apply for Ridge Creek apartments, please e-mail paula@oroszproperties.com or call 608-242-8912. Apt. # Rent Security Deposit Amount Special Terms or Conditions (Renovations required, pets, etc.) Applicant's Email Address * Would you like parking with the apartment lease? Yes Vehicle Information Color License Plate Make Model All information requested below must be provided in order to process this application. Applicant is entitled to review the lease, rules and regulations, previous tenant damages, and other forms as may be required by law for occupancy, and in 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 and style of living. Upon written request, the nature and scope of any report, if one is made, will be provided. Do you wish to receive a written explanation of a denial of tenancy? Yes No Name of Person(s) To Occupy Apartment (All occupants must be listed if more than one). 1. * Birth Date * Year Year1924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 SS# * Phone # * 2. Birth Date Year Year1924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 SS# Phone # Present Address * How Long? Rent Paid Present City * Present State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Present ZIP * Present Landlord How Long? Phone # Previous Address How Long? Rent Paid Previous Landlord How Long? Phone # Employed By How Long? Phone # Position Supervisors Name Applicant's Income/Monthly Emergency Name Relationship Telephone # Street Address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Background Questions Has an eviction action ever been filed against you or someone you were living with at the time? * Yes No Have you been convicted of a crime involving violence to persons or property? * Yes No Have you been convicted of any drug related offenses? * Yes No Date Year Year20222023202420252026 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Applicant's Signature Rental Agent Vehicle Information Name of Person(s) To Occupy Apartment (All occupants must be listed if more than one). In case of emergency contact the following FAMILY MEMBERS: Background Questions Leave this field blank