APPLICATION

THE FOUNTAINS OF WAUWATOSA, hereinafter called Owner and to PRAIRIE MANAGEMENT & DEVELOPMENT, INC., Agent for the Owner, the undersigned hereby apply(ies) for and offer(s) to execute a lease in form used by Owner for the premises herein described on the terms herein set forth. The representations herein made are true.

1. Contact Information

2. Apartment Desired

3. Rental History

4. Apartment Occupants

5. Present Employment Information

6. Past Employment Information

7. Income

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NO DOGS, CATS OR OTHER PETS ALLOWED WITHOUT AGENT'S WRITTEN PERMISSION THE FIRST MONTH'S RENT AND THE SECURITY DEPOSIT ARE PAYABLE ON SIGNING OF LEASE. RENT IS PAYABLE ON FIRST DAY OF MONTH. In consideration of the investigation by said Agent of the above representations and references, the undersigned hereby deposits with said Agent the sum of $0 to be disposed of as hereinafter provided. If the application is accepted, the remaining deposit will be applied to the first month's rent. If the application is rejected by Owner, the deposit, will be returned to the applicant. If applicant shall fail to sign a lease when submitted or fail to pay the balance of rental and security deposit as provided, then the balance of the security deposit shall be retained by Owner’s Agent, as liquidated damages. Further, if any of the information provided herein proves to be false then the application shall be denied and any remaining deposit forfeited to Owner’s Agent as liquidated damages.