Co-Signer Form & Consent

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20 N Blair St.  Suite #105  Madison, WI 53703
Phone: (608) 284-8483
Fax: (608) 284-0043
Website:
Email:
Co-Signer Form & Consent
Name of Tenant Applicant ____________________________________________________________________________
Address of Unit Applying for _________________________________________________
Lease term: Length of Residency
Co-signers Name (please print) ________________________________________________________________________
Present Address ____________________________________ City ______________________ State______ Zip_________
Phone (home) _______________________________________ (Work) ________________________________________
Length of Residency ________________ Own ______ Rent _____ Monthly Payment $ ____________________________
Social Security Number * _______________________________ Date of Birth* __________________________________
Employer Name _____________________________________________________________________________________
Address __________________________________ City ___________________________ State _______ Zip ___________
Your Position ___________________________ Length of Employment ________ Monthly Income $ ________________
Supervisor’s Name ____________________________________ Phone Number _________________________________
List other banking or credit references (Name/Address)
__________________________________________________________________________________________________
__________________________________________________________________________________________________
*The Fair Credit Reporting Act Requires we notify you that as part of our normal procedure, a routine inquiry may be
made.
To the best of my knowledge, all of the above information is true and correct.
Signature ____________________________________________________________ Date _________________________
I accept responsibility for _______________________________________________’s financial obligation to the rental of

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