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  • 608-783-5052
  • 250 Scott Drive, Onalaska, WI 54650
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Heritage Village Application FormHeritage Homes & Realty
Heritage Village

1 Units Available

Email: [email protected]
Phone:608-783-7544

Location
3000 Spruce St, Holmen, WI 54636-9460

Heritage Village Application Form

Pets: 1 dog (20lbs. or less) or 2 indoor cats

"*" indicates required fields

Applicant Information


Each adult, including adult children, must complete a separate application.
Name*
Current Address*
MM slash DD slash YYYY
Marital Status
Current Home Type

Employment

Employer Information
Add present and past employer information below. Start with current employer
Employer Name
Gross Pay/Month
Years Employed
Position
Address
City/State
Phone
 
Other Income
Other IncomeYou do not have to reveal information about alimony, child support or separate maintenance incomes unless you want to have them considered as a basis for qualification of residence. If you wish to have such income considered, please list source and monthly amount.
Amount
Source
 

Co-Applicant Information (optional)

Name
Address
MM slash DD slash YYYY
Marital Status
Current Home Type

Co-Applicant Employment

Co-Applicant Employer Information
Add present and past employer information below. Start with current employer
Employer Name
Gross Pay/Month
Years Employed
Position
Address
City/State
Phone
 
Co-Applicant Other Income
Other IncomeYou do not have to reveal information about alimony, child support or separate maintenance incomes unless you want to have them considered as a basis for qualification of residence. If you wish to have such income considered, please list source and monthly amount.
Amount
Source
 

Other People

Information about additional people residing in your home.
Name
Relationship to Applicant
Data of Birth (MM/DD/YYY)
 

Additional Information

Vehicle Information
Make/Model
Color
 
Pet Type
Dog or Cat
Pet Name
Breed
Weight
 
Do you own a boat, trailer or other vehicle.
The lease allows for two vehicles per homesite. Boats, campers, etc. must be stored outside the community or in a designated area.

Emergency Contact Person

Please list two contacts
Name
Relationship to Applicant
Address
Phone
 

Information About Your Manufactured Home Purchase

Existing Home in Our Community

Address

History

Submit

For the purpose of obtaining the credit requested, I represent that the information provided above is true, complete and correct. I understand that if my application is approved, any false statements on or in connection with this application may result in eviction. You are hereby authorized to verify this information and obtain additional information concerning my credit, employment history or any other information, including without limitations, consumer credit reports, to furnish such information and any other credit experience with me to others, and to answer any questions about my credit experience and other financial relationships with you. If I am required to provide a security deposit, I understand that such deposit will be returned if my application is not approved. I have read, understand and agree to comply with the Rules and Regulations of the Community now in effect, including any future amendments or postings thereto. By submitting this Application, I acknowledge that I have been provided with the opportunity to review the Privacy Policy below and understand and accept the statements contained therein. I understand that I can request a hard copy of the Privacy Policy by contacting you at 250 Scott Dr, Onalaska, WI 54650.

Landlord reserves the right to deny tenancy if:
• You misrepresent information on this application, If misrepresentations are found later, your rental agreement may be terminated.
• Your background check includes drug, other criminal activity or prior evictions or unsatisfied judgements.
• Your credit check shows an unsatisfactory record.
• Any other lawful reason.
Privacy Policy*
We collect nonpublic personal information about you from the following sources: 1) information we receive from you on your applications or other forms; 2) information about your transactions with us, our Affiliates, or others; and 3) information we receive from a consumer reporting agency. We do not disclose any nonpublic personal information about our residents or former residents to anyone except as permitted by law. We restrict access to nonpublic personal information about residents and former residents to those employees who need to know that information to provide products or services to you. We maintain physical, electronic, and procedural safeguards that comply with federal standards to guard your nonpublic personal information. We will contact you via phone for your Social Security Number to complete this application. For security reasons we do not accept this information online.
$0.00
$0.00
Billing Address*
Associated with the credit card.

Heritage Homes & Realty
  • 250 Scott Drive, Onalaska, WI 54650

  • 608-783-5052

  • 206-350-8434

  • [email protected]

Office Hours

  • Monday – Friday: By appointment only

  • Saturday: By appointment only

  • Sunday: By appointment only

  • Evenings: By appointment only

Please call our office Monday-Friday between 8:00am-5:00pm to schedule your appointment.

Links of Interest

  • Mobile Home Stuff Store

  • Housing Alliance

  • Wisconsin Department of Safety & Professional Services

© Heritage Homes & Realty | All Rights Reserved | Privacy Policy | Accessibility | Vision Design Group, Inc.
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