Community Application

Applicant Information

Community Code*

First Name *

Last Name *

Middle Name *

Email *

 

Address *

City *

State *

Zip Code *



(XXXXX)

Time At Current Address

Home Phone *



(XXX-XXX-XXXX)

Birthdate *

RadDatePicker
Open the calendar popup.

(MM/DD/YYYY)

Social Security # *



(XXX-XX-XXXX)

Marital Status

Current Home Type

Current Monthly Housing Cost *

Landlords Name

Landlords Phone



(XXX-XXX-XXXX)

Employer Name

Hire Date

RadDatePicker
Open the calendar popup.

(MM/DD/YYYY)

Work Phone



(XXX-XXX-XXXX)

Salary (monthly gross)

0
0

Other Income: You 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.

How did you hear about us?

What is your reason for moving?

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. I further authorize
you to provide this Application and other information you have about me to your affiliate(s), including without limitation, Clearpointe
Capital, Inc. and Asset Development Group, Inc., for the purpose of responding to this request for credit. 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 and 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 (414) 351-8004.

Privacy Policy

We collect nonpublic personal information about you from the following sources: 1) information we receive from you on your application or other
forms; 2) information about your transactions with us, our Affiliates, or others; 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 and to
Home Source One, LLC, Highpointe Insurance Group, LLC, Water Works, LLC, and ClearPointe Capital, Inc. (“Affiliates”). In the event this application
is for a home owned by Legiance, LLC or its affiliates, your nonpublic personal information may be shared with those companies. 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.