VLA
Applicant Information
Your email
Basic information
Landlord Name
Primary Contact
Primary Contact Phone
Customer Service Phone*
Primary Fax
Primary Contact Email
Primary contact address
Primary Contact Address
City
State
Zip
Payment/check contact
Payment/Check Contact
Payment/Check Contact Phone
Payment/Check Fax
Payment/Check Contact E-mail
Payment/check contact address
Payment/Check Contact Address
City
State
Zip
Legal Information
Legal Name
Taxpayer Identification Number (TIN)
Identify the TIN type below
Employer ID Number FEIN
Individual Taxpayer Identification Number ITIN
Social Security Number SSN
Type of Entity:
Individual/Sole Proprietor
Corporation
Limited Liability Company
Government Entity
Counties/Tribes with rental property
(Please check all that apply for all rental properties for this landlord)
1-Adams
6-Buffalo
11-Columbia
16-Douglas
21-Forest
26-Iron
31-Kewaunee
36-Manitowoc
41-Monroe
46-Pepin
51-Racine
56-Sauk
61-Trempealeau
66-Washington
71-Wood
88-Lac du
2-Ashland
7-Burnett
12-Crawford
17-Dunn
22-Grant
27-Jackson
32-La Crosse
37-Marathon
42-Oconto
47-Pierce
52-Richland
57-Sawyer
62-Vernon
67-Waukesha
72-Menominee
89-Bad River
3-Barron
8-Calumet
13-Dane
18-Eau Claire
23-Green
28-Jefferson
33-Lafayette
38-Marinette
43-Oneida
48-Polk
53-Rock
58-Shawano
63-Vilas
68-Waupaca
85-Red Cliff Tribe
91-Mole Lake
4-Bayfield
9-Chippewa
14-Dodge
19-Florence
24-Green Lake
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