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Properties
New: Henrietta Homes
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Madison PreScreen Application
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The Madison
Madison PreScreen
1341 East Blvd
Covington
Historic Newton
Park Village
HOTMA
Senior & Supportive Housing
Commercial Opportunities
prescreen application
The maximum number of form submissions has been reached. This form is currently not available.
Please fill out this prescreening application. Our Eligibility Specialist will reach out to you shortly.
First Name
REQUIRED
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Last Name
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Current Address
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Zip
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Phone Number
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Email
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Please enter an email address.
Employer
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Position
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Please enter valid data.
How many people will be living in the suite?
REQUIRED
(Select One)
1
2
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Your ID information
Date of Birth
REQUIRED
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Please enter valid data.
Driver's License No.
REQUIRED
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Please enter valid data.
Have you ever been convicted of a felony?
REQUIRED
(Select One)
Yes
No
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ID Information for Second Person
Fill this part out only if there is a second person who will be living in the suite with you.
First Name
Please enter valid data.
Last Name
Please enter valid data.
Date of Birth
Please enter valid data.
Driver's License No.
Please enter valid data.
Have they ever been convicted of a felony?
None
Yes
No
Enter the combined total annual income for all occupants
REQUIRED
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Which floor plan are you interested in?
REQUIRED
(Select One)
01 Series
02 Series
03 Series
04 Series
First Available
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Do you have pets?
REQUIRED
(Select One)
Yes
No
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How did you hear about The Madison?
Famicos Website
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I acknowledge that this is a prescreening application and is not a guarantee of a lease agreement with The Madison. I understand that, by entering the above information, a credit check and a national criminal background check will be performed on all occupants listed. I agree to pay a nonrefundable $50 application fee to cover the cost of these checks. I will also make payment of $1160 as a security deposit, which may be refunded if a lease agreement is not completed with The Madison. If I intend on having a pet at The Madison, I will make an additional pet deposit of $300, which may be refunded if a lease agreement is not completed with The Madison. Breed or weight restrictions for pets may apply and there will be an extra $25/month pet rent.
I Agree
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