Fillable Printable Iowa Rental Application
Fillable Printable Iowa Rental Application
Iowa Rental Application
IOWA RENTAL APPLICATION
A $_______ NON-REFUNDABLE APPLICATION FEE ISREQUIRED
PLEASE READ THIS INFORMATION CAREFULLY. IF YOURAPPLICATION IS INCOMPLETE OR ILLEGIBLE,
PROCESSING WILL BEDELAYED!
A separate application must be filled out by each applicant, except for marriedcouples. We do not allow anyone to move
in immediately, nor do weautomatically rent to the first applicant. We rent to the applicant withthe best credit and rental
history. Decisions are based on the information you and your references provide, not personal appearance. We reserve
the right to require a co-signer.
RentalUnit Applied For: Preferred Move-InDate:
PERSONAL INFORMATION:
Name: Date of Birth:
Social SecurityNumber: Driver’s LicenseNo._State
Cell phone #:Email:
RENTALHISTORY:
Current Address:
City StateZipHow long at present address?
Current Landlord: Phone #:
Reason for leaving:
Prior address:
City StateZipHow long at prior address?
Prior Landlord: Phone #:
Reason for leaving:
EMPLOYMENT INFORMATION/SOURCE OF INCOME:
Employer:Position: How long?:
Monthly Income:$Person to contact:Phone #
Additional Income Source& Amount:
OTHER OCCUPANTS OFUNIT:
All non-married adults must fill out separate applications. Listbelow others youwill be living with in the unit applied for:
NAME:RELATIONSHIP TO YOU:BIRTHDATE:
1.
2.
3.
4.
5.
6.
VEHICLE INFORMATION:
Make & Model: Year: Color: Plate#: State:
Page 1 of
2
Page2 of
2
EMERGENCY CONTACT INFORMATION:
Name: Phone #: Relationship:
Address/City/State/Zip:
Work Phone#: Email:
HPM PET POLICY:
All properties ☐allow ☐do not allow pets.Written permission must be given by the landlordin order to have a pet. The
landlord has a non- refundable, non-negotiablemonthly pet fee of $_____ per pet. Thepet policy may change at any time
at the landlord’s discretion. Applicant must confirm with the landlord, prior to applying, regarding whether a property allows
pets & how many and/or what
types are allowed. Number of pets:Type ofpet(s): ______
OTHER INFORMATION:
HAVE YOU EVER:
Been arrested and/orconvicted for any reason concerning illegal drugs/alcohol?
☐YES ☐NO
Been arrested and/orconvicted ofor pleaded guilty or “no contest” to a felony?
☐YES ☐NO
Been arrested and/orconvicted of orpleaded guilty or “no contest” to amisdemeanor involving sexual misconduct?
☐YES ☐NO
Been servedan eviction notice or beenasked to vacate a property you were renting?
☐YES☐NO
Willfully or intentionally refused topay rent when due?
☐YES☐NO
Filed for bankruptcy?
☐YES ☐NO
** If yes to any of the above questions please attacha written explanation. Have you given your landlord thirty days written
notice?
☐YES☐NO
Do you smoke?
☐YES ☐NO
Do you havea waterbed?
☐YES☐NO
How were you referred tous?
Applicant has herewith, orwill prior to move in, deposited the sumof $ , receipt of whichis hereby
acknowledged as a non-interest bearingdeposit, andnot as a rental payment, to be refundedas hereinafter provided if
the lease agreement is consummated.Provided, however, that inthe event theapplication is approved, and applicant fails
or refuses to enter into thecontemplatedleasewith theowner, thenapplicant agrees to forfeit the said deposit as
liquidated damages to cover the cost of taking and of processing this application,reservation and preparation of the
apartment, and the loss ofrental income toowners. If, however, inthe event thislease agreement is not consummated, is
disapprovedor for any other reason forwhich owner is responsible, the depositwill be returned to applicant.
This application is made with the understanding that itis subject to acceptance bythe owner and subject to execution by
saidcompany and delivery of a lease coveringsaidpremises. Noother persons than those listed will be authorized to
occupy this apartment without the consent of the owner and anappropriate adjustment in therent. Keys will not be given
until lease issigned, rent& security deposit is paid, allapplicableutilities are intenant’sname and apartment is ready for
occupancy.
The undersigned represents that all informationstatements aretrue and complete, and does authorize verification of
information and referencesgiven. If anyof the answersare found tobe deliberately incorrect, any rental agreement
becomes void and will be sufficient rea
son foreviction and loss of security deposit. The undersigned alsoauthorizes
verification ofcredit historyand criminalrecords.
THIS APPLICATION WILLNOT BE PROCESSED WITHOUT A SIGNATURE.
APPLICANT’S SIGNATURE
DATE
CO-SIGNER FORM
By signing this form, Co-signer authorizesthe landlordto perform acredit check or background check, if
necessary. Co-signer forms are accepted at the landlord’s discretion, and a co-signer form doesnot in any
way guarantee an applicant arental unit. Failure to fully complete a requested co-signer form may result in the
landlordrefusing arental application.
CO-SIGNER INFORMATION
Please print legibly:
Full Name:
Date of Birth:Social Security #: _-_ -
Home Phone#:Cell Phone #:
Address:
City: State:
Zip:
Employer: Work Phone #_
CO-SIGNINGFOR:
Name(s):
Unit applied for:
It is here byagreed that the aforementioned Co-signer will assumeany and all responsibilitiesand/or obligations
of the Leaseholder’s shareof expenses if the Leaseholdercannot or will not oblige. This Co-signer Agreement
will remain inforce throughout the entireterm ofthe Leaseholder’s tenancy, even if the tenancy is extended
and/orchanged in its terms.
Co-signer Signature: Date:
