Fillable Printable Iowa Rental Application

Iowa Rental Application

IOWA RENTAL APPLICATION

A $_______ NON-REFUNDABLE APPLICATION FEE IS REQUIRED

PLEASE READ THIS INFORMATION CAREFULLY. IF YOUR APPLICATION IS INCOMPLETE OR ILLEGIBLE,

PROCESSING WILL BE DELAYED!

A separate application must be filled out by each applicant, except for married couples. We do not allow anyone to move

in immediately, nor do we automatically rent to the first applicant. We rent to the applicant with the 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.

Rental Unit Applied For: Preferred Move-In Date:

PERSONAL INFORMATION:

Name: Date of Birth:

Social Security Number: Driver’s License No. _State

Cell phone #: Email:

RENTAL HISTORY:

Current Address:

City State Zip How long at present address?

Current Landlord: Phone #:

Reason for leaving:

Prior address:

City State Zip How 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 OF UNIT:

All non-married adults must fill out separate applications. List below others you will be living with in the unit applied for:

NAME: RELATIONSHIP TO YOU: BIRTHDATE:

VEHICLE INFORMATION:

Make & Model: Year: Color: Plate #: State:

Page 1 of

Page 2 of

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 landlord in order to have a pet. The

landlord has a non- refundable, non-negotiable monthly pet fee of $_____ per pet. The pet 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 of pet(s): ______

OTHER INFORMATION:

HAVE YOU EVER:

Been arrested and/or convicted for any reason concerning illegal drugs/alcohol?

☐YES ☐NO

Been arrested and/or convicted of or pleaded guilty or “no contest” to a felony?

☐YES ☐NO

Been arrested and/or convicted of or pleaded guilty or “no contest” to a misdemeanor involving sexual misconduct?

☐YES ☐NO

Been served an eviction notice or been asked to vacate a property you were renting?

☐YES ☐NO

Willfully or intentionally refused to pay rent when due?

☐YES ☐NO

Filed for bankruptcy?

☐YES ☐NO

** If yes to any of the above questions please attach a written explanation. Have you given your landlord thirty days written

notice?

☐YES ☐NO

Do you smoke?

☐YES ☐NO

Do you have a waterbed?

☐YES ☐NO

How were you referred to us?

Applicant has herewith, or will prior to move in, deposited the sum of $ , receipt of which is hereby

acknowledged as a non-interest bearing deposit, and not as a rental payment, to be refunded as hereinafter provided if

the lease agreement is consummated. Provided, however, that in the event the application is approved, and applicant fails

or refuses to enter into the contemplated lease with the owner, then applicant 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 of rental income to owners. If, however, in the event this lease agreement is not consummated, is

disapproved or for any other reason for which owner is responsible, the deposit will be returned to applicant.

This application is made with the understanding that it is subject to acceptance by the owner and subject to execution by

said company and delivery of a lease covering said premises. No other persons than those listed will be authorized to

occupy this apartment without the consent of the owner and an appropriate adjustment in the rent. Keys will not be given

until lease is signed, rent & security deposit is paid, all applicable utilities are in tenant’s name and apartment is ready for

occupancy.

The undersigned represents that all information statements are true and complete, and does authorize verification of

information and references given. If any of the answers are found to be deliberately incorrect, any rental agreement

becomes void and will be sufficient rea

son for eviction and loss of security deposit. The undersigned also authorizes

verification of credit history and criminal records.

THIS APPLICATION WILL NOT BE PROCESSED WITHOUT A SIGNATURE.

APPLICANT’S SIGNATURE

DATE

CO-SIGNER FORM

By signing this form, Co-signer authorizes the landlord to perform a credit check or background check, if

necessary. Co-signer forms are accepted at the landlord’s discretion, and a co-signer form does not in any

way guarantee an applicant a rental unit. Failure to fully complete a requested co-signer form may result in the

landlord refusing a rental 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-SIGNING FOR:

Name(s):

Unit applied for:

It is here by agreed that the aforementioned Co-signer will assume any and all responsibilities and/or obligations

of the Leaseholder’s share of expenses if the Leaseholder cannot or will not oblige. This Co-signer Agreement

will remain in force throughout the entire term of the Leaseholder’s tenancy, even if the tenancy is extended

and/or changed in its terms.

Co-signer Signature: Date: