Fillable Printable Iowa Standard Rental Application

Iowa Standard Rental Application

IOWA LEASE APPLICATION

ADDRESS: _______ _______________, APT. # ____________ , CITY: _______________, IA ZIP: _________________

APPLICANT’ S NAME _____________________________________________________________________ BIRTHDATE ________________

DRIVER’ S LICENSE NO.___________________________ STATE _________ S. S. # _______________________ SEX ________

SPOUSE’ S NAME: _________________________________________________________________________ BIRTHDATE: _______________

DRIVER’ S LICENSE NO. ___________________________ STATE _________ S. S.# _________________________ SEX ______

PRESENT ADDRESS ______________________________________ CITY ______________________ STATE ________ ZIP ____________

HOW LONG? _____________ PHONE NO. ____________________ REASON FOR LEAVING ______________________________________

RENTING?_____________ NAME OF LANDLORD __________________________________________ PHONE NO. (_____) ______________

PREVIOUS ADDRESS _____________________________________ CITY_______________________ STATE ________ ZIP ______________

HOW LONG? _____________ PHONE NO. ____________________ REASON FOR LEAVING _______________________________________

RENTED? _____________ NAME OF LANDLORD __________________________________________ PHONE NO. (_____) _______________

EMPLOYMENT – APPLICANT:

CURRENT EMPLOYER’ S NAME & ADDRESS: ___________________________________________________________ ZIP _____________

AREA CODE & PHONE NO. (______) _____________ DATE STARTED ______________________ MONTHLY SALARY ______________

TYPE OF WORK _______________________________________________________________________________________________________

PREVIOUS EMPLOYER’ S NAME & ADDRESS ___________________________________________________________ ZIP ______________

PHONE NO. (_____ ) ___________________________ DATE STARTED ______________________ DATE ENDED ____________________

REASON FOR LEAVING ______________________________________________________________ MONTHLY SALARY ______________

OTHER INCOME – SOURCE ____________________________________________________________________ $ __________ PER MONTH

(Other income as listed will require two (2) copies of the document stating the period of time covered and the amount.)

EMPLOYMENT – SPOUSE:

CURRENT EMPLOYER’ S NAME & ADDRESS: ___________________________________________________________ ZIP _____________

AREA CODE & PHONE NO. (______) _____________ DATE STARTED ______________________ MONTHLY SALARY ______________

TYPE OF WORK _______________________________________________________________________________________________________

PREVIOUS EMPLOYER’ S NAME & ADDRESS ___________________________________________________________ ZIP ______________

PHONE NO. (_____ ) ___________________________ DATE STARTED ______________________ DATE ENDED ____________________

REASON FOR LEAVING ______________________________________________________________ MONTHLY SALARY ______________

STUDENT:

APPLICANT: SCHOOL _____________ YEAR ____________ DEPT. _______________________ PHONE _________________________

SPOUSE: SCHOOL _____________ YEAR ____________ DEPT. _______________________ PHONE ________________________

(Students or others with insufficient income will need an additional form to provide a co -signer upon request of the apartment community

management.)

GIVE NAME, BIRTH DATE AND RELATIONSHIP OF ALL PERSONS (OTHER THAN YOURSELF) WHO WILL OCCUPY APARTMENT:

________________________________________________________________________________________________________________________

CREDIT REFERENCES - List all charge accounts, credit cards and loans you have:

NAME ADDRESS BALANCE MONTHLY PAID AS AGREED

OWED PAYMENT (Yes or No)

________________________________________________________________________________________________________________________

BANK ___________________________ ADDRESS _____________________________________ TYPE OF ACCOUNT ____________________

IN CASE OF EMERGENCY, PERSON WHO MAY HAVE APARTMENT KEY_____________________________________________________

PHONE NO. (_______) _____________ ADDRESS ____________________________________________________________________________

RELATIONSHIP TO YOU _________________________________________________________________________________________________

NUMBER OF VEHICLES: AUTOS ________ TRUCKS ________ MOTORCYCLES _______ OTHER (specify) ________________________

LICENSE PLATE NUMBER FOR EACH VEHICLE ___________/STATE______________ _______________/STATE _________________

WILL YOU OR OTHER OCCUPANTS HAVE A PET? _________ KIND, WEIGHT, BREED, AGE _____________________________________

WILL YOU OR OTHER OCCUPANTS HAVE A WATERBED? NO ________ YES ________ (Requires insurance)

HAVE YOU, YOUR SPOUSE OR OCCUPANT EVER BEEN EVICTED? _______ EVER BROKEN A RENTAL AGREEMENT OR LEASE

CONTRACT? _________ BEEN SUED FOR NON-PAYMENT OF RENT OR DAMAGES TO RENTAL PROPERTY? _____________________

EVEN BEEN CONVICTED OF A FELONY? __________ PLEASE EXPLAIN (give year, location and type of each felony) __________________

________________________________________________________________________________________________________________________

SPECIAL CONDITIONS OR REQUESTS: ____________________________________________________________________________________

PROCESSING FEE: Applicant has paid the sum of $ ________ as a non-refundable fee for owner’ s cost of processing application.

CORRECT INFORMATION: Applicant represents that all of the above statements are true and complete, and hereby authorizes verification of

above information, references, and credit records. Applicant acknowledges that false information herein will constitute grounds for rejection of this

application and may be a criminal offense. Applicant agrees to the terms of the “Application Deposit Agreement” below.

APPLICATION DEPOSIT AGREEMENT

Applicant has deposited an “Application Deposit” (in the amount stated below) in consideration of the owner/agent ’ s evaluation of this application.

Applicant agrees to enter into a rental agreement within forty-eight (48) hours of verbal or written notification of application approval. Should

applicant give notice of cancellation before move-in date, or fail to take possession, owner/agent will have the immediate right to take possession and

re-let said dwelling unit. Charges for advertising, verification of information, application approval, any and all other out-of-pocket rental expenses,

and daily rent loss until dwelling unit is re-let will be deducted from security deposit. If said charges exceed security deposit amount, applicant shall

be liable for the deficiency. Owner/agent shall use due diligence in mitigating applicant ’ s damages. Applicant agrees that only in the event this

application is rejected by owner/agent, shall applicant be entitled to a refund of security deposit less a twenty-five dollar ($25.00) fee for the owner’ s

cost of processing the application.

DATED THIS _____________________ DAY OF ___________________________, __________, AT POLK COUNTY, IOWA.

APPLICANT’ S SIGNATURE _________________________________ SPOUSE’ S SIGNATURE _____________________________________

PHONE NUMBER __________________________________________ PHONE NUMBER __________________________________________

HOW WERE YOU REFERRED TO THIS COMMUNITY? (Please circle one): NEWSPAPER AD REFERRAL

FORMER RESIDENT (Name) ______________________________ CURRENT RESIDENT (Name) _________________________________

DROVE BY AND CAME IN _______________________________ OTHER ____________________________________________________

APPLICANTS - DO NOT WRITE BELOW THIS LINE:

==============================================================================

LANDLORD: Rated _____________By _____________ Date _____________ Rated ____________By __________ Date ___________

Accepted ____________________

CREDIT: Rated _____________By_____________ Date _____________ Rated ____________By __________ Date ___________

Rated _____________By _____________Date _____________ Rated ____________By__________ Date ___________

CREDIT

BUREAU Rated _____________By _____________Date______________ Rated ____________By__________ Date ___________

EMPLOYMENT: Outlook for work – Applicant ____________________ Spouse _______________________

CLAUSES: Co-Signer _______________ Pet Addendum ___________________ Other __________________________

APPLICATION DEPOSIT: $ ____________________ RECEIPT NO. _________________ DATE PAID_________________

RENT PER MONTH _____________________

BALANCE OF DAMAGE DEPOSIT: $ _______________________ LEASE TERM __________________________________________

PET DEPOSIT: $ _______________________ TYPE OF APARTMENT _________________________________

PRO-RATED AMOUNT OF RENT: $ _______________________ MOVE-IN DATE ________________________________________

FULL ____________ MONTH RENT: $ _______________________

TOTAL OWED PRIOR TO OCCUPANCY: $ _______________________ RECEIPT NO. ________________ DATE PAID ______________

FOLLOWING HAS BEEN GIVEN TO RESIDENT:

LEASE ____________________________ DATE ___________________

APPLICATION _____________________ DATE ___________________

NOTIFICATION OF APPROVAL_______ DATE ___________________

IDENTIFICATION VERIFICATION: _______________________________________

DATE: ________________________________________

VERIFIED BY: ________________________________________

(Company Representative)

COPY OF THIS APPLICATION RECEIVED BY APPLICANT:

BY: ________________________________________

(Signature of Applicant)

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Modified: 05/31/11