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New Tenant Application

We highly suggest you have at least 20-30 minutes and a reliable internet connection available prior to filling out this application. In the comment section at the end of this form please include the NAME &/OR THE ADDRESS OF THE PROPERTY YOU ARE APPLYING AT. We also suggest you print your responses prior to submitting this application.

You are required to pay a $20.00 application fee after completion of this form. You will be provided a PayPal link to make prompt payment after you submit this form.

Personal Information

Full Name

Date of Birth

Drivers License
Make sure to indicate issuing state.

Social Security Number
You may alternatively call (319) 373-2683 with this information after submitting your application.

Please attach scans of two current pay stubs and a current state photo ID. If you do not have a scanner you will need to mail or fax this information.

  • Paystub #1:
  • Paystub #2:
  • State ID:

Email address

Phone number (landline)

Phone number (mobile)

Location wanted (name of complex)

Type/size of unit wanted

Desired date of occupancy

How did you hear about our property?

Other Residents

Other Resident #1

Full Name

Date of Birth

Relationship to You

Other Resident #2

Full Name

Date of Birth

Relationship to You

Other Resident #3

Full Name

Date of Birth

Relationship to You

Other Residents

Pets

Do you have any pets?
 No Yes

If yes, type of pet

Pets are NOT allowed in the apartments or on the property unless you have prior written authorization from management.

Residence History

Present Address

Address:

Dates From:

Dates To:

Present Landlord or Mortgage Company:

Telephone:

Monthly Payment:

Reason For Moving:

Previous Address

Address:

Dates From:

Dates To:

Present Landlord or Mortgage Company:

Telephone:

Monthly Payment:

Reason For Moving:

Employment Information

Present Employer

Employer’s Address:

Dates From:

Dates To:

Telephone:

Position:

Supervisor:

Gross Monthly Salary:

Previous Employer

Employer’s Address:

Dates From:

Dates To:

Telephone:

Position:

Supervisor:

Gross Monthly Salary:

Other Information

Vehicle #1

Make/Model:

Year:

Color:

Tag No./State:

Vehicle #2

Make/Model:

Year:

Color:

Tag No./State:

Other Vehicles

Applicant Questions

Primary Income

Total Gross Monthly Household Income: $

If there are other sources of income you would like us to consider, please list income, source and person who we could contact for confirmation. You do NOT have to reveal alimony, child support, or spouse’s annual income unless you want us to consider it in this application.

Additional Income #1

Amount:

Period:

Source:

Telephone:

Additional Income #2

Amount:

Period:

Source:

Telephone:

Other Income

Additional History

  • Have you ever had any issues involving bed bugs?
     Yes No
  • Have you ever filed bankruptcy?
     Yes No
  • Have you ever been convicted or charged or pleaded guilty or “no contact” to a felony, whether or not resulting in a conviction?
     Yes No
  • Have you ever been arrested, cited or charged with any criminal violations except minor traffic violations?
     Yes No
  • Have you ever been evicted, refused to pay rent and/or had a Money Judgment issued against you because you owed a landlord or a person money after you vacated their property?
     Yes No
  • Has a landlord ever asked you to vacate their property?
     Yes No
  • Has your application been denied by another landlord within the past five years?
     Yes No
  • In the last 5 years have the police ever been called to your residence?
     Yes No
  • Have you ever been involved in litigation or dispute with any landlord?
     Yes No
  • In the past three years have you used an illegal &/or a controlled substance?
     Yes No

If yes to any of the above questions, explain each:

Emergency Contacts

You must submit two different people, can NOT be someone who is currently living with you or will be living with you, people must live at different addresses:

Contact #1

Notify:

Relationship:

Address:

City:

State:

Zip:

Home number:

Work number:

Work number:

Contact #2

Notify:

Relationship:

Address:

City:

State:

Zip:

Home number:

Work number:

Work number:

Terms & Conditions

Applicant’s signature on application authorizes management to check references including: Credit Report, Criminal checks, Income Verification, Employment and/or student verification, previous landlords or program participation, County Courthouse records for Small Claims filed, County Courthouse records for Money Judgments, Law enforcement with jurisdiction over previous address, others as deemed pertinent from Applicant.

Iowa Code Chapter 216, Iowa’s anti-discrimination law, DOES NOT AFFECT: 216.20 “Tenancy of an individual that would constitute a direct threat to the health and safety of other individuals or tenancy that would result in substantial physical damage to the property of others.”

Be advised that management will NOT: rent to persons who lie on their Applications, continue tenancy with persons who management later learns lied, rent to persons who have recent convictions for felonies and aggravated misdemeanors including any drug-related crimes and sex offenders, continue tenancy with persons who are currently convicted for felony and aggravated misdemeanor violations, rent to, or continue tenancy, with persons who entertain guests with recent convictions for felonies and aggravated misdemeanors, rent to persons with a history/habit of poor credit, continue tenancy with persons who disregard provisions of the Rental Agreement or who cause property destruction or disturbances.

Management considers felonies and aggravated misdemeanors such as this list unacceptable behavior/ activity/ involvement for tenants of this property: assault/personal injury, prostitution, criminal mischief/ vandalism/property damage, arson or trespass, drug use/drug trafficking/drug manufacturing, child molestation/ endangerment/neglect/sex offenders, domestic violence, breaking and entering, theft/burglary/stolen property, illegal use of firearms/guns, stalking/kidnapping/rape/ sexual abuse.

I, the under signed, do hereby authorize this apartment complex, its successors, and/or assigns to verify my/our past and present: employment - position, length of time on job, school, or program participation, earnings/income, status of utility bills, previous landlord references, past rental payment habits, information about past and present mortgages, confirm renters insurance, compliance with previous landlords rental agreements.

And to obtain copies of my/our: consumer credit report, small claims court history, criminal activity reports from state, county, &/or agencies, probation or parole records and compliance, sex offender registry through the county, sheriff or online.

Bed Bug and Crime Free Addendums must be signed by all residents prior to executing a lease with our company. Landlord can exercise their option to deny an application &/or terminate the lease if one &/or both of these addendums are not completed by the tenant(s).

This rental application must be filled out completely in order for management to correctly process it. This includes all addresses, city, state, zip code, phone numbers (including area codes), emergency contact information, etc. Any applications that are received and are missing information or areas are left blank will not or cannot be processed by management. Once the application has been filled out completely management will start the verification process.

I have read over the application and filled it out to the best of my knowledge. I also understand that just because I have filled out the application, does not mean that I am automatically approved. I authorize you to contact any references that I have listed.

 I have read & agree to the terms of this application.

Applicants Signature:

Date:

Comments, name &/or address of the property your are applying for

We highly suggest you print your responses prior to submitting this application.

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