Iowa Rental Application Page 3

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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:

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