Iowa Lease Application Template
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3IOWA 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 ___________/STAT E______________
_______________/STATE _________________
WILL YOU OR OTHER OCCUPANTS HAVE A PET? _________ KIND, WEIGHT, BREED, AGE _____________________________________
WILL YOU OR OTHER OCCUPANTS HAVE A WATERBED? NO ________ YES ________ (Requires insu rance)
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: _________________ _ __________________________________________________________________
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