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North-Central Iowa Rentals - Application

It's free and easy to submit an application for one of our properties. Simply fill out the online application below. Click "Submit" when it is complete. A representative from North-Central Iowa Rentals will contact you.

This application should be completed separately by each adult that will reside in the home. Applications will be considered incomplete until each adult has completed and submitted the following form.

Applicant's Full Name
Maiden Name (if applicable)
Current Address
Phone Number
Email
Date of Birth
Marital Status
Will a spouse or other adult roommate be residing with you?*
Full Name of Spouse or Roommate
Phone Number
Email

* Each adult must complete this form separately - both spouses and roommates. Applications will be considered incomplete until each adult that will live in the unit has submitted a separate application.

Proposed Move-In Date
City/Cities you are applying for
Size of apartment/house you are applying for
How many persons will reside in the home?**

** A maximum of SIX residents may reside in each North-Central Iowa Rentals unit.

Please submit the following for each resident of the home (including the applicants listed above): Name, Age, Relationship (to applicant)

Resident 1 Information
Resident 2 Information
Resident 3 Information
Resident 4 Information
Resident 5 Information
Resident 6 Information

Please provide two year's employment history.

Current Employer
Company Phone
Company Address
Position
Salary
Employed From
Employed To
Supervisor's Name
Previous Employer
Company Phone
Company Address
Position
Salary
Employed From
Employed To
Supervisor's Name

Please provide two year's residential history.

Landlord's Phone
Rented From
Rented To
Monthy Rent Payment
Reason for moving
Landlord's Phone
Rented From
Rented To
Previous Address
Monthy Rent Payment
Reason for moving

Has applicant, spouse, or any other proposed occupant ever:

Filed for bankruptcy?
Been evicted?
Been served a notice for non-payment?
Willfully or intentionally refused to pay rent when it was due?
Have any potential residents ever been arrested or have a criminal record of any kind?
Please list two relatives or personal references.
Reference 1 Information
Name
Phone Number
Reference 2 Information
Name
Phone Number
Emergency Contact
In case of emergency please notify:
Phone Number
Doctor
Phone Number

Please enter the year, make, license plate number and state of registration for each vehicle you own.

Vehicle 1
Vehicle 2
Do you have a trailer, truck or boat?
Do you have any animals of any kind?

TERMS OF ACCEPTANCE and SIGNATURE

BY SIGNING BELOW I UNDERSTAND AND ACKNOWLEDGE THE FOLLOWING:

I /We do hereby consent to and authorize the landlord and/or any representative of landlord to obtain, verify and exchange information on any reports concerning applicant(s) that are maintained by, but not limited to: City, County, State, Federal Law Enforcement Agencies, Credit Reporting Agencies, present and/or past employers including but not limited to present and/or past salary verification, present and/or past residences. I/We understand that any information obtained may be considered by the landlord and/or any representative of landlord in accordance with the established screening criteria, as a factor in decisions they make with respect to the property for which I/we am applying.

Furthermore, I hereby release and hold harmless any agencies, owners, and/or affiliates (including but not limited to partners, officers, directors, and employees) that shall provide information to the landlord and/or any representative of landlord upon request, form any and all claims, demands, suits or expenses arising from or related to the content, validity, or handling of said reports.

I hereby certify that I have read and reviewed the information contained in this application for lease is accurate, full and complete. Any discrepancy or lack of information will/could result in immediate rejection of this application. I/We understand that this is an application and does not constitute a lease agreement in whole or part.

I/We understand that my Non-Refundable Hold Fee I will pay to hold the property I am applying for will not be returned if this application is approved and I am unable to fulfill the conditions of occupancy / move-in, for example but not limited to applicant changing their mind, or applicant circumstances change. The Non-Refundable Hold Fee will be returned promptly if this application is not approved, providing all the above questions are answered correctly and truthfully. This Non-Refundable Hold Fee can become part of or all of the move-in monies due if all of the move-in conditions are met for example but not limited to signing the lease, and paying all funds due to move-in, and have all required utilities in their name, and all by a set date.

I, the applicant for this rental request, warrant the truthfulness of the information provided in this application.

Electronic Signature