$200
Check or Money Order (NO CASH) and completed applications are required
to reserve an apartment. WE ARE UNABLE TO HOLD AN APARTMENT or PROCESS
AN APPLICATION WITHOUT A DEPOSIT. No application fee.
All applications are subject to management approval based on the
following qualifications:
1.Verification
of stable, permanent employment.
2.The amount of rent should not exceed one week's gross income.
3.Good credit rating.
4.Favorable references from former landlords.
If the application is not approved, the deposit check will be
returned at no cost to the applicant.
Should the applicant fail to move in or withdraw the application
after being accepted, the deposit will not be returned.
Notice: Co-Applicant must complete a separate Rental Application Form.
RENTAL APPLICATION
Pheasant Run Apartments
470 Quail Court SW
Cedar Rapids, Iowa 52404
The undersigned hereby makes application to rent apartment __________ at
_____________________________________________________ beginning
on _______________ at a monthly rental of $_________________________.
FULL NAME______________________________________ PHONE ( ) _______________
DATE OF BIRTH_________________ SOCIAL SECURITY # _______________________
SPOUSE’S FULL NAME ________________________________________________________
SPOUSE’S DATE OF BIRTH______________ SOCIAL SECURITY #__________________
CHILDREN: List full names and birth dates
_________________________________________________________________________
OTHER OCCUPANTS AND THEIR RELATIONSHIP: (All unrelated adults must fill out a separate Rental Application)
_________________________________________________________________________
PETS: (Sorry, no dogs, ferrets, snakes or other exotic animals. Cats must be spayed or neutered).
Type ________________ Description____________________________________________
Type ________________ Description____________________________________________
CURRENT ADDRESS: __________________________CITY_______________STATE______ZIP
Month/year moved in: _______________Reason for leaving: _______________________
Monthly rent: __________Owner or Agent: _________________ Phone: ______________
PREVIOUS ADDRESS: __________________________CITY_______________STATE______ZIP
From_____________ To_____________ Reason for leaving________________________
Monthly rent: __________ Owner or Agent: __________________ Phone:_____________
PREVIOUS ADDRESS: __________________________CITY_______________STATE______ZIP
From_____________ To_____________ Reason for leaving________________________
Monthly rent: __________ Owner or Agent: __________________ Phone:_____________
CURRENT EMPLOYER: ___________________________________________________________
Address: ___________________________________________________________________
Dates employed: _________________________ Position: ____________________________
Supervisor: ____________________________ Supervisor’s phone: ____________________
Salary: $_____________ per _______. Number of hours per week worked: ______________
ANY OTHER SOURCES OF INCOME: ______________________________________________
Amount: __________________Verification:_____________________________________
PREVIOUS EMPLOYER: ________________________________________________________
YOUR BANK: __________________________ TYPE OF ACCOUNT: _____________________
VEHICLE INFORMATION:
Make/Model ________________ Year _______ Color __________ License Plate #__________
Make/Model ________________ Year _______ Color __________ License Plate #__________
Have you or your spouse ever:
Been evicted or asked to move? Yes ____ No ____
Broken a rental agreement or lease? Yes ____ No ____
Been convicted of a felony or misdemeanor? Yes ____ No ____
Are currently on or scheduled to be on a sex offender registry? Yes ____ No ____
If you answered yes to any of the above please give a detailed explanation below:
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
EMERGENCY CONTACT: (please list your nearest relative not living with you)
Name _____________________________________________________________________
Address: __________________________ City _______________ State ______ Zip _______
Relationship: ________________________________ Phone: ( ) ___________________
YOUR DAYTIME PHONE: ______________________ EVENING PHONE: __________________
I hereby apply to lease the above described premises for the terms and upon the conditions set forth and agree that the rent is to be payable the first day of each month, in advance. I warrant that all statements above set forth are true; however, should any statement made above be a misrepresentation or not a true statement of facts, a portion of the deposit will be retained to offset the Landlord’s time, cost and effort in processing my application.
I hereby deposit $___________ as earnest money to process this application and hold the apartment off the market. If this application is not accepted in five (5) business days, this deposit shall be returned to me in full unless in the case of misrepresentation or false claims as described in the above paragraph.
Upon acceptance of this application, this deposit shall be retained as part or all of the security deposit. When so approved and accepted, I agree to execute a lease for ________ months. Any balance of the security deposit and first month’s rent shall be due on or before the day I take possession of the apartment.
After this application has been so approved and accepted, should I fail to execute a lease and fail to move in, I understand that this deposit shall be applied to the Landlord’s cost, time, effort, lost rent, advertising, etc. and will not be refunded to me.
I hereby authorize the landlord, in processing this application, to check and verify the following:
- Employer, position, wages, and any other sources of income.
- Credit history.
- Previous landlord’s references.
- Court records check, criminal background.
- Other references as deemed pertinent to this application.
Signature of Applicant___________________________________________________________
Deposit of $ __________ Received by __________________________ Date _______________
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