Apply to Rent a House in Ames

Address of Rental Property I am interested in

Move in Date*

Date/time of Viewing*
People Applying with*

Full Name*

Phone*

Email*

Date of Birth*

Current Address*

Date Moved In*

Rent per Month*

Reason for Leaving*

Landlord Name & Phone*

Previous Address

Date Moved In

Rent per Month

Reading for Leaving

Landlord Name & Phone

Employed By

Supervisor

Employer Address

Phone

Monthly Income

Other Income

Source

Automobile (Year, Make, Color)

License # *

State *

Name*

Phone Number*

Address (Street, City, State, Zip)*


Undergraduate StudentGraduate Student
Major/Class Standing

Have you ever been evicted, asked to leave a residence, or convicted of a felony?YesNo
If yes, specify

Do you have any or plan to get any pets:YesNo
If yes, specify

Electronic Signature

Endorsement: Applicant hereby certifies that statements given above are true and authorizes verification of all references above. Upon applicants’ applications’ being accepted a holding deposit of $600 will be deducted from the security deposit. This holding deposit will be returned as a part of the security deposit upon signing the lease contract. If the applicants’ do not sign the lease agreement after being accepted, then Landlord shall retain the $600 holding deposit.

Upon completion of this form, you will be contacted for your Social Security Number in order to do a credit check.

At lease signing, you will be asked to present your ID & current pay stub, if applicable