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. Notice:
Co-Applicant must complete a separate rental application form. The undersigned hereby makes application to rent: (circle one) a one, two or three-bedroom apartment located at East Ridge Apartments, 7th Avenue SE,
Le Mars, IA, beginning on __________________________.
FULL NAME____________________________________
PHONE ( ) _______________________ DATE OF BIRTH ______________ SOCIAL SECURITY NUMBER____________________________ DRIVER'S LICENSE #_______________________ DRIVER'S LICENSE STATE_________________ SPOUSE'S FULL NAME ______________________________________________________________ SPOUSE'S DATE OF BIRTH ______________ SOCIAL SECURITY NUMBER___________________ DRIVER'S LICENSE #_______________________ DRIVER'S LICENSE STATE_________________ CHILDREN: List full names and birth dates: ___________________________________________________________________________________ OTHER OCCUPANTS AND THEIR RELATIONSHIP:
(All unrelated adults
must fill out a separate rental application) ___________________________________________________________________________________ RESIDENCE HISTORY FOR THE PAST 3 YEARS
(Beginning With Most Current) CURRENT ADDRESS__________________________________________________________________
Month/year moved in:___________ Reason for leaving:___________________Monthly rent:
______ Owner or agent:________________ Phone: ( )___________
PREVIOUS ADDRESS________________________________________________________________ Month/year moved in:___________ Reason for leaving:___________________Monthly
rent: ______ Owner or agent:________________ Phone: ( )___________
PREVIOUS ADDRESS________________________________________________________________ Month/year moved in:___________ Reason for leaving:___________________Monthly
rent: ______ Owner or agent:________________ Phone: ( )___________
EMPLOYMENT INFORMATION Name & address of current employer:_________________________________
Date employed: _______________________ Position:__________________________
Supervisor: ______________________ Supervisor's phone:______________________
Salary or wages: $ __________ per _________. Number of hours per
week worked: _________
PREVOUS EMPLOYER:
______________________________________________________________ ANY OTHER SOURCES OF INCOME: __________________________________________________ Amount: $__________ per __________.
YOUR BANK: ____________________________ TYPE OF ACCOUNT: ______________________ YOUR VEHICLE MAKE/MODEL/COLOR/YEAR: _________________________________________ License plate number: ____________
SECOND VEHICLE MAKE/MODEL/COLOR/YEAR: _______________________________________ License plate number: ____________
OTHER VEHICLES: _________________________________________________________________ EMERGENCY CONTACT: (List your nearest relative who will not
be living with you.) Name: ________________________________________________________________
Address: ________________________________________________________________
Relationship: ____________________ Phone: _________________________
YOUR DAYTIME PHONE: _____________________EVENING PHONE: ______________________ I hereby apply to lease the above described premises for the term and
upon the conditions above set forth and agree that the rent is to be due and 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, $50 of any deposit will be retained to offset the Landlord's costs and efforts
in processing my application. Please check one
of the following: _____I hereby deposit $200.00
as earnest money to reserve an apartment, if available. If this application is not approved in five (5) business days, this
deposit shall be returned to me in full except in the case of misrepresentation or false claims as described in the above
paragraph. Should my application be approved, this deposit shall be retained as part of the security deposit. When
so approved and accepted, I agree to execute a lease for (circle one) 6 months, 12 months. The balance of the
security deposit and first month's rent shall be due on or before the day I take possession of the apartment. _____I wish to make application without a deposit. I understand that
I am not reserving an apartment at this time, and that, should my application be approved, it will be subject to the
availability of an apartment at the time of approval. When so approved and accepted, I agree to execute a lease for (circle
one) 6 months, 12 months. 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 any deposits shall be applied to the Landlord's costs, 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: 1. Employer, position, and wages.
2. Credit history.
3. Previous
Landlords' references.
4. Criminal background check.
5. Other references as deemed pertinent to this application.
Signature of Applicant
____________________________________Date ______________ (Office use only below this line) Deposit
of $ ___________ Received by ______________________ Date ______________
| 
