Iowa Rental Application Form

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The Iowa Rental Application Form aids both landlord/property managers and prospective tenants in organizing the application process for a rental property. This is a standard form for the presentation of the qualifications necessary to be granted a lease. The form provides a structure for information to be easily entered. Furthermore, it contains a consent line that authorizes the landlord to investigate the information that has been claimed by the applicant such as their current contact information and job status.

Application Fee (No Statute) – Landlords can charge any amount to cover the application costs.

Security Deposit (562A.12(1)) – Two monthsrent is the maximum amount that may be demanded by a landlord.

How to Write

Step 1 – The top right corner of the page should have the name, address, and contact information of where this application must be submitted. If this has not been filled in, contact the property manager to obtain an application with this information or to obtain the correct information.

Step 2 – On the top left there will be a section where you may enter the Property you are applying for, your name, mailing address, two phone numbers, email address, and the best time you may be contacted regarding this rental application.

Step 3 – Below the applicant’s contact information on the left is an area where you may report how you heard of the rental opportunity. Check the appropriate box or check the box next to “Other” and write in the source. There will be a space below this for any referrals that have led to this application.

Step 4 – On the right, report whether this is a new application or an update to a previous one. Also indicate which type of rental you would like (1 Bedroom, 2 Bedroom, 3 Bedroom).

Step 5 – Section A, labeled as “Household Composition and Characteristics,” will have three items within it. In Item 1, check the box that describes your “Familial Status,” you may choose to describe yourself as single, married, widowed, separated, divorced and/or pregnant. Place a checkmark in the appropriate box.

Step 6 – In Item 2, of “Household Composition and Characteristics,” indicate if any member of your family is enrolled in a school under the Higher Education Act of 1965 Section 102 by checking “Yes” or “No.”

Step 7 – In Item 3 of Section A, enter the Full Name, Relationship to the Head of the Household, Sex, Date of Birth, Age, Social Security Number, and Student Status of everyone living in the unit, starting with the head of the household.

Step 8 – In Section B, labeled “Income,” where each household member’s gross yearly income must be reported. For each row of income type, check off if the income type is applicable or not, the amount from that income type, the amount, full name of the person receiving the income, the full name of the party providing that income type, and the address of the party providing that income type. The income types will be Employment, Unemployment, TANF or General Assistance, Welfare of ADC, Child Support, Alimony, Social Security, Disability Benefits/SSI, Pension, a space to describe any other income type, and a check box to report whether you have ever had child support or alimony awarded by the courts.”

Step 9 – Section C, or “Assets,” will also feature a table to enter some basic information for the first item. Here, all the household members’ assets excluding vehicles. For each asset type, indicate whether there is information to report by checking “Yes” or “No,” the Value of that asset type, the owner of that asset type, and the name of the Financial Institution/Title Holder, Address of that asset type. The asset types are Checking, Savings, CD, Stocks or Bonds, Real Estate/Lots/House, Income from Real Estate, Annuities/Money Market, Cash on Hand, Safety Deposit Box, and Whole Life Insurance (Cash Value). There will also be a row at the bottom to report any “Other” asset types not previously mentioned.

Step 10 – In the second item of “Assets,” check “Yes” if any member of the household has disposed of any of the previously named asset types. If so then list the Assets Disposed of, Date, Market Value, and the Amount Received. If not, then check the box labeled as “No.”

Step 11 – Section D, or “Expenses,” will have four separate items requiring information: prescribed medications, health/hospitalization insurance, doctor/dental expenses,      care attendant type expenses, and childcare/handicapped care expenses. In the first item, if anyone in the household must pay for prescribed medication regularly place a check mark in the box labeled “Yes.” then report the provider/pharmacy name, address, and phone number of where the medication will be obtained. If not, check the box labeled “No.”

Step 12 – In Item 2 of Section D, check the box labeled “Yes” if any household member has must pay for health insurance. Below this list the provider name, address, and phone number. If no one pays for health insurance, check the box labeled “No.”

Step 13 – In Item 3 of Section D, check “Yes” or “No” to indicate if you, or any member of the household, has any medical expenses they must pay for. If so, list the provider name, address, and phone number associated with this expense.

Step 14 –  In Item 4 of Section D, indicate if you have a child or handicapped care expenses by checking the “Yes” box or the “No” box. If there are such expenses enter the Provider Name, Address, and Phone Number of the provider.

Step 15 – Section E, labeled as “Criminal History,” will have several Yes/No boxes. Read these carefully and answer the questions honestly. If you have answered “Yes” to any of the questions asked, enter an explanation on the space provided. If you need more room write your explanation on a separate piece of paper, label it properly, sign, date, and attach it to the application.

Step 16 – In Section F, labeled “General Information,” there will be several items that will require an answer. If there are any plans to have an additional individual live in the household with you, then check the “Yes” box, in the first item, and explain the situation or expectation. If not, check the box labeled as “No.”

Step 17 – In the second item of “General Information,” place a check mark in the box labeled “Yes” if anyone in the household plans on becoming a student in the next year.

Step 18 – In the third item of Section F, will ask if the applicant will request a $400 adjustment to income or a unit altered for handicapped use. If either of these conditions will apply, check the “Yes” box. If not, check the box labeled “No.”

Step 19 – In the fourth item of Section F, indicate if you need barrier-free features for someone who is impaired (visually, hearing, mobility). If so, check the “Yes” box then describe the alterations that need to be made. If no one in the household needs this, select “No.”

Step 20 – In the fifth item of “General Information,” indicate if you are receiving Section 8 assistance.

Step 21 – In Item 6 of this section, document all the state’s you have lived in.

Step 22 – In Item 7 of Section F, report the Model/Make/Year, Color, and License Plate Number of any vehicles you own. If you do not own a vehicle leave this section blank.

Step 23 – In Item 8 of “General Information,” indicate if you may legally enter a lease by placing a checkmark in the appropriate box.

Step 24 – Item 9 of this section is a disclosure stating the applicant will only rent one residence if they sign a lease for this property.

Step 25 – In Section G. labeled as “Housing References,” you must report on the residences you maintained in the past three years (excluding the homes owned by family members). For each residence, starting with your current residence, list the Address, Landlord Name, Landlord Address, Phone Number, and Dates Occupied. If you or a co-applicant have ever been evicted or forced to leave from a leased property check the “Yes” box and explain the situation on the lines provided. If not, then check the “No” box and proceed to the next paragraph.

Step 26 – While this application is in accordance with Federal Law, it will seek to gather information regarding ethnicity. If you wish to report your ethnicity check the appropriate box or, if unlisted, check “Other” and enter it on the blank line provided.

Step 27 – At the bottom of this page all applicants, co-applicants, and household members over the age of 18 must sign and date this application.

The next section is for a landlord reference. It may only be filled out by a landlord providing a reference for you (the applicant).

For Landlords

Step 1 – Enter your name

Step 2 – In the box provided, you will find the questions that may be legally asked regarding the tenant. This will range along the subject lines of address, rental period, rental amount, payment history, hygiene, damages to the unit, occupants, if they disturbed the peace, if there were any threatening actions taken by the tenant, the type of tenant (Excellent, Good, Fair, Poor), and if you would rent another unit to this individual. There will also be an area to add any comments regarding these subject manners.

Step 3 – At the bottom of this page, sign the reference then provide your phone number and the date. Below this print your name, enter the name of the person you spoke with regarding this reference and the date of this conversation. Then sign your name verifying the information is no more than 12 months old. (Note: If there is a time limit to when this information must be received, in the bottom right-hand part of this application.”