Prospective tenants should print out the PDF or Word version of the
application, fill it out and sign it, and bring it along to the property
showing. If you cannot access the Word or PDF versions, you may print
this page out and use it as the application.
HTML version appears below
APPLICATION-PROSPECTIVE TENANTS AND/OR SUBTENANTS (PLEASE PRINT).
1. Address of rental ___________________________________________________________
2. Full name___________________________________Soc. Sec. _____________________
3. Parents'names/address________________________________________________________
4. Parents' telephone number___________________________________________________
5. Current Iowa City address_____________________________I.C. phone
#_____________
6. Name of bank used_________________________City of bank used__________________
7. College major, and year in college_____________________________________________
8. References: Current landlord/phone____________________________________________
If live in dorm, name of RA/phone________________________________________________
Work supervisor/phone________________________________________________________
9. A system that we have used for the past several years involves the
tenants issuing pre-dated individual rent checks to landlords for
each of the twelve months of the lease term. The rent checks are
then deposited at the first of each month by landlord. The system
eliminates the monthly process of making sure the rent gets to the
landlord, and also eliminates any late rent penalties. This system
has no affect on the status of the lease, which is joint and several.
Will you be willing to issue pre-dated rent checks at start of lease?____________________
Is there a possibility that you would want to renew the lease for a
2nd year?_____________
10. About your group: a. # people_____ b. # cars_____ c. #
smokers_____
NOTE: Burning of candles/smoking of tobacco products not permitted
on premises.
11. Have you been or are you presently an illegal abuser of any controlled
substance?________
12. If tenant references and information are acceptable, and both
parties are interested in signing a lease, a tenant security deposit
will need to be paid at the signing of the lease. It is understood
that the lease will be a joint and several agreement between all tenants
on the lease and landlords. The security deposit will be equal in amount
to one month's rent. The deposit held by the landlord, prior to commencement
of the lease, will be deemed to be the consideration paid by the tenants
to reserve the property for the period of the lease agreement. The
security deposit is held by landlord and will be refunded at the conclusion
of the lease, net of itemized deductions, if any. Unless prior arrangements
are made, the full amount of the deposit will be due at the signing
of the lease. Are you prepared to do this?______________
13. Heavy cleaning may be necessary when tenants move in at the start
of the lease, due to prior tenants not doing a good job of cleaning
up. In the event this situation arises, new tenants agree to do this
cleaning and will be paid for their time by Landlords by using prior
tenants' security deposits. Are you willing to accept this arrangement
should it arise?_______________
14. It is understood that subtenants that live at the property are
to be considered as being approved by all tenants on the lease. If
there is a problem with a subtenant it is the responsibility of tenants
to advise landlord about the problems and then make arrangements for
the subtenants to straighten up or move out.
I authorize James B. Buxton to verify the above information by contacting
the necessary individuals.
Applicant_____________________________ Date_____________________
Please return this form to:
James B. and Becky J. Buxton, 1811 Muscatine Avenue, Iowa City, Iowa
52240-6414,
(319) 354-7262
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