IOWA Residential Rental Application - 1 per Applicant - Non-Refundable Fee $30.00

Sep 19, 2026

IOWA residential rental application form for one applicant, requesting detailed tenancy information and applicant qualification data. Collects property preferences (type, square footage, bedrooms, rent amount), tenancy length and start date, and eligibility questions such as pets, smoking, parking, prior convictions, bankruptcy, and eviction history. Gathers employment, prior residence, current landlord, personal references, and financial account details. Includes consent and acknowledgment authorizing background and credit investigations, plus Fair Credit Reporting Act consumer disclosure rights and reporting agency listings.

LanguageEnglish

CategoryForms

FormatPDF

Pages5

Reading Time2 min

AccessFree to download

Applicant Details

Tenancy

Current Employment

Previous Employment

Current Residence

Current Landlord

Personal References

Financial Information

Consent and Acknowledgment

Consumer Disclosure

IOWA RESIDENTIAL RENTAL APPLICATION (1 per applicant) Non-Refundable Fee: $ 30.00 Type (Apt, Home, Condo): HOME Square Feet (SF): 2400 SF Bedrooms: 3 Rent Amount: $ /Month Street Address: 23381 County Rd E34 City: Anamosa State: Iowa Zip: 52205 Pets? ☐ Yes ☐ No Smoking Allowed? ☐ Yes ☐ No Parking? ☐ Yes ☐ No If Yes, Describe the Parking: TENANCY Type/Length: 12M Min Start Date: APPLICANT DETAILS Full Name: DOB: SSN: Driver’s License No. Phone: E-Mail: Other Occupants? ☐ Yes ☐ No If Yes, Describe: Pets? ☐ Yes ☐ No If Yes, Describe: Vehicles? ☐ Yes ☐ No If Yes, Describe: Ever Been Convicted of a Crime? ☐ Yes ☐ No If Yes, Describe: Ever Filed for Bankruptcy? ☐ Yes ☐ No If Yes, Describe: Ever Been Evicted? ☐ Yes ☐ No If Yes, Describe: CURRENT EMPLOYMENT Company: Occupation/Title: How Long? Gross Income: $ (From Prior Year Tax Filing) Street Address: City: State: Supervisor: PREVIOUS EMPLOYMENT Company: Occupation/Title: How Long? Gross Income: $ ) Street Address: City: State: Supervisor: CURRENT RESIDENCE Type (Apt, Home, Condo): Square Feet (SF): SF Bedrooms: Rent Amount: $ /Month Street Address: City: State: Zip: How long at this Address? Current Lease Expiration Date: Desire for Moving? CURRENT LANDLORD Name: Address: Phone: E-Mail: PREVIOUS RESIDENCE-1 Type (Apt, Home, Condo): Square Feet (SF): SF Bedrooms: Rent Amount: $ /Month Street Address: City: State: Zip: Start Date: End Date: PREVIOUS LANDLORD-1 Name: Address: Phone: E-Mail: PREVIOUS RESIDENCE-2 Type (Apt, Home, Condo): Square Feet (SF): SF Bedrooms: Rent Amount: $ /Month Street Address: City: State: Zip: Start Date: End Date: PREVIOUS LANDLORD-2 Name: Address: Phone: E-Mail: PERSONAL REFERENCES Full Name: Relationship: E-Mail: Phone: Full Name: Relationship: E-Mail: Phone: Full Name: Relationship: E-Mail: Phone: FINANCIAL INFORMATION Bank: Account \# Routing \# Branch Location Type: ☐ Checking ☐ Savings Bank: Account \# Routing \# Branch Location Type: ☐ Checking ☐ Savings Credit Card: Card \# - - - Limit: $ ☐ Visa ☐ MasterCard ☐ Discover ☐ Amex ☐ Diner’s Club Credit Card: Card \# - - - Limit: $ ☐ Visa ☐ MasterCard ☐ Discover ☐ Amex ☐ Diner’s Club Credit Card: Card \# - - - Limit: $ ☐ Visa ☐ MasterCard ☐ Discover ☐ Amex ☐ Diner’s Club CONSENT AND ACKNOWLEDGMENT I hereby certify that I am at least 18 years of age. Applicant represents that all information given on this application is true and correct. Applicant hereby authorizes verification of all references and facts, including but not limited to current and previous landlords, employers, and personal references. Applicant hereby authorizes owner/agent to obtain any and all Unlawful Detainer, Credit Reports, Tele checks, and/or Criminal Background Reports. Applicant agrees to furnish additional credit and/or personal references upon request. Applicant understands that incomplete or incorrect information provided in the application may cause a delay in processing which may result in denial of tenancy. Applicant hereby waives any claim and releases from liability any person providing or obtaining said verification or additional information. Applicant’s Signature Date CONSUMER DISCLOSURE I/we, the undersigned, authorize the Landlord and its agents to obtain an investigative consumer credit report including but not limited to credit history, OFAC search , landlord/tenant court record search , criminal record search and registered sex offender search. I authorize the release of information from previous or current landlords , employers , and bank representatives. This investigation is for resident screening purposes only and is strictly confidential. This report contains

FAQs

What information is required in the IOWA residential rental application?

It requests tenancy details, applicant identification and eligibility answers, employment and residence history, current landlord info, personal references, and financial account/credit card information.

What consents does the applicant provide in the form?

The applicant authorizes verification of references and facts and grants permission for the owner/agent to obtain investigative consumer credit reports, including credit history and criminal background checks, for resident screening purposes.

What rights are explained under the Fair Credit Reporting Act (FCRA)?

The form states the applicant can request disclosure of the investigation, know if information was used against them, access what is in their file, ask for a credit score (fee may apply), and dispute inaccurate or incomplete information with consumer reporting agencies.

Sep 19, 2026

Upload by Olivia Brown