755 Mormon Trek Blvd
Iowa City, IA 52240
319.339.9320
SouthGate  Property Management
755 Mormon Trek Blvd.
Iowa City, Iowa 52246
(319) 339-9320

APPLICATION FOR TENANCY

Important: * Indicates a Required Field

Each adult applicant must provide a photo ID and fully complete this application. We collect as many applications as possible. We run credit checks and call references of all applicants. We do not automatically rent to the first applicant; we do rent to the first applicant that best meets our criteria. All prospective tenants 18 years of age and older must complete an application and pay a $25.00 application fee. We reserve the right to require a co-signer and/or double deposit.
*Type of Housing Preferred:
*Location Preferred:
*Expected Date of Occupancy:
 
Personal Information
*First Name: *Last Name:
*Email:
Social Security #:
*Date of Birth:
*Driver's License Number: *State Issued:
*Home Phone: Work Phone:
*Address:
*City: *State:
*Zip Code:
 
How did you hear about us?

 
*Will anyone be living with you?
If yes, please list: Adults:
  Children:
 
We require names and addresses of TWO previous Landlords (if applicable)
*Present Landlord:
*Phone Number:
*Property Address:
*City: *State:
*Zip Code:
*Dates at this address: Rent a Month:
*Reason for leaving:
 
*Present Landlord:
*Phone Number:
*Property Address:
*City: *State:
*Zip Code:
*Dates at this address: Rent a Month:
*Reason for leaving:
 
Employment Information (of source of income)
Employer Name:
Phone Number:
Employer Address:
City: State:
Position: Supervisor:
Dates with Employer:
Are you Subject to Transfer:
Approx. Monthly Income (In Dollars):
 
*Income Source #1:
Approx. Monthly Income (In Dollars):
*Income Source #2:
Approx. Monthly Income (In Dollars):
 
Non-Relative References
*Name:
*Phone Number:
*Address:
*City: *State:
 
Contact in Emergency
*Name:
*Phone Number:
*Address:
*City: *State:
 
Parent or Guardian
*Name:
*Phone Number:
*Address:
*City: *State:
 
Bank Information
*Name of Bank:
*Phone Number:
*Address:
*City: *State:
 
Vehicle Information
Make and Model:
Year:
License: State:
 
*Are you able to meet the conditions of tenancy that apply to all tenants?
If no, who assists you: Name:
  Program:
  Phone Number:
 
*Are you on Section 8 Housing?
  If yes, how long on the program?
  Name of Caseworker:
 
*Are you 18 years of age or older?
If no, Responsible Co-Signer
Name:
Phone Number:
Address:
City: State:
Relationship:
 
*Rent payments ever been late?
*Ever been evicted?
*Ever been convicted of a felony?
*Ever been or are you presently an illegal user/abuser of controlled substance?
*Ever been convicted of illegal manufacture/distribution of controlled substance?
 
  If you answered YES to any of the above questions, please explain below
 
Application Submitted: 7/30/2010 12:06:48 PM
*Applicant Legal Name:
  Applicant Comments:
 
 
 
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