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Click on addresses below

Large Properties
(In descending order
from largest to smallest)

420 N Dubuque St
308 Church St
714 N Van Buren St
216 Fairchild St
225 Church St
332 N Van Buren St
931 S Van Buren St
222 Fairchild St

3 to 4 Bedrooms

225 Church St
508 E Davenport St
418 N Van Buren St
509 1/2 E Davenport St
509 E Davenport St

Efficiencies & 2 Bedrooms

156 Westside Dr
395 Beaver Kreek


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.

Printable PDF of Tenant Application

(Need Adobe Acrobat Reader? Download a free version here)

Printable Word version of Tenant Application

HTML version appears below


1. Address of rental _______________________________________________________

2. Full name___________________________________Soc. Sec.#_________________

3. Parents'names/address__________________________________________________

4. Parents' phone #_______________________________________________________

5. Current local address___________________________________________________

Local phone #__________________ Cell phone # ______________________________

6. Name of bank used_______________________City of bank used________________

7. College major, and year in college_________________________________________

8. References: Current landlord/phone________________________________________

Previous landlord/phone____________________________________________________

If live in dorm, name of RA/phone____________________________________________

Work supervisor/phone____________________________________________________

9. Car (make, model, year)_________________________________________________

10. Reason(s) for moving___________________________________________________

11. About your group: a. # persons________ b. # cars_______ c. # smokers________

NOTE: Burning of candles/smoking of tobacco products not permitted on premises.

12. Have you been or are you presently an illegal abuser of any controlled substance?________

13. 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?______________

14. 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?_______________

15. 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.

16. Term. The duration of rental agreements shall be from 12:00 noon on the 1st day of August, to and including 12:00 noon on the 25th day of July the following year. It is recognized that leases are for a period of 360 days and there will be no reduction in rent for the month of July.

I authorize Rich Mason to verify the above information by contacting the necessary individuals.

Applicant_____________________________ Date_____________________


Please return this form to:

Rich Mason
953 Weeber Street
Iowa City, Iowa 52246
(319) 321-6418

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