SouthGate 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*: One Two Three Four First Available
 
Location Preferred*:
 
 
Expected Date of Occupancy*:
 

  Personal Information:  
 
First Name*:
Last Name*:
 
Social Security #:
Date of Birth*:
 
Driver's License #*:
State Issued*:
 
Home Phone*:
Work Phone:
 
Address*:
City*:
 
State*:
Zip Code*:

  How did you hear about us?:
www.s-gate-com www.apartmentrenting.com Phone Book Daily Iowan Press Citizen Tenant/Friend
 
 
 
Will anyone be living with you?*:
Yes No
  
  If yes, please list:       Adults: Children:  

  We require names and addresses of TWO previous Landlords (if applicable):
 
Present Landlord*:
Phone #*:
 
Property Address*:
City*:
 
State*:
Zip Code*:
 
Dates at this address*:
Rent a Month:
 
Reason for leaving*:
   
 
Present Landlord*:
Phone #*:
 
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 #:
 
Employer Address:
City:
   
State:
 
Position:
Supervisor:
 
Dates with Employer:
Are you Subject to Transfer:
 
Approx. Monthly Income: $
 
 
Income Source #1*: $
Approx. Monthly Income: $
 
 
Income Source #2*: $
Approx. Monthly Income: $
 

  Non-Relative References:  
 
Reference Name*:
Phone #*:
 
Address*:
City*:
 
State*:

  Contact in Emergency:  
 
Name*:
Phone #*:
 
Address*:
City*:
 
State*:

  Parent or Guardian:  
 
Name*:
Phone #*:
 
Address*:
City*:
 
State*:

  Bank Information:  
 
Name of Bank*:
Phone #*:
 
Address*:
City*:
 
State*:

  Vehicle Information:  
 
Make and Model:
Year:
 
License:
State:

 
Are you able to the conditions of tenancy that apply to all tenants?*:
Yes No
  If no, who assists you?  
 
Name:
 
 
Program:
 
 
Phone #:
 

 
Are you in Section 8 Housing?*:
Yes No
  If yes, how long on the program?  
 
Name of Caseworker:
 
 
 

 
Are you 18 years of age or older?*:
Yes No
  If no, Responsible Co-Signer:  
 
Name:
Phone #:
 
Address:
City:
 
State:
 
Relationship:
 

 
Rent payments ever been late?*:
Yes No

 
Ever been evicted?*:
Yes No

 
Ever been convicted of a felony?*:
Yes No

 
Ever been or are you presently an illegal user/abuser of controlled substance?*:
Yes No

 
Ever been convicted of illegal manufacture/distribution of controlled substance?*:
Yes No

 
If yes to any of the above questions, please attach a written explanation?:

Saturday, May 10, 2008, 5:08 pm

 
Applicant Signature:
     
 
Applicant Comments:

By submitting this form, you agree to abide by the terms and conditions set forth by SouthGate Companies, Inc. and any applicable state and federal laws.
Questions? Email info@sgdev.net for more details.