RENTAL APPLICATION-All applicants over age of 18 must complete & sign their own application, write neatly.
Mail To: Maple Enterprises 108 S. Maple St Anamosa, IA 52205
Applicants full name_____________________________ Phone #__________________DOB___________
Drivers License #__________________ State______ Expiration Date.______
Current Address________________________________City_________________State_______Zip_______
Current Landlords Name___________________________ Landlords Phone #_______________________
How long at this address_______ Reason for leaving____________________________________________
Previous Rental History
Previous Address_______________________________City_________________State_______Zip_______
Previous Landlords Name_____________________________ Phone # _____________________________
How long at this address ______ Reason for leaving____________________________________________
Previous Address_______________________________City_________________State_______Zip_______
Previous Landlords Name_____________________________ Phone # _____________________________
How long at this address_______ Reason for leaving____________________________________________
Employment Information
Present Employer______________________ Position_________________ Mo. Income_______________
Phone #_________________ How long at job________ Other income/source________________________
Employers Address________________________________ City____________________ State__________
Number and type of Pets______________________ Have you ever been party to an eviction? [] Yes [] No
Name of bank_________________________ Branch__________________ Type of Account___________
Personal References (non-family)
Name_______________________ Yrs. Known____ Relationship____________ Phone #______________
Name_______________________ Yrs. Known____ Relationship____________ Phone #______________
Total Number of Adults_________ Total number of children living with you under the age of 18________
Names and relations of all other applicants____________________________________________________
I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements
contained in this application for tenant screening as may be necessary in arriving at a tenant decision, I understand that the landlord
may terminate any rental agreement entered into for any misrepresentations made above. I also authorize the landlord to request
credit verification. Signature__________________________________________________ Date________________