• Heritage Property Management
    220 E Market St. Iowa City, IA 52245
    Phone:319.351.8404
    hpmanagement@qwestoffice.net
    www.hpmic.com

  • RENTAL APPLICATION

  • A $30 NON-REFUNDABLE APPLICATION FEE IS REQUIRED FOR PROCESSING
  • PLEASE READ THIS INFORMATION CAREFULLY. IF YOUR APPLICATION IS INCOMPLETE OR ILLEGIBLE,
    PROCESSING WILL BE DELAYED!

  • A separate application must be filled out by each applicant, except for married couples. We do not allow anyone to move in immediately, nor do we automatically rent to the first applicant. We rent to the applicant with the best credit and rental history. Decisions are based on the information you and your references provide, not personal appearance. We reserve the right to require a co-signer.

  • Preferred Move-In Date:
     - -
    2 digit month, 2 digit day, 4 digit year
  • HPM PET POLICY: Not all properties allow pets. Written permission must be given by Heritage in order to have a pet. Heritage has a non-refundable, non-negotiable monthly pet fee. The pet policy may change at any time at Heritage's discretion. Applicant must confirm with Heritage, Prior to applying, regarding whether a property allows pets & how many and/or what types are allowed. (Circle One) Pet or Service Animal or Emotional Support.

  • PERSONAL INFORMATION:

  • Date of Birth:
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.

  • RENTAL HISTORY:

  • EMPLOYMENT INFORMATION/SOURCE OF INCOME:

  • Are you Full-time student?
  • Format: (000) 000-0000.

  • OTHER OCCUPANTS WHO WILL LIVE IN UNIT:

  • All non-married adults must fill out separate applications. List below others you will be living with in the unit applied for:
  • OTHER OCCUPANTS WHO WILL LIVE IN UNIT: All non-married adults must fill out separate applications. List below others you will be living with in the unit applied for:
    Rows
  • Page 2 of 2

  • VEHICLE INFORMATION:

  • EMERGENCY CONTACT INFORMATION:

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • OTHER INFORMATION:

  • HAVE YOU EVER:
  • Been arrested and/or convicted for any reason concerning illegal drugs/alcohol?
  • Been arrested and/or convicted of or pleaded guilty or "no contest" to a felony?
  • Been arrested and/or convicted of or pleaded guilty or "no contest" to a misdemeanor involving sexual misconduct?
  • Been served an eviction notice or been asked to vacate a property you were renting?
  • Willfully or intentionally refused to pay rent when due?
  • Filed for bankruptcy?
  • ** If yes to any of the above questions please attach a written explanation.
  • Have you given your landlord thirty days written notice?
  • Do you smoke?
  • Do you have a waterbed?

  • Applicant has herewith, or will prior to move in, deposited the sum of an amount equal to, but not limited to, one months rent to Heritage, receipt of which is hereby acknowledged as a non-interest bearing deposit, and not as a rental payment, to be refunded as hereinafter provided if the lease agreement is consummated. Provided, however, that in the event the application is approved, and applicant fails or refuses to enter into the contemplated lease with the owner, then applicant agrees to forfeit the said deposit as liquidated damages to cover the cost of taking and of processing this application, reservation and preparation of the apartment, and the loss of rental income to owners. If, however, in the event this lease agreement is not consummated, is disapproved or for any other reason for which owner is responsible, the deposit will be returned to applicant.

  • This application is made with the understanding that it is subject to acceptance by the owner and subject to execution by said company and delivery of a lease covering said premises. No other persons than those listed will be authorized to occupy this apartment without the consent of the owner and an appropriate adjustment in the rent. Keys will not be given until lease is signed, rent & security deposit is paid, all applicable utilities are in tenant's name and apartment is ready for occupancy.
  • The undersigned represents that all information statements are true and complete, and does authorize verification of information and references given. If any of the answers are found to be deliberately incorrect, any rental agreement becomes void and will be sufficient reason for eviction and loss of security deposit. The undersigned also authorizes verification of credit history and criminal records.
  • THIS APPLICATION WILL NOT BE PROCESSED WITHOUT A SIGNATURE.
  • DATE
     - -
    2 digit month, 2 digit day, 4 digit year

  • My Products

    prevnext( X )
      Application Fee
      $30.00$30.00
        
      Total
      $0.00$0.00
      Debit or Credit Card
    • Should be Empty: