Rental Application Each application has a $40.00 fee of which $11.50 can be made payable to Aterra Real Estate and submitted using the online payment portal or via check to 1001 Grand Ave. The remaining $28.50 will be paid to 3rd party background check after we receive completed application. Aterra Real Estate may request additional documentation including but not limited to: Photo ID, pay stubs, signatures or other affirmations. Name* First Last Phone*Email Address* Street Address City Desired Move-In Date DOB* Date Format: MM slash DD slash YYYY Driver's License #SSN*xxx-xx-xxxxCurrent Housing Information*AddressMove In DateRent/Mortgage ($)Landlord/Mortgage CompanyLandlord/Mortgage - ContactReason for LeavingPrior Housing InformationAddressMove In DateMove Out DateRent or Own?Landlord/Mortgage CompanyLandlord/Mortgage - ContactReason for LeavingEmployment/Income*Employer/Source of IncomePhone NumberBusiness AddressPositionStart DateSupervisorMonthly Income Credit References*CreditorAccount #BalanceMonthly Payments Personal References*NamePhone NumberAddressRelation (Related to applicant)Emergency Contact*NamePhone NumberAddressRelation Note: In the event rent is ever more than six (6) days past due and manager has been unable to reach any lessee by phone, email, or regular mail, your submission of this form indicates approval that Property Manager may contact the above listed "Emergency Contact" as this may be an indication of an emergency. Pet InformationBreedAgePet NameVeterinary ClinicSpayed/NeuteredDeclawed Pets may have additional requirements for tenancy at certain locations.Vehicle Information*YearMakeModelLicense #State Questionnaire* I have never been evicted I have never moved without proper notice to landlord I have never willfully or intentionally refused to pay rent I have never filed bankrupcty I have never been convicted of a felony or misdemeanor I am obligated to pay child support or alimony I plan to conduct commercial business from the residence Please select all that apply.Untitled* Applicant hereby acknowledges and grants approval for the owner/property manager to perform a background check in confidence for past evictions, criminal offenses, verification of current and past employment, previous landlords, identity and to obtain a credit report. These will be used as we consider the applicant for approval for residency in a rental property. If approved, this application will become a part of our agreement. Applicant acknowledges that once the background checks are complete the application fee is non-refundable. Applicant acknowledges once a deposit is places by applicant to hold the unit for which applicant has been approved for residency, such deposit will not be refunded, to the extend that costs are incurred by owner (e.g. lost rent from reserving the unit for applicant and additional advertising, and/or other direct costs.). False information listed on the application may be grounds for denial of occupancy and/or ground for eviction, per Iowa Code 714.8(10). Thoroughly read each section & check each box to acknowledge that you understand & agree to the terms.