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________________
Maple Enterprises