View Application

ProGood Enterprises, Inc – Rental Application

Please deliver this completed application to ProGood Enterprises, Inc by email, in person or postal mail at the address below (or text a picture of each page to 319-521-4004) All adults to be living in the residents need to complete a separate application.   Please note that all our homes are non-smoking homes.

Landlord:   ProGood Enterprises, Inc. 5249 N Park Place NE #330 (private mail box located in Pak-Mail Store),
Cedar Rapids, IA 52402     319-521-4004 progoodrei@yahoo.com

Street Address of Property interested in: ________________________           Date _____________
Are you interested in: Purchasing____ Rent-to-Own____ Renting___

TENANT INFORMATION:

Applicant ____ or Co-Applicant ____
Full Name ___________________________________________________________________
Home Phone ( ) ________ Work Phone ( ) __________ Cell Phone ( ) __________
Date of Birth _____________ Social Security No. 1 ___________________________________
Drivers License No.1 ___________________________________________ State ___________
Email Address(es)_____________________________________
Vehicle(s) Make/Model ____________________ Year _____ License/State _________________
Names and Ages of everyone who will live in the residence _________________________________
____________________________________________________________________________________
List all pets (breed/weight) _________________________________________________________________

EMPLOYMENT INFORMATION FOR THE LAST 2 YEARS:

Employment Status: ___ Full Time ____ Part Time ____ Student ____ Unemployed
Employer______________________________________________________________________
Address ______________________________________________________________________
Job Title ___________________________ Dates employed ____________________________
Supervisor Name _________________________ Phone ( ) ___________________________
Monthly Pay __________________

Employment Status: ___ Full Time ____ Part Time ____ Student ____ Unemployed
Employer______________________________________________________________________
Address ______________________________________________________________________
Job Title ___________________________ Dates employed ____________________________
Supervisor Name _________________________ Phone ( ) ___________________________
Monthly Pay __________________

Other Employment to be considered: ___________________________________________________________
_________________________________________________________________________________________

Other Income: If you would like us to consider other sources of income for this Rental Application, please list the amount and the person we may contact for confirmation. Please do not reveal alimony, child support, or anyone else’s income unless you want us to consider it in this Iowa Rental Application.
Amount $_____________________________________________________________________
Contact Information _________________________________________________________________

RESIDENTIAL HISTORY FOR LAST 2 YEARS:

Current Address _______________________________________________________________
Move In Date ________________________ Rent $____________________________________
Owner/Agent _________________________________________Phone ( ) _____________
Reason for Leaving _____________________________________________________________

Previous Address ______________________________________________________________
Move In Date ______________ Move Out Date ______________ Rent $__________________
Owner/Agent _________________________________________Phone ( ) _____________
Reason for Leaving ____________________________________________________________

Other Residential History to be considered   ________________________________________________
___________________________________________________________________________________

CREDIT HISTORY:

Have you ever filed bankruptcy? Yes ___________ No ___________
Have you ever been evicted from a rental residence? Yes ___________ No ___________
Are you a party to any lawsuits? Yes ___________ No ___________
Have you had any late rental payments in the last year? Yes ___________ No ___________
Are there any judgments against you? Yes ___________ No ___________
Have you ever been convicted of a crime? Yes ___________ No ___________
If you answered yes to any of the above questions, please explain below:
By my signature below, I represent that all of the information that I have disclosed in this Iowa Rental Application is true, accurate, and complete. I acknowledge that all of the information I have disclosed is material and Landlord is relying on the information to decide whether to grant or deny this Application.

NAME _________________________________ DATE ______________________

AUTHORIZATION   – I authorize Landlord to order and review my credit and criminal history and investigate the accuracy of all information contained in this Iowa Rental Application

NAME _________________________________ DATE ______________________