Apply Online — Mid Plains Properties

Application fee & screening. Fee details are provided by our office. We do not collect Social Security numbers or bank account numbers on this form — credit, background, and identity screening is handled separately through our screening partner.

1Desired property

Which home are you applying for?

Property address or listing *

Desired move-in date *

Preferred lease length

2Applicant information

Each adult (18+) submits their own application.

First name *

Last name *

Email *

Phone *

Date of birth *

Driver’s license / state ID #

3Current residence

Where do you live now?

Street address *

City, state, ZIP *

Living there since *

Monthly rent / mortgage

Landlord name & phone

Reason for moving

4Previous residence

Last address, if at current residence less than 2 years.

Street, city, state

Dates lived there

Landlord name & phone

5Employment & income

Current employer and income.

Employer *

Position

Employed since

Supervisor name & phone

Gross monthly income *

Other income (source / amount)

6Household

Everyone who will live in the home.

Total number of occupants *

Names and ages of other occupants

7Pets

Pets are considered case by case.

Do you have pets? *

No Yes

Type, breed, weight

8Vehicles

For parking.

Year / make / model / plate

9References

Two references not related to you.

Reference 1 — name & phone *

Reference 2 — name & phone

Emergency contact — name & phone *

10Background

Answering yes doesn’t automatically disqualify you.

Have you ever been evicted? *

No Yes

Any felony convictions? *

No Yes

If yes, please explain

11Authorization

Please read and confirm.

I certify the information above is true and authorize Mid Plains Properties to verify it, including credit, rental, and background checks through a screening partner.

Type your full name as signature *

Date *

Questions? Call (712) 794-9571 or email kkeegan@midplainsproperties.com

Rental application

1Desired property

2Applicant information

3Current residence

4Previous residence

5Employment & income

6Household

7Pets

8Vehicles

9References

10Background

11Authorization