Cline Properties Rental Application
Each adult (18 or older must fill out a separate application. There is a non-refundable fee of $20/adult to apply.
Full Name:
First, Middle and Last
Birthday:
Drivers License Number:
Social Security:
Any Other Names You've Used In The Past:
Home Phone Number:
Cell Phone Number:
Do you have any other occupants in your home? If so, please place their information below.
Only use the number of occupants that you have in your home.
Occupant #1:
Birth Date Of Occupant #1
Relationship To Occupant #1
Occupants #2:
Birth Date Of Occupant #2
Relationship To Occupant #2
Occupant #3
Birth Date Of Occupant #3
Relationship To Occupant #3
Rental/Residence History
Please put the information of your past residential history
Current Street Address:
Current City:
Current State & Zip Code:
Rent Amount Paid:
Owner/Manager & Phone Number
Reason For Leaving:
Is/Was rent paid in full?
Did you give notice?
Were you asked to move?
What name were your utilities billed under?
Date of Residency From/To:
Previous Residence #1
Previous Residence Street Address:
City:
State & Zip Code:
Rent Amount Paid:
Owner/Manager and Phone Number:
Reason For Leaving:
Was The Rent Paid In Full?
Did You Give Notice?:
Were You Asked To Move?:
What name were your utilities billed under?:
Date of Residency From/To:
Prior Residence #2
Prior Residence Street Address:
City:
State & Zip Code:
Rent Amount Paid:
Owner/Manager and Phone Number:
Reason For Leaving:
Was The Rent Paid In Full?
Did You Give Notice?
Were You Asked To Move?
What name were your utilities billed under?
Date of Residency From/To:
EMPLOYMENT HISTORY
Current Employer Name:
Current Employer Address:
Current Employer's Phone Number:
Occupation Title:
Name Of Supervisor:
Monthly Gross Pay:
Dates of Employment (From/To):
Previous Employer
Previous Employer Name:
Previous Employer Address:
Previous Employer's Phone Number:
Occupation Title:
Name Of Supervisor:
Monthly Gross Pay:
Dates Of Employment (From/To):
Prior Employer #2
Prior Employer Name:
Prior Employer Address:
Prior Employer's Phone Number:
Occupation Title:
Name Of Supervisor:
Monthly Gross Pay:
Date Of Employment (From/To):
CREDIT HISTORY
What is the name of the bank that manages your SAVINGS account?
SAVINGS ACCOUNT
What is your CURRENT BALANCE in your savings account?
SAVINGS ACCOUNT
What is the name of the bank that manages your CHECKING account?
CHECKING ACCOUNT
What is your CURRENT BALANCE in your checking account?
CHECKING ACCOUNT
What is the name of the bank that manages your CREDIT CARD?
CREDIT CARD
What is the CURRENT BALANCE on your CREDIT CARD?
CREDIT CARD
What is the name of the bank that manages your AUTO LOAN?
AUTO LOAN
What is the CURRENT BALANCE on your AUTO LOAN?
AUTO LOAN
VEHICLES:
Make of your current car:
Model of your current car:
Color of your current car:
Year of your current car:
License Plate Number of your current car:
Do you own a second car? If so, please fill out the information for your second vehicle below.
Make of vehicle #2:
Model of vehicle #2:
Color of vehicle #2:
Year of vehicle #2:
License Plate Number of vehicle #2
REFERENCES & EMERGENCY CONTACTS
Name Of DOCTOR:
DOCTOR
Street Address:
DOCTOR:
City:
DOCTOR
State & Zip Code:
DOCTOR
Phone Number:
DOCTOR
Name of LAWYER:
LAWYER
Street Address:
LAWYER
City:
LAWYER
State & Zip Code:
LAWYER
Phone Number:
LAWYER
Name of Nearest Relative Living Elsewhere:
NEAREST RELATIVE
Street Address:
NEAREST RELATIVE
City:
NEAREST RELATIVE
State & Zip Code:
NEAREST RELATIVE
Phone Number:
NEAREST RELATIVE
GENERAL INFORMATION
Have you ever been served a late rent notice?:
Do any of the people who would be living in the residence with you smoke?:
How long do you think you would be renting from us? :
Have you ever filed for bankruptcy? If so when?:
When would you be able to move in?:
Have you ever been convicted of a felony?:
Have you ever been served an eviction notice? If so, when?
How many pets do you have? (list Type, Breed, approx Weight & Age):
Have you had any reoccurring problems with your current residence or landlord? If yes, please explain:
Why are you moving from your current address?:
List any verifiable sources and amounts of income you wish to have considered (optional):
If you were to run into a financial difficulty in the future and couldn't come up with the money to pay the rent, do you know someone that would loan you the money? If so, provide the person's name, address, & phone # so that we can use them as a reference for you:
Have you been a party to a lawsuit in the past? If yes, please explain why:
We may run a credit check and a criminal background check. Is there anything negative we will find that you want to comment on?:
How did you hear about this apartment?:
Do you have an email address we can reach you at?:
Do you know of anybody else looking for a residence? Please provide their name and number. If you refer a friend and you each end up renting separate apartments from us, then we will pay you a referral reward:
Verification
I believe that the statements I have made are true and correct. I hereby authorize a credit and/or criminal check to be made, verification of information I provided and communication with any and all names listed on this application. I understand that any discrepancy or lack of information may result in the rejection of this application. I understand that this is an application for an apartment and does not constitute a rental or lease agreement in whole or part. I further understand that there is a non-refundable fee to cover the cost of processing my application and I am not entitled to a refund even if I don't get the apartment. Any questions regarding rejected applications must be submitted in writing and accompanied by a self-addressed stamped envelope.
Please provide your signature:
Date of Application:
Please save and print this form once you have completed.
Thank you.
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