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Personal Information

(Fields marked RED are required field.)
Primary Applicant
Last Name:
First Name:
Middle Name:
Drivers License/ST:
Social Security Number:
Date of Birth:
Home Phone:
Cell Phone:
Email:
Property You Are Applying For:
Showing Agent:
Date you want to move in:

Residential Information

Current Residence
Street Address:
City: ST: Zip:
How Long at this address(yrs/months):
Rent Amount:
Landlord's Name:
Landlord's Phone:
Reason for moving:
Sec Dep Held by Landlord($):
Have you Given Notice:
Yes No
Previous Address
Street Address:
City: ST:
Zip:
Rent Amount:
Landlord's Name:
Landlord's Phone:
Was All of Your Deposit Returned?:
Yes No
   

Reliability

Do you have Renter's Insurance? Yes No
Is there anything preventing you from putting utilities or phone in your name? Yes No
Have you ever broken a lease? Yes No
Have you ever filed for bankruptcy? Yes No
Have you ever been convicted of a crime? Yes No
Do you have Water filled Furniture? Yes No
Do you know of anything that will prevent you from paying rent? Yes No
Have you ever refused to pay rent for any reason? Yes No
Have you ever been evicted? Yes No
Are you capable of doing minor repairs to the unit? Yes No
Do you currently have utilies in your name?(check all that apply) Nat Gas Electricity Water Phone Cell Phone
List all additional occupants:
List all Pets:

Income

Primary Applicant
Full-Time Part-Time Student Retired Unemployed Disability Other
Employer:
Address:
City: ST: Zip:
Supervisor:
Phone:
 
Position:
How long worked here (yrs/months):
Average hours per week:
Pay rate:
Pay period:
Hourly Weekly Biweekly Monthly Annually
 

Emergency Contact Information

Emergency Contact
Name:
Phone:
Personal Reference
Name:
Phone:

Assets & Liabilities

Vehicle 1
License Plate (ST/number):
Name of your Bank:

Thank you for your application for tenancy with Kline Properties, Inc. Kline Properties will verify the information in this application as part of our screening process.

By signing below applicant agrees to the following:

1) that all information submitted on this application is true and complete,

2) that applicant authorizes an annual verification of the information in this application as part of any lease agreement entered into based on this application,

3) that this application will become part of any lease agreement entered into based on this application

4) that if any information in this application is found to be false or misleading, the application will be rejected

5) that if any information in this application is found to be false or misleading, any lease agreement entered into based on this application will become null and void and will be sufficient reason for immediate eviction and loss of security deposit,

6) that information contained in this application may be used for collection purposes if that becomes necessary, and

7) applicant authorizes Kline Properties to verify the information on this application by contacting persons and businesses and to obtain a consumer credit report.

The application fee is $35 for each adult. APPLICATION FEE IS NON-REFUNDABLE


If we have any questions regarding this application, what is the best phone number to reach you?

Contact Number:


If this application is being submitted online please type your name and today's date in the boxes provided. Applicant acknowledges that typing in your name and then clicking the 'submit' button shall have the same force and effect as signing this document.

Primary Applicant: Date:
 
 


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Step 2: Submit.
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