Shameer Properties Rental Application

Shameer Properties LLC

RENTAL APPLICATION
Equal Housing Opportunity
A Non-Refundable application fee of $39.99 will be charged per applicant, before filling up the application.
The undersigned hereby makes an application to rent the following property:
Section 8 or*

YesNo
TRA*

YesNo
Other types of Rental Assistance
The undersigned hereby makes an application to rent the following property:
Anticipated move date of

MonthDayYear
Date
PLEASE TELL US ABOUT YOURSELF AND SUPPLY A COPY OF STATE ID:
Full Name*

First NameLast Name
Phone Number*
Other Number
Date of Birth*

MonthDayYear
Date
Social Security #*
Driver’s License*
State ID

Upload

Cancelof
State*
Email Address*
example@example.com
Co-Applicant
Co-Applicant Name*

First NameLast Name
Co-Applicant Date of Birth*

MonthDayYear
Date
Social Security #*
Co-Applicant Driver’s License*
State*
List all Dependents and Date of birth*
Pets*

YesNo
PLEASE GIVE RESIDENTIAL HISTORY (LAST 3 YEARS)
Current Address*

Street Address

Apt

CityState / Province

Postal / Zip Code
Month/Year Moved In*

MonthDayYear
Date
Reasons for Leaving*
Rent*
Owner/Agent*
Phone Number*
Previous Address (last 3 years)*

Street Address

Apt

CityState / Province

Postal / Zip Code
Rent*
Owner/Agent*
Phone Number*
PLEASE DESCRIBE YOUR CREDIT HISTORY
Have you declared bankruptcy in the past seven (7) years?*

YesNo
Have you ever been evicted from a rental residence?*

YesNo
Have you had two or more late rental payments in the past year?*

YesNo
Have you ever willfully or intentionally refused to pay rent when due?*

YesNo
PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION
Your Status*

Full TimePart TimeStudentUnemployed
Employer*
Dates employed*
Employed as*
Supervisor Name*
Phone Number*
Salary*
per*
(If employed by above less than 12 months, give name & phone of previous employer or school)*
If you have other sources of income that you would like us to consider, please list income, source, and person (banker, employer, etc.) who we may contact for confirmation. You do not have to reveal alimony child support, or spouse's annual income unless you want us to consider it in this application.
Amount*
Source/Contact Name*

First NameLast Name
PLEASE LIST YOUR REFERENCES
Personal Reference or Emergency Contact:
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Relationship
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Relationship
ADDITIONAL INFORMATION
Please give any additional information that might help owner/management evaluate this application?
Should be Empty: