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

TRA

Other types of Rental Assistance

The undersigned hereby makes an application to rent the following property:

Anticipated move date of

Date

PLEASE TELL US ABOUT YOURSELF AND SUPPLY A COPY OF STATE ID:

Full Name

First NameLast Name

Phone Number

Format: (000) 000-0000.

Other Number

Format: (000) 000-0000.

Date of Birth

Date

Social Security #

Driver’s License

State ID

Upload

State

Email Address

example@example.com

Co-Applicant

Co-Applicant Name

First NameLast Name

Co-Applicant Date of Birth

Date

Social Security #

Co-Applicant Driver’s License

State

List all Dependents and Date of birth

Pets

PLEASE GIVE RESIDENTIAL HISTORY (LAST 3 YEARS)

Current Address

Street Address

Apt

CityState / Province

Postal / Zip Code

Month/Year Moved In

Date

Reasons for Leaving

Rent

Owner/Agent

Phone Number

Format: (000) 000-0000.

Previous Address (last 3 years)

Street Address

Apt

CityState / Province

Postal / Zip Code

Rent

Owner/Agent

Phone Number

Format: (000) 000-0000.

PLEASE DESCRIBE YOUR CREDIT HISTORY

Have you declared bankruptcy in the past seven (7) years?

Have you ever been evicted from a rental residence?

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

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

PLEASE PROVIDE YOUR EMPLOYMENT INFORMATION

Your Status

Employer

Dates employed

Employed as

Supervisor Name

Phone Number

Format: (000) 000-0000.

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

Format: (000) 000-0000.

Relationship

Name

First NameLast Name

Email

example@example.com

Phone Number

Format: (000) 000-0000.

Relationship

ADDITIONAL INFORMATION

Please give any additional information that might help owner/management evaluate this application?