Application Agreement New Application Print Completed Application Pay Application Fee
I have read and agree to the Application Agreement. Click Here to read Application Agreement.
A separate Application and Application Fees of 15.00 per person is required for anyone 18 years or older.
(NOTE:  An application will not be processed until fee(s), photo ID, and proof of income are received.)
Property Information
Community Name:
Property Style:
Price range seeking:
Date you will desire occupancy:
Click Here
Date Submitted

10-18-2024
Applicant Information
First:
Middle initial:
Last:
Date of Birth:
Click Here
SSN:
Home Number:
Cell Number:
Email:
Driver License #:
State:
Expires: Click Here
Automobile Information
Make:
Model:
Year:
Color:
License plate#:
State:

Make:
Model:
Year:
Color:
License plate#:
State:

Any other name(s) used (including maiden name): 
Residential History
Current Address
Street1:
Street2:
City:
State: Zip:
Residency: Rent   Own
Previous Address
Street1:
Street2:
City:
State:
Zip:
Residency:
Rent   Own
Employment Information
Employment Status
Full-Time   Part-Time   Retired   Student   Self-Employed   Unemployed  
If Retired, Student, Self-Employed or Unemployed what is your Monthly income?
Current Employer
Employer:
Address:
City:
State:
Zip:
Phone Number:
  Ext:
Supervisor Name:

Supervisor Number:
  Ext:

Your Title/Position:

Monthly Income:
Start Date:
Click Here
Previous Employer
Employer:
Address:
City:
State:
  Zip: 
Phone Number:
  Ext:
Supervisor Name:

Supervisor Number:
  Ext:

Your Title/Position:

Monthly Income:
Start Date:
Click Here
End Date:
Click Here
Applicant Questions
Are you a registered sex offender?
Yes   No
Have you or any member of your household been convicted or pleaded no contest to a felony?
Yes   No


Are you a smoker?
Yes   No
Have you ever filed bankruptcy?
Yes   No
Have you ever had any collections?
Yes   No
Pets
Do you have Pets?
Yes   No
Other Occupants (Type a last name then hit Tab to add another occupant.  The maximum is six.)

Please list all other persons who will reside in the residence with you:

First: MI: Last:     Date of Birth: Click Here
Emergency Contact:
First:
Middle:
Last:
Home Phone:
Cell Phone:
Street1:
Street2:
City:
State: Zip:

Financial Information
Bank Name Account Type Phone
Credit Reference Name Account Type Balance




Do you own a home or other real estate? Yes   No

Additional Income Source Monthly Income
Pension
Social Security and/or SSI
Alimony
Child Support
AFDC/Government Assistance
Unemployment Compensation
Other
Additional Comments or Notes
Application Completion

DISCLOSURE AND AUTHORIZATION

The undersigned declares that the information on this rental application is true and correct, and understands that false statements may result in rejection of this and any future applications for housing we manage.  The undersigned does further understand that all persons or firms associated with Schermerhorn Residential Holdings LP may freely give any requested information concerning me.

I also hereby authorize Schermerhorn Residential Holdings LP to obtain my consumer credit report from your credit-reporting agency and periodically re-run this check at any time in the future, I also authorize the verification of the information provided on this form as to my rental history, employment, bank statements and background check. I authorize you to contact any references that I have listed and acknowledge this application will become part of the lease agreement when and/or if approved. I further understand and agree that Schermerhorn Residential Holdings LP will rely upon this rental application as an inducement for entering into a rental agreement or lease and I warrant that the facts contained in this application are true. If any facts prove to be untrue, Schermerhorn Residential Holdings LP may terminate my tenancy immediately and collect from me any damages incurred including reasonable attorneys fees resulting there from. Schermerhorn Residential Holdings LP welcomes all applicants and supports fair housing. We do not refuse to lease or rent any housing accommodations or property nor in any other way discriminate against a person because of sex, marital status, race, creed, religion, age, familial status, physical or mental handicap, color or national origin.

Investigational Background Search Disclosure

Schermerhorn Residential Holdings LP conducts applicant screening on persons applying to live in our managed properties, such screenings may include criminal background investigations.  Prior to acceptance of an applicant, we may use an independent consumer reporting agency to search public records which may contain criminal background information regarding the applicant.  Schermerhorn Residential Holdings LP will determine if the criminal background information pertains to the applicant and if the report indicates that one or more such felony and or misdemeanor records were found.  We will then compare the records to our established acceptance policies to determine whether or not the applicant may be accepted.  If your application is declined based on the discovery of public records that indicate an unacceptable criminal background, you will be given the name, address, and telephone number of the consumer reporting agency that provided the criminal background report.  All applicants will be provided with a free copy of the report, may initiate a reinvestigation to have any erroneous information contained in the report corrected.  The consumer reporting agency will advise you of the procedures that you should follow in order to do so.

Valid Photo Identification must be presented prior to final approval of this application.

I, the undersigned Applicant, agree to the above terms and do hereby swear (or affirm) that the information supplied herein is true and complete, to the best of my knowledge and belief.  By clicking "Apply Now" you agree to the terms stated above.  Please enter your full name to signify your digital signature, thereby confirming that you have read and agree with all the above statements and have provided complete and accurate information.  Applicant authorizes verification of references given and declares that the statements made in this application are true and correct and agrees that the landlord may terminate the contract entered into in reliance on any misstatement made in this application.


APPLICANT SIGNATURE: 




   
Web:  www.schermerhornholdings.com       E-mail:  [email protected]
Database Name:  SCHportfolio 52870