Completing This Application

Samir Properties

Application for Apartment


APPLICANT: In completing this application, you MUST provide us will all information in order to have your application processed.


This application shall be reviewed by Samir Properties – located at 3759 Chicago Avenue S Minneapolis, MN 55407 612-508-8700 and management to determine an applicant’s credit, rental and criminal history. The owner/management shall access your rental, credit and criminal history and any unlawful detainers on the applicant and the information obtained from these sources will be used in determining your eligibility for residency.

By signing this application, you authorize whatever credit, rental or criminal investigation management many consider appropriate. This investigation may include the exchange of information and a report from a credit reporting agency. If a credit reporting agency furnishes the report, its name and address will be furnished upon the applicant’s request.

The following is a list of reasons for rejecting an application. This includes but is NOT limited to:

  1. A record of unfavorable past performance of non-payment of rent or late payment of rent and other charges.
  2. A record of disruptive behavior.
  3. A record of destruction of property.
  4. A record of poor living or housekeeping habits.
  5. A history of criminal activity involving crimes of physical violence to persons or property, or a record of other criminal acts which management may deem are grounds for denial. We require NO criminal history for the last 10 years.
  6. Problems involving chemical or drug dependency resulting in any of the other reasons for non-selection.
  7. An unlawful detainer within the last 7 years.
  8. Fraudulent information and/or application discrepancies.

Income Guidelines: Applicant’s must show that their monthly income is 2 times the amount of monthly rent and show 90 days proof of employment.

Maximum Occupancy Guidelines:

Studio – 2 people

1 bedroom – 2 people

2 bedrooms – 4 people

3 bedrooms – 5 people

This strict screening process is used in efforts to provide current and future residents with neighbors that will respect the property, respect other residents and will abide with management’s rules and regulations.

You may return completed applications to: 3759 Chicago Ave S Minneapolis, MN 55407. Application fee is $35 per adult if you have lived in Minnesota. Application will not be processed until application is paid in full.




RENTAL APPLICATION Please complete all information below. ALL applicants 18 and older MUST complete and sign their own application. Applicant Full Name: _________________________________________________ Phone#: _______________________ Social Security #: ____________________ Driver’s License #: _______________________ DOB: __________________ Current Address: _________________________________ City/State: _____________________ Zip: ______________ Current Landlord Name: ___________________________________ Landlord Phone #: _________________________ How long at this address: _______________ Reason for leaving: ____________________________________________ Previous Address: _____________________________ City/State: _______________________ Zip: ________________ How long at this address: _____________ Reason for leaving: ______________________________________________ Present Employer: _______________________________________ Postion: ___________________________________ Monthly Income: _______________________ Phone #: ______________________ How long at job: _______________ Employers Address: _____________________________________City/State: ___________________ Zip: ____________ Number & type of pet(s): ____________________ Have you EVER been evicted: ( ) Yes or ( ) No Name of Bank: _______________________ Branch Location: _______________ Acct. Type: __________ Professional References: Name: ________________________ Yrs. Known: _______ Relationship: ____________ Phone #: __________________ Name: ________________________ Yrs. Known: _______ Relationship: ____________ Phone #: ___________________ Name: ________________________ Yrs. Known: _______ Relationship: ____________ Phone #: __________________ Total number of Adults _______ Total number of children living with you under the age of 18 _________ Name(s) and relationship of all applicants: __________________________________________________________________________________________________ __________________________________________________________________________________________________ I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for tenant screening as may be necessary in arriving at a decision of approval or denial. I understand that the landlord may terminate any rental agreement entered into for any misrepresentation mad above. Signature: _______________________________________________________ Date: _____________________ For Office Use ONLY Address Wanted: ___________________________________ Apt Size: ______________ Date Submitted: ______________ Approved Date: _________________________ Deposit Required: ________________ Date Denied: ___________________

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