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Meridian Group Properties
Meridian Group Properties

Meridian Affordable Housing Apartments For Rent

Application for Occupancy (Page 1 of 6)


Lemonweir Villa

Printable Application

If you would like to mail a copy, please print the application and mail directly to the property(s) in which you would like to apply.

Printable Application

THIS IS NOT A LEASE OR RENTAL AGREEMENT

Please have the following information available:

  • Social Security Numbers & Birth Dates for All Family Members
  • 3 Years of Housing History with Landlord Contact Information
  • Monthly Gross Income
  • Monthly or Annual Income from Assets (if any)

COMPLETE THIS APPLICATION IN FULL. ANSWER ALL THE QUESTIONS. COMPLETE ANSWERS TO THE QUESTIONS WILL DETERMINE YOUR PRIORITY FOR HOUSING. IF THE APPLICATION IS NOT COMPLETE, IT WILL NOT BE ACCEPTED.

* Required Field
SECTION A - APPLICANT
*Applicant's Name:
*Present Address:
Apt. No.:
*City:
*State:
*Zip Code:
*Phone - Day:
Phone - Night:
E-Mail:
Any applicant who purposefully falsifies, misrepresents, or withholds any information related to program eligibility or submits inaccurate and/or incomplete information on this application, or during the interview, will not be considered for housing nor placed on the waiting list.
SECTION B - HOUSEHOLD COMPOSITION

List the Head of Household and all other persons who will be living in the unit. Give the relationship of each family member to the Head. Each household member age 18 years or older must sign this application.

*MEMBER'S
FULL NAME
*RELATIONSHIP *BIRTHDATE     *SEX     *SOCIAL SECURITY NUMBER *STUDENT *CITIZEN/
US NAT'L
*RACE *ETHNICITY
Head of Household Male
Female
Yes
No
Yes
No

 American Indian or Alaska Native
 Asian
 Black or African American
 Native Hawaiian or other Pacific Islander
 White
 Other

Hispanic or Latino
Not Hispanic or Latino
Person 2 Male
Female
Yes
No
Yes
No
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Other
Hispanic or Latino
Not Hispanic or Latino
Person 3 Male
Female
Yes
No
Yes
No
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Other
Hispanic or Latino
Not Hispanic or Latino
Person 4 Male
Female
Yes
No
Yes
No
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Other
Hispanic or Latino
Not Hispanic or Latino
Person 5 Male
Female
Yes
No
Yes
No
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Other
Hispanic or Latino
Not Hispanic or Latino
Person 6 Male
Female
Yes
No
Yes
No
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Other
Hispanic or Latino
Not Hispanic or Latino


Citizenship and/or Eligible Alien Status must be verified by, and you must possess an acceptable document recognized by, the Federal government.

            

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