Driver's License Medication Aide

Lease Application Agreement

The Encore

Date submitted: 7/16/2025 5:53:18 PM CST

Resident Information

Name: Shabnam Atiq

Other Residents: Hasibullah Atiq, Huryan Atiq, Husna Atiq Site Address: 2215 N Pickett St.

Lease Start: 7/30/2025

Lease End: 10/27/2026

Advertising Source: Drive by

Referred by: N/A

Application - Shabnam Atiq

Date Of Birth: 1999

Gender:

SSN/ITIN: 2081

Est. Annual Gross Income: $53,500.00

Other Annual Income: $0.00

Driver's License/State ID: 8749 - VA

Home Phone:

Work Phone:

Work Phone Ext:

Mobile: 571-***-****

Email: ****.*********@*****.***

Emergency Contact - Shabnam Atiq

Name: Bashir Marshall

Relationship: Cousin

Address: 2005 woodstock st

Warrenton, VA 20187

US

Home Phone:

Work Phone:

Mobile: 917-***-****

Fax:

Email:

Current Residence - Shabnam Atiq

Residence/Mortgage Company: Newport village

Rent/Own/NA: Rent

Address: 4779 W Braddock Rd Apt 200

Alexandria, VA 22311-4779

US

Rent Amount: $2,310.00

Manager/Contact:

Move-In Date For Current Residence : 5/12/2023

Phone: 571-***-****

Reason for leaving: None

Fax:

Email: **************@***-*****.***

Current Employer - Shabnam Atiq

Employer Name: Shabnam atiq

Address: 3520 Duke St

Alexandria, VA 22304

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US

Job Title: Medication Aide

Job Type: Employed

Est. Annual Gross Income: $53,500.00

Start Date: 2/16/2024

Supervisor Name: Yaa Agyeman

Phone: 571-***-****

Fax:

Email:

Pet / Animal Information

I do not have pets / animals.

Vehicle Information

Type: CAR

Color: Gray

Make: Toyota

License plate: TCN4783

License state: VA

Model: Grand highlander

Model year: 2025

Notes:

Type: CAR

Color: Gray

Make: Toyota

License plate: TNU9407

License state: VA

Model: Camry

Model year: 2019

Notes:

Rental Criteria

Rental Criteria

In order to assist you with your decision on your new home, we are providing a list of guidelines used to qualify applicants for residency in our communities. Nothing contained in these requirements shall constitute representation by Vest Residential that all residents and occupants currently residing in our community have met or currently meet these guidelines. Our policy is to require everyone aged 18 or over to be a leaseholder and therefore, must be approved as a leaseholder. Subject to their compliance with applicable laws, qualification standards include, but are not limited to, the following criteria: IDENTIFICATION. Applicants must present a valid government issued photo identification card for each person age 18 years and older that will be living in the apartment.

INCOME. All applicants must have a combined verifiable source of income in an amount in accordance with current community guidelines no less than three (3) times the rental rate.

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CREDIT HISTORY. Our credit reporting agency evaluates credit and rental history against indicators of future rent payment performance. An unsatisfactory or insufficient finding may result in the requirement of an additional deposit, guarantor, or denial. Applicants are responsible for ensuring their credit history is accurate. GUARANTORS. If a guarantor is needed, he/she must meet the entire qualifying criteria as presented above. All guarantors must have a verifiable source of income in an amount no less than five (5) times the rental rate. The guarantor must meet the criteria presented above throughout the entire duration of the applicable lease period. CRIMINAL HISTORY. Our investigation includes criminal background screening. It is possible your application may be denied due to criminal convictions. We conduct background screening on leaseholders and occupants. OCCUPANCY. The following occupancy standards apply based on two (2) persons per bedroom, plus one per apartment:

One Bedroom Three

Persons

One Bedroom with

Den

Three

Persons

Two Bedroom Five Persons

Three Bedroom Seven

Persons

Four Bedroom Nine

Persons

PETS. Pet restrictions vary at each community. The following breeds are restricted from our Vest Residential community:

Pit Bull

Terriers/Staffordshire

Terriers

Rottweilers

Doberman Pinschers Chows

Presa Canario’s Akitas

Alaskan Malamutes Wolf-hybrids

Additional breed restrictions could apply and be property specific. If you have pets, please see your leasing representative for more information.

RENTER’S INSURANCE REQUIREMENT. Our community may require all lease holders to carry a minimum of $100,000 Personal Liability Insurance coverage. To satisfy this requirement, you must provide evidence of insurance coverage at initial lease signing and maintain this coverage throughout the entire term of your residency. In addition, we

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require that you add our community as an “Interested Party,” “Party of Interest,” or similar language.

FAIR HOUSING STATEMENT. Vest Residential is committed to compliance with all federal, state, and local fair housing laws. Vest Residential subscribes to a universal policy for the achievement of equal housing and no person will be discriminated against because of race, color, age, religion, national origin, sex, familial status, disability, sexual orientation, gender identity, marital status or any other applicable laws protecting specific classes. All persons involved with the leasing and operation of apartment homes are provided with diversity training on fair housing laws and Vest Residential corporate policies. Vest Residential and Owner will discuss and respond to any reasonable accommodation request based upon disability-related need. Vest Residential and the Owner will allow reasonable modification of existing premises, which may be at the expense of the disabled person. RENTAL RATES AND LEASE TERMS. Original rental rate quotes will be honored for two (2) business days. The rental rate quote is associated with the apartment's availability at the time of your quote, move in date, and lease term requested. Any revisions or changes to the time of the quote, your move-in date, or lease term may require a revised quote which may result in a different monthly rental rate.

Consent Form

Privacy Policy for Personal Information of Rental Applicants and Residents We are dedicated to protecting the privacy of your personal information, including your Social Security or other governmental identification numbers. We have adopted a privacy policy to help ensure that your information is kept secure. We follow all federal and state laws regarding the protection of your personal information.

How information is collected. You will be asked to furnish some of your personal information

(such as your Social Security or other governmental identification numbers) at the time you apply to rent from us. This information will be on the rental application form or other document that you provide to us or to an apartment locator service, either on paper or electronically. How and when information is used. We may use this information in the process of verifying statements made on your rental application, such as your rental, credit and employment history. We may use the information when reviewing any lease renewal. We may also use it to assist us in obtaining payment from you for any money you may owe us in the future. How the information is protected and who has access. Only authorized persons have access to your Social Security or other governmental identification number. We keep all documents containing this information in a secure area, accessible only by authorized persons. We limit access to electronic versions of the information to authorized persons only.

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How the information is disposed of. After we no longer need your Social Security or other governmental identification numbers, we will store or destroy the information in a manner that ensures that no unauthorized person will have access to it. Our disposal method may include physical destruction or obliteration of paper documents or electronic files containing such information.

Locator services. If you found us through a locator service, please be aware that locator services are independent contractors and are not employees of FCA Management or this community— even though they may initially process rental applications and fill out lease forms. You should require any locator services you use to furnish you their privacy policies, as well. What if you don’t have a Social Security number. You will be asked to provide a social security number as part of the application process. If you cannot meet this requirement, and/or you are not a U.S. citizen, please contact the Property Manager at 919-***-**** for further assistance.

Acknowledgement and signature

I certify that all the information provided on this application is correct and true. SHABNAM ATIQ 7/16/2025

Applicant signature Date

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Contact this candidate