It is important that you provide an answer for every question. If the question does not apply to you, then please notate with n/a.

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1 Dear Applicant, Thank you for considering Creekside Apartments as your new home. We look forward to having you in our community. Attached you will find the following application forms: Tax Credit Explanation to Prospective Tenants Applicant Checklist (please complete one form for EACH adult) Preliminary Application Household Demographics From Fair Housing Disclosure & Authorization Notice & Consent for Release of Information Student Affidavit Asset Certification Utilities Notice (keep for your information) Tenant Selection Criteria (keep for your information) It is important that you provide an answer for every question. If the question does not apply to you, then please notate with n/a. Also, please enclose the following items, which can help speed up the application process. Copy of Photo Identification for all members over 18 years of age Copy of Birth Certificates for all members under 18 years of age Copy of Social Security or SSI Income Letter (if applicable) Please call me at to schedule an appointment to return the completed forms along with a cashier s check or money order payable to Creekside Apartments in the amount of $17.10 per person 18 years or older to cover the cost of the background check(s). Sincerely, Celina Rutherford Community Manager Rock Springs Apartments 2350 Reagan Avenue Rock Springs, WY creekside@nlrmanagement.com - (307) Fax: (307) This Institution is an equal opportunity provider.

2 TAX CREDIT LETTER OF EXPLANATION TO PROSPECTIVE TENANTS: This housing complex is a low income housing tax credit (LIHTC ) project. This means that the owner of this apartment complex has agreed to designate certain apartment units as LIHTC units, and comply with the requirements of LIHTC program. The LIHTC program is a program to assist individuals with limited income to be able to rent apartments at more affordable rents. Under the LIHTC program, LIHTC units must be rented at certain reduced monthly rates to make the units more affordable. Additionally, the LIHTC units may only be rented to individuals who have limited incomes (those who earn no more than 60% (or in some cases lower) of the median income). To ensure that the LIHTC units are being rented at the proper reduced rates, and are being rented to those individuals who qualify by having limited income, the Monitoring Agent and Managing Agent will monitor this project for compliance with the LIHTC program. These compliance monitoring responsibilities will include verifying the amount of income earned by each tenant in a LIHTC unit. To determine if you qualify to rent a LIHTC unit, you, and each person who will live in the apartment (over 18 years of age), will be required to disclose and certify in writing, the amount of annual income you earn. You will also be required to provide sufficient documentation to verify the amount you earn by, for example, providing a copy of your federal income tax return, verification of income from employer, or other third party form of verification. Additionally, each year you are a tenant in a LIHTC unit, you will be required to again disclose, and certify in writing, the amount of annual income you and each other tenant in your unit earns. Please note that the requirements of the LIHTC program are stipulated by law. Accordingly, the manager of the apartment complex does not have the authority to waive these requirements. If you will be unable to disclose, certify and provide supporting documentation as to your annual income level, then you cannot be a tenant in a LIHTC unit. Please check with the manager of the apartment complex to determine your eligibility upon making application. Signature of Applicant Date Signature of Co- Applicant Date Form 500 Page: 1 of 1

3 CHECKLIST Complete a separate form for each household member who is age 18 or older or an emancipated minor. Name: Unit: YES NO COMPLETE EACH ITEM 1. I am a citizen of the United States or a permanent legal resident. 2. A member of my household is subject to a registration requirement under a state sex offender program. 3. Is there an expected family addition? Pregnancy Adoption Foster Child 4. I am presently a student. Check one: Full-time Part-time Other: Name of School: 5. I was a student sometime during the current calendar year. Check one: Full-time Part-time Other Name of School: I anticipate becoming a student some time during the upcoming twelve-month period. Check one: Full-time Part-time Other Name of School: & & 110 YES NO INCOME 6. I have a job and receive money/wages, tips or bonuses. (List the companies that pay you) I am self-employed. (List the name of your company and the type of jobs you do.) I receive Social Security or Rail Road Retirement Act income. Benefit Letter 9. I receive Supplemental Security Income (SSI). Benefit Letter 10. I receive quarterly payments from DHS for the State-paid portion of a SSI grant (Quarterly SSI) I receive unearned income for a family member(s) age 17 or under (e.g.: Social Security). Benefit Letter 12. I receive periodic payments from retirement funds or pensions. How many funds or pensions? List name(s) of fund or pension provider. 13. I receive disability or death benefits other than Social Security I receive Veteran's Administration benefits I receive Public Assistance (other than Food Assistance (FAP) and Medicaid) I receive cash contributions or gifts including rent or utility payments, on an ongoing basis from persons not living with me. 17. I receive unemployment benefits I receive periodic payments from Workers' Compensation I receive periodic payments from a trust, annuity or inheritance. 169/111 If yes, from how many sources? 20. I receive income from rental of real estate or personal property. Current Lease 21. I receive periodic payments from lottery winnings I receive adoption assistance payments I receive alimony I receive GI Bill benefits. Benefit Letter 25. I receive military active duty allotments I am a member of an Indian Tribe receiving gaming payments Form CD 117 Updated 6/2017 Page 1 of 3

4 YES NO INCOME (continued) 27. I receive periodic payments from insurance policies, if yes, how many policies? 28. I receive long term care insurance payments that exceed $180/day or $67,000 annually I receive other recurring or periodic income not listed above. (Includes financial aid under the Higher Education Act of 1965 from private sources or institution) Describe: 167 YES NO CHILD SUPPORT 30. I receive child support. From how many parents do you receive support? 120 / FOC Print Out 31. Is Child Support Paid Directly to DHS? 148 / FOC Print Out 32. I have been awarded a judgment for child support but have not been receiving payments. 120 / FOC Print Out 33. I have been awarded a judgment and reasonable efforts have been made to collect the amounts due including filing with courts or agencies responsible for enforcing the payments? List State and County where granted. 34. I anticipate filing a claim for child support within the next twelve months. 105 YES NO ASSETS (Include all assets held or owned in or outside of the United States) 35. I have a savings account(s) and/or Money Market Account(s) at: List name(s) of Financial Institution(s) I have a checking account(s) at: (List name(s) of Financial institution(s) I have a prepaid card, debit Card, or paycard on which funds from Social Security, SSI, Child Support, DHS, unemployment or other agency are directly deposited. If yes, how many? From which Agency(ies)? List name(s) of Financial institution(s). 38. I have certificates of deposit at: (List name(s) of Financial institution(s) 39. I have cash held in my home or in a safety deposit box. 102/ I have savings bonds. If yes, how many? (Please provide copies) Treasurydirect.com 41. I have Treasury Bills. If yes, how many? (Please provide copies) Treasurydirect.com 42. I have stocks at: (List name(s) of Financial institution(s) I have a 401k or 403b at: (List name(s) of Financial institution(s) I have bonds at: (List name(s) of Financial institution(s) I have Mutual Funds or securities at: (List name(s) of Financial institution(s) I have IRA's or Keogh account(s) at: (List name(s) of institution(s) I have an annuity(ies) at: (List name(s) of institution(s) I own real estate. If yes, how many properties? Address of Property(ies) 49. I own a mobile home / I have land contracts. If yes, how many? Amortization Schedule 51. I hold a mortgage or deed of trust I have revocable trusts. If yes, how many trusts? Copy of Trust 53. I have a whole life or universal life insurance policy(ies). If yes, how many policies? at: (List name(s) of institution(s): 54. I have time share certificate (s) at: (List name(s) of institution) 172 Form CD 117 Updated 6/2017 Page 2 of 3

5 YES NO ASSETS (continued) (Include all assets held or owned in or outside of the United States) 55. I have personal property held for investment purposes (gems, jewelry, collections, etc.). Appraisal(s) 56. I have lump sum receipts or one-time receipts. 57. I have another name(s) listed on one or more of the above assets for beneficiary or other purposes, such as, power of attorney. These other persons do not own the assets and receive no income from the assets. 58. I have joint ownership on one or more of the above assets. 59. I have income/assets from sources other than those listed above. (Describe) 60. A member of my household is under the age of 18 and has assets. (Describe) YES NO COMPLETE EACH ITEM (Complete the items below for Section 8, Section 236, Section 202, 811 PRAC, Section 101, Section 221, Moderate and Rural Development Projects Only) 61. I am a single parent with Joint physical custody and the other parent resides in subsidized housing. 62. I am Elderly (age 62 or older), Handicapped or Disabled and pay Medicare premiums. Benefit Letter 63. I am Elderly (age 62 or older), Handicapped or Disabled and pay medical insurance premiums, other 137 than Medicare. 64. I am Elderly (age 62 or older), Handicapped or Disabled and pay medical or prescription or chore 137 provider expenses which are not reimbursed by insurance. 65. I am Elderly (age 62 or older), Handicapped or Disabled and pay long term care insurance premiums I pay child care expenses for a child age 12 or under in order to be gainfully employed or to further my education. 67. Family Independence Agency (FIA) pays child care expenses for a child(ren) age 12 or under in order for me to be gainfully employed or further my education. If yes, FIA pays: full partial. 68. I pay handicap care expenses for a handicapped/disabled family member in order to be gainfully employed. 69. I pay handicap equipment expenses for a handicapped/disabled family member which is not covered by insurance YES NO OTHER ITEMS 70. I have provided proof of Social Security numbers (or certification) for all household members. (The certification for individuals under 18 years of age will be executed by a parent or guardian.) YES NO DISPOSAL / DIVESTITURE OF ASSETS SS Card 71. I have sold, given away or otherwise transferred ownership of assets within the last two (2) years for under Fair Market Value. Assets include cash (totaling in excess of $999), cash held in savings and/or checking accounts, trust funds, equity in real estate and other capital investments, stocks, bonds, Treasury bills, certificates of deposit, money market funds, IRA accounts, retirement and pension funds, lump sum receipts (i.e., lottery winnings, insurance settlements, etc.), and personal property held as an investment (i.e., gem or coin collections, paintings, antique cars, etc.). Do not include necessary personal property such as furniture, automobiles, and clothing. 103 Under penalties of perjury, I certify that the information presented in this certification is true and accurate to the best of my (our) knowledge. The undersigned further understands that providing false representation herein constitutes an act of fraud. I will notify the Resident Manager when circumstances change, for possible recertification. False, misleading or incomplete information may result in the termination of the lease agreement and/or benefits. Applicant / Tenant Signature Date Form CD 117 Updated 6/2017 Page 3 of 3

6 For Office Use Only Date Received Time Received Initials PRELIMINARY RENTAL APPLICATION Please note that this is a preliminary application and gives no lease or rent rights. Property Name: Date: Unit Size: Unit Type: Apartment Studio Townhouse Would you or a member of your household benefit from the design features of a barrier free unit? Yes or No Applicant Legal Name: (first, middle & last) Co- Applicant Legal Name: (first, middle & last) APPLICANT'S HISTORY APPLICANT CO-APPLICANT Current Address: Current Address: Date: From Rent $ Date: From Rent $ To To Reason for Moving: Reason for Moving: Current Landlord: Current Landlord: Address: Address: Previous Address: Previous Address: Date: From Rent $ Date: From Rent $ To To Reason for Moving: Reason for Moving: Landlord: Landlord: Address: Address: Previous Address: Previous Address: Date: From Rent $ Date: From Rent $ To To Reason for Moving: Reason for Moving: Landlord: Landlord: Address: Address: If you have resided at additional addresses within the past two (2) years, please attach additional previous address Information on a separate sheet Applicant Head of Household Date Co-Applicant Spouse / Co-Head Date Revised 6/2017 Page 1 of 4 TDD Relay: Dial 711

7 Please list ALL persons that will occupy the residence: NAME MAIDEN (if applicable) MARRIED/ SINGLE/ DIVORCED DATE OF BIRTH RELATIONSHIP TO HEAD OF HOUSEHOLD 1. Self (CURRENT) SOCIAL SECURITY # APPLICANT'S EMPLOYMENT APPLICANT CO-APPLICANT Employer: Employer: Street Address: Street Address: City, State Zip: City, State Zip: Length of Employment: Length of Employment: Position Held: Position Held: Salary Wage: Per: Salary Wage: Per: Supervisor: Supervisor: Status: Full Time: Part Time: Status: Full Time: Part Time: Average Hours Worked per Week: Average Hours Worked per Week: (CURRENT) APPLICANT'S EMPLOYMENT APPLICANT CO-APPLICANT Employer: Employer: Street Address: Street Address: City, State Zip: City, State Zip: Length of Employment: Length of Employment: Position Held: Position Held: Salary Wage: Per: Salary Wage: Per: Supervisor: Supervisor: Status: Full Time: Part Time: Status: Full Time: Part Time: Average Hours Worked per Week: Average Hours Worked per Week: Total household income from all other sources (i.e. social security pension, child support, Section 8 Certificate): Source: Amount $: Source: Amount $: Source: Amount $: Do you or any member of your household engage in current illegal use or illegal distribution of a controlled substance or have you previously been convicted of the same? Yes or No If you answered yes to the above question, have you successfully completed a controlled substance abuse program or are you presently enrolled in such a program? Yes or No If yes, please explain: Have you ever been convicted of a crime, felony or misdemeanor? Yes If yes, please explain: or No Applicant Head of Household Date Co-Applicant Spouse / Co-Head Date Revised 6/2017 Page 2 of 4 TDD Relay: Dial 711

8 Provide asset information below: NAME OF BANK(S), STOCKS(S) OR BOND(S) BANKING INFORMATION (include address, city, state, zip, phone, & fax) ACCOUNT NUMBER APPLICANT/ CO-APPLICANT (CHECK ONE) CURRENT BALANCE/ CURRENT VALUE Applicant Co-Applicant Applicant Co-Applicant (Please attach additional information on a separate sheet) Applicant Co-Applicant Do you receive dividend income? No Yes If yes, provide details Do you own real estate? No Yes Have you disposed of any assets in the last two (2) years for less than fair market value? If yes, please explain: Do you own a car? Yes or No Year/Model/Color: License #: Do you own a 2nd car? Yes or No Year/Model/Color: License #: Are you a full time student? Yes or No Are any members of your household full-time students? Yes or No Do you have any pets? Yes or No If yes, type(s): weight(s): Have you ever committed fraud in a subsidized housing program or been requested to repay money for knowingly misrepresenting information for such housing programs? Yes or No If yes, please explain: PERSONAL REFERENCES List 3 relatives we can call for a personal reference NAME STREET ADDRESS/CITY/ZIP RELATIONSHIP PHONE NUMBER Applicant Head of Household Date Co-Applicant Spouse / Co-Head Date Revised 6/2017 Page 3 of 4 TDD Relay: Dial 711

9 Applicant s certification that the unit applied for will be the applicant household s permanent residence and it does/will not maintain a separate subsidized rental unit in a different location. Applicant s Initials GENDER DESIGNATION: (Applicant) GENDER DESIGNATION: (Co-Applicant) Co-Applicant s Initials I do not wish to furnish this information Male Female I do not wish to furnish this information Male Female AUTHORIZATION FOR CREDIT & CRIMINAL HISTORY CHECK I/we expressly authorize all personnel, schools, companies, corporations, credit bureaus and law enforcement agencies to supply any and all information concerning my/our qualifications for employment positions applied for and the information given by me/us herein. In consideration for being considered for housing, I/we release NLR Property Management, related entities, as well as any individual or entity providing information, from any and all liability in connection with any inquiries and investigations made, information they give and any decisions made or action taken concerning my/our employment based on such information. I/we also do not require a copy of any disclosure of the nature and scope of the investigation. I/we understand that any offer of apartment rental from NLR Property Management, LLC is based upon my/our successful completion of the background screening. I/we also understand that I/we have the right to review all disputed information and to follow up with the law enforcement agency to clear up any discrepancies. This authorization is good for one year from the date of signing. The information contained in this application is treated confidentially. No information will be revealed to anyone without the express written consent of the applicant. Additional information will be required at a later date to complete the processing for residency. Applicant Head of Household Date Co-Applicant Spouse / Co-Head Date Revised 6/2017 Page 4 of 4 TDD Relay: Dial 711

10 HOUSEHOLD DEMOGRAPHICS You have applied for, or currently reside in, a rental housing unit located in a development operating under the Low Income Housing Tax Credit Program of Section 42 of the Internal Revenue Code, HOME or the North Dakota Housing Incentive Fund. The collection of certain resident data is authorized by the Housing & Economic Recovery Act of 2008, and will be furnished to the U.S. Department of Housing & Urban Development. Each household must be offered the opportunity to disclose their race, ethnicity, and disability status. Parents/guardians are asked to disclose on behalf of all children in the household who are under the age of 18. There is no penalty for those households who do not wish to provide the requested information. However, all adult members (18 years or older) must sign/date at the bottom of this form as proof that the option to disclose was made available. * Refer to the attached page for definitions of race, ethnicity and disability. Property Name Unit Number Household Name HOUSEHOLD COMPOSITION Mbr # First Name Last Name MI Head Spouse 1 RELATIONSHIP TO HEAD-OF-HOUSEHOLD Adult Co- Resident Child Foster Child/ Adult Live-in Caretaker Other RACIAL CATEGORIES* Enter applicable code (see attached page) #1 #2 #3 #4 #5 #6 #7 White - 1 Black or African American - 2 American Indian or Alaska Native - 3 Asian 4 (4a, 4b, 4c, 4d, 4e, 4f, 4g) Native Hawaiian/Other Pacific Islander 5 (5a, 5b, 5c, 5d) Choose Not to Disclose ETHINIC CATEGORIES* Check all that apply for each household member #1 #2 #3 #4 #5 #6 #7 Hispanic or Latino Not Hispanic or Latino Choose Not to Disclose DISABILITY STATUS* Check all that apply for each household member #1 #2 #3 #4 #5 #6 #7 Are any household members disabled according to the Fair Housing Act? If Yes, check box. No or Choose Not to Disclose a Disability Reasonable Accommodation: If a third party is required to assist with the completion of this document, add their signature and date, printed name, relationship and phone number to the bottom of this page. Head of Household Signature Date #2 Signature Date #3 Signature Date #4 Signature Date NLR Property Management, LLC PO BOX 1050 Harbor Springs, MI 49740

11 DISCLOSURE UNDER FAIR HOUSING REPORTING ACT AND AUTHORIZATION NLR Property Management, LLC and /or (property name) is requesting a copy of your Consumer Report or Credit Report to assist it in its consideration for: Employment purposes, or Housing at We are required as part of our screening process to secure a Consumer Report on you to assist us in our determination. Under the Fair Credit Reporting Act, 15 U.S. C.A et seq. we must first seek your written consent to obtain your consumer or credit report. The information obtained will not be used in violation of any applicable Federal or State law. Pursuant to the Fair Credit Reporting Act, 15 U.S.C.A. 1681a the following definitions are provided to you: Consumer means an individual Consumer Report means any written, oral, or other communication of any information by a consumer reporting agency bearing on a consumer s credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living which is used or expected to be used or collected in whole or in part for the purpose of serving as a factor in establishing the consumer s eligibility for a) credit or insurance to be used primarily for personal, family, or household purposes; b) employment purposes; or c) any other purpose authorized in the act. Investigative Consumer Report means a consumer report or portion thereof in which information on a consumer s character, general reputation, personal characteristics or mode of living is obtained through personal interviews with neighbors, friends, or associates of the consumer reported on or with others with whom he is acquainted or who may have knowledge concerning any such items of information. Employment Purposes means a report for the purpose of evaluating a consumer for employment, promotion, reassignment or retention as an employee. Adverse Action means (i) a denial of employment or any other decision for employment purposes that adversely affects any current or prospective employee; (ii) a denial or cancellation of, an increase in any charge for, or any other adverse or unfavorable change in the terms of credit or any license or other reasons described in section 168b(a)(3)(D) of the Act; or (iii) an action or determination that is made in connection with an application that was made by, or a transaction that was initialed by, any consumer, or in connection with a review of an account under the act and adverse to the interests of the consumer. In accordance with the company policy we must obtain your consent in writing authorizing us to obtain a Consumer Report and/or Investigative Report on you for employment purposes. Upon receipt of Revised 6/2017 Page 1 of 2

12 your written authorization, we will obtain the written report. If we consider any information in that report which directly and adversely affects you in our employment related decision you will be provided with a copy of the Consumer Report and a summary of your rights under the FCRA before a decision is final. Alternatively, you may contact the Federal Trade Commission about your rights under the Fair Credit Reporting Act. If we are obtaining a Credit Report with respect to you application for housing and should your application be rejected due to information contained on your credit report you will be provided with the name and address of the local credit bureau where within sixty (60) days of rejection, you can obtain a free copy of your credit report, dispute it s accuracy, and provide a consumer statement describing your positions if you dispute the credit report. Pursuant to the Fair Debt Credit Reporting Act you will have the right to put into your report a statement explaining your position on the item under dispute. For further information, contact your State or Local consumer protection agency or your State Attorney General s office. I/we have read the foregoing information referred to as a Fair Credit Reporting Disclosure and now hereby authorize NLR Property Management, LLC and/or (property name) to obtain a Consumer Report, Credit Report of Investigative Report on me from a consumer reporting agency or company for: Employment purposes Housing Purposes Both I/we understand that NLR Property Management, LLC and/or Apartment Community referenced above will rely upon the information contained in the report. I/we further acknowledge that I/we have rights to dispute any adverse decision which may be made against me by NLR Property Management, LLC and/or Apartment Community as set forth in the disclosure that I/we may seek additional advice or assistance from my local consumer protection agency or Attorney General s office. I/we acknowledge that I have received a copy of this document for my records. Applicant Signature Applicant Printed Name Date Co-applicant Signature Co-applicant Printed Name Date Revised 6/2017 Page 2 of 2

13 NOTICE AND CONSENT FOR THE RELEASE OF INFORMATION Housing Community Name: Owner/Management Agent Requesting Information: NLR Property Management / KMG Prestige By signing this consent form, I am authorizing the Housing Community or Owner/Management Agent of the housing community for which I am applying to obtain information from a third party about me. I understand that the purpose of this information is to determine my eligibility for housing assistance. I understand that this information can include and is not limited to information regarding my income, assets and credit bureau report which may affect my eligibility. The Department of Housing and Urban Development certifies, in compliance with the Right to Financial Privacy Act of 1978, that in connection with this request for access to financial records, it is in compliance with the applicable provision of said Act. Privacy Act Notice Statement: The Department of Housing and Urban Development (HUD) is requiring the collection of the information derived from this form to determine an applicant s eligibility in a HOME Program and the amount of assistance necessary using HOME funds. This information will be used to establish level of benefit on the HOME Program; to protect the Government s financial interest; and to verify the accuracy of the information furnished. It may be released to appropriate Federal, State, and local agencies when relevant, to civil, criminal, or regulatory investigators, and to prosecutors. Failure to provide any information may result in a delay or rejection of your eligibility approval. The Department is authorized to ask for this information by the National Affordable Housing Act of I further understand that income information obtained from these sources will be verified according to the initial information which I have provided on my original application for housing. Who Must Sign the Consent Form? Each member of your household who is 18 years of age or older must sign the relevant consent forms at the initial certification and at each recertification, if applicable. In addition, when new adult members join the household and when members of the household become 18 years of age, they must also sign the relevant consent forms. Signatures: Head of Household Signature Printed Name Date Spouse Signature Printed Name Date Other Family Over 18 Signature Printed Name Date In accordance with Federal Law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, age, disability, religion, sex, and familial status. (Not all prohibited bases apply to all programs.) To file a complaint of discrimination, write USDA, Director of Civil Rights 1400 Independence Avenue, SW, Washington, D.C or call (800) (voice) or (202) (TDD). This institution is an equal opportunity provider and employer. Form 530 Page 1 of 1

14 FULL-TIME STUDENT SELF AFFIDAVIT (One form to be competed per household) Applicant/Resident Name: Unit #: EACH ADULT MUST READ THE FOLLOWING DEFINITIONS: A full-time student is any individual who is currently enrolled in an educational institution on a full-time basis, expects to be enrolled during the balance of the current tax year (JANUARY to DECEMBER), or has been enrolled on a full-time basis for at least 5 months out of the current calendar year. 1. List the names of all adult (18 and older) household members and indicate full-time student status, yes or no. Name F/T Student? Name F/T Student? (For Self- Declared Full-time Students no Further Verification is Required) 2. List the names of all minor (under age 18) children who will reside or are residing in the apartment: Name Age F/T Student? (K-12) Name Age F/T Student? (K-12) List the names of all adult (18 and older) household members that are Part-Time Students Name Age P/T Student? Name Age P/T Student? (Student Verification Form Required for All Part-Time Students) Did anyone graduate from school or university during the current calendar year? No Yes. If yes, when? Statement of Applicant/Resident This section is only applicable if ALL household members are full-time students. Check all the student exceptions that are applicable to your household (proof of the exception MUST be provided):* [ ] A. At least one member of the household receives assistance under title IV of the Social Security Act (for example, payments under AFDC). (Please provide: A third-party verification of AFDC/TANF award required.) [ ] B. At least one member of the household is currently enrolled in a job training program that receives assistance under the Job Training Partnership Act (JTPA) or is funded by a state or local public agency. (Please provide: A verification of enrollment & mission statement of the program if not JTPA) [ ] C. The head of household is a single parent of the above listed children and the above listed parent is not the dependent of another individual for tax purposes, and the children are not claimed as a dependent by someone other than a parent. (Please provide: A signed copy of most recent tax return.) [ ] D. I was previously under the care of a state foster care program. (Provide written verification that the student was previously in a foster care program) [ ] E. The members of the household are married and file a joint federal tax return. (Please provide: A signed copy of most recent tax return) (Note: this is the only exception to the full-time student rule for properties with tax-exempt bond financing.) *If all household members are full-time students, and proof cannot be provided that the household is able to meet one of the above mentioned exceptions, then the above household is not eligible to reside in a LIHTC unit. (Resident Initial) I agree to notify management immediately if my status changes. I understand that changes to my student status may affect my eligibility to participate in this program. I certify that the information given above is true and complete to the best of my knowledge. I understand that providing false or misleading information is a breach of my lease and may be subject to criminal penalties. (Applicant/Resident Signature) (Date) (Applicant/Resident Signature) (Date) (Witness Signature) (Date) (Witness Signature) (Date) FORM 110 Page 1 of 1

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16 Attention Applicants: This property pays water/sewer/garbage charges for its residents. You will be required to pay for electric charges for your apartment home. Electric must be in your name prior to lease signing. If you need further information on how to set up your new account with the electric company, please speak with the property manager. Unfortunately, you will not be allowed to sign a lease or move in until you have secured the utilities in your name. Please bring your account number or a copy of an confirmation to us at lease signing. Thank you, NLR Property Management Electricity Provider Name: Rocky Mountain Power Electricity Provider Phone Number: NLR Property Management 380 Franklin Street Suite 104 PO Box 1050 Harbor Springs MI (231) This Institution is an equal opportunity provider.

17 NLR PROPERTY MANAGEMENT, LLC TENANT SELECTION PLAN The following tenant selection plan shall be used for all Low Income Housing Tax Credit (LIHTC) and HOME properties under rent-up and/or management by NLR Property Management, LLC. NLR Property Management maintains a policy of equal opportunity and non-discrimination in compliance with affirmative fair housing marketing requirements as set forth individually for each property. No applicant shall be denied housing or equal access to services on the basis of race, color, religion, sex, familial status, handicapped status or nation origin. All properties will comply with state and local fair housing statutes. Applicants must meet all LIHTC/HOME and NLR Property Management selection requirements to be admitted to any LIHTC/HOME property rented or managed by NLR Property Management. APPLICATION and ELIGIBILITY 1. Obtaining an Application Persons interested in residing in any property managed by NLR Property Management may request an application. Applicants may request an application in person at the local on- site office, call the local telephone number posted on the project sign or obtain one online from our website; Applications are available even if a waiting list exists. 2. Completing and Submitting Application All applicants must complete and submit an application for tenancy. Applications can be submitted in person at the local on- site office or by calling the local telephone number posted on the project sign. Application forms will contain requests for all information necessary to determine initial eligibility, and it is important for the applicant to complete each and every section in full. The application contains a release form that must be signed to authorize NLR Property Management to verify application information, including credit history, income, assets, and allowances along with credit, and personal and landlord references. In addition, the release form authorizes management to contact other agencies necessary to verify eligibility, along with law enforcement and correctional agencies. 3. Incomplete Applications/Assistance Policy All incomplete applications will be returned to the applicant with incomplete information highlighted. Applicants may request assistance from the management agent in completing the application. It is NLR Property Management's policy to assist applicants where ever possible, especially where persons with disabilities or handicaps seek to request reasonable accommodations for their disabilities or handicaps. Applicants will not be placed on the project waiting list until such a time as a completed application is received by the on-site manager or central office staff. Page 1 of 5 Tenant Selection Plan

18 4. Student Eligibility Student eligibility is determined at move-in/initial certification and at each annual certification. Student eligibility may also be reviewed at interim certification if student status has changed since the last certification. All adult students are required to report any change in their student status. 4. Preliminary Review of Eligibility Management will conduct a preliminary review of the information contained in the application upon receipt. Applicants shall receive a "notice of ineligibility" if the information contained in the completed application does not meet income or occupancy requirements. Applicants shall be placed on the waiting list if the information contained in the application meets all income & occupancy requirements. WAITING LISTS Completed applications are logged by the date received, elderly/handicapped/disability status, income information and federal preferences. Incomplete applications will not be accepted. Waiting lists remain open until otherwise notified. Income targeting is defined as households that meet the targeted income limit for the vacant units. Federal preferences are defined households that are currently rent burdened (not currently living in subsidized housing), being displaced due to causes beyond their control or currently living in substandard housing. FAIR HOUSING The Fair Housing Act prohibits discrimination in housing and housing related transactions based on race, color, religion, sex, national origin, disability, and familial status. In addition, some areas have added Fair Housing protections based on creed, student status, marital status, sexual orientation, gender identity and age. SECTION 504 OF THE REHABILITATION ACT OF 1973 The owner/agent complies with Section 504 of the Rehabilitation Act of 1973 which prohibits discrimination, based on the presence of a disability in all programs or activities operated by recipients of federal financial assistance. Page 2 of 5 Tenant Selection Plan

19 SELECTION 1. Project Eligibility HUD establishes and publishes income limits annually based on family size for each county in the United States based on the median income of the geographic area. In order to be eligible for selection, an applicant must meet the HUD published limits for LIHTC/HOME programs. A copy of these income limits can be provided upon request. Applicants must provide identification of all persons who will be "persons in the household'. Identification can be established through a number of sources such as driver's license, birth or baptism certificates, Social Security Card, Medical Assistance or Medicare Card. Occupancy standards will be based on state and local code(s). 2. Handicap Unit Priorities Applicants who have requested wheelchair adapted or other handicap adapted units have priority for those units. In the event a specially featured unit becomes available and no applicant would benefit from the special features, the unit shall become available based on income level. However, the tenant selected will be subject to a written lease provision requiring transfer to a different unit if a different unit is available and a handicapped or disabled person requiring the specially adapted unit is placed on the waiting list. If an appropriate unit becomes available and the tenant is required to transfer, all moving costs shall be the responsibility of the tenant. 3. Unit Transfers Current tenants requiring a unit transfer for the following reasons will be given preference over applicants and those on the waiting list. A required unit transfer due to family size or changes in family composition. A unit transfer for a medical reason certified by a doctor or the need for an accessible unit. A deeper rent subsidy, if it applies to the property. Current tenants requesting a unit transfer for any other reason will be added to the waiting list of applicants provided there is no record of consistent late or unpaid rental obligations, no record of police activity and inspection of the tenant s current unit must indicate there is no damage to the property or poor housekeeping habits resulting in health or safety hazards. 4. Application Interview Each applicant will be required to attend a personal interview as part of the application process. Applicants applying as a tenant or co-tenant must have the legal capacity to sign all documents or have a representative with legal power of attorney understand, sign and date the documents on their behalf. Page 3 of 5 Tenant Selection Plan

20 5. Security Deposits Applicants must pay a security deposit no later than the time they execute the lease, with the following exemptions; rental assistance tenants may request to pay security deposits by payment plan where hardship is shown to exist. Payment plans will consist of a down payment of at least one half of the deposit amount upon lease signing, and the balance with the next month s payment. 6. Utilities Applicants are required to have the gas and/or electric in their name(s) no later than the time they execute the lease. Owner is responsible for the payment of water/sewer/garbage. Proof of this will be required prior to landlord granting applicant possession of the assigned unit. 7. Use of Marijuana Including Medical Marijuana Some states have legalized the use of marijuana for recreational purposes. Regardless of the purpose of legalization under state law, the use of marijuana in any form, is illegal under the Controlled Substances Act and therefore is an illegal controlled substance under Section 577 of the Quality Housing and Work Responsibility Act of Based on federal law, the use of medical marijuana is prohibited at this housing project. REJECTION Applicants will not be rejected on the basis of race, color, religion, sex, handicapped status, age, familial status or national origin. Any one or more of the following are grounds for rejection of an applicant. Refusal to allow verification of any information required by the applicant process Failure to meet LIHTC/HOME & NLR Property Management income limits. Number of persons in household exceeds allowable occupancy standards for the property. Applicant(s) provide false information on the application or at the interview Negative credit, personal, landlord or law enforcement references Applicant(s) or any household members are/is a match on the Dru Sjodin Nation Sex Offender Databases The applicant has a history of chronic late or nonpayment of rent or other financial obligations The applicant has a history of eviction, intentional damage, and/or violation of the terms of a past or present lease agreement (including, but not limited to, failure to maintain a unit in a sanitary condition, current use of illegal drugs, or conviction for drug manufacture, sale or distribution). The applicant(s) or persons in the household would pose a direct threat to the health or safety of others or property. Any rejection will be issued in a written statement to the applicant identifying the reason for the rejection/denial. Page 4 of 5 Tenant Selection Plan

21 VAWA PROTECTIONS The Violence Against Women Act (VAWA) provides protections to women or men who are the victims of domestic violence, dating violence, sexual assault and/or stalking. The NLR Property Management understands that, regardless of whether state or local laws protect victims of domestic violence, dating violence, sexual assault and/or stalking, people who have been victims of violence have certain rights under the Violence Against Women Act Reauthorization of This policy is intended to support or assist victims of domestic violence, dating violence, sexual assault and/or stalking and protect victims, as well as members of their family, from being denied housing or from losing their HUD assisted housing as a consequence of their status as a victim of domestic violence, sexual assault, dating violence and/or stalking. VAWA protections are not provided to guests, unauthorized residents or service providers (including live-in aides) hired by the resident. The Landlord may not consider incidents of domestic violence, dating violence or stalking as serious or repeated violations of the lease or other good cause for termination of assistance, tenancy or occupancy of a victim who is protected from acts under the domestic or family violence laws of the jurisdiction. The Landlord may not consider criminal activity directly relating to abuse, engaged in by a member of a tenant s household or any guest or other person under the tenant s control, cause for termination of assistance, tenancy, or occupancy rights if the tenant or an immediate member of the tenant s family is the victim or threatened victim of that abuse. The Landlord may request in writing that the victim, or a family member on the victim s behalf, certify that the individual is a victim of abuse and that the Certification of Domestic Violence, Dating Violence or Stalking, Form HUD-91066, or other documentation as noted on the certification form, be completed and submitted within 14 business days, or an agreed upon extension date, to receive protection under the VAWA. Failure to provide the certification or other supporting documentation within the specified timeframe may result in eviction. NLR Property Management 380 Franklin Street Suite 104 PO Box 1050 Harbor Springs MI (231) Page 5 of 5 Tenant Selection Plan