Notice all applicants applying to live at NeighborWorks Alaska s Apartments

Transcription

1 Ntice all applicants applying t live at NeighbrWrks Alaska s Apartments Effective September 1, 2016, All f NeighbrWrks Alaska s prperties listed belw will be smke free. In rder t eliminate the knwn health hazards f secndhand smke; the increased maintenance, cleaning, and redecrating csts frm smking; the increased risk f fire frm smking; and the high csts f fire insurance fr prperties where smking is permitted, NeighbrWrks Alaska adpts this smke-free husing plicy fr the Campbell View, Hampstead Heath, The Mallary, Merrill Crssing, Spruce View and Stephen s Park Apartments lcated thrughut Anchrage, Alaska. Indr Smking 1. Effective September 1, 2016 smking is nt permitted anywhere inside the NeighbrWrks Alaska buildings. This includes, but is nt limited t, individual living spaces, all shared areas, stairwells, laundry rms, and any ther enclsed areas. 2. This plicy applies t all current and new residents, all emplyees, all cntractrs and all guests at all times. Outdr Smking Smking is nt permitted within 20 feet f the entrances r any windws f the NeighbrWrks Alaska apartment buildings. Campbell View 3560, 3570, 3580 W. Dimnd Blvd The Mallary 660 West 34 th Avenue Stephen s Park 3200 La Tuche Street Merrill Crssing 1275 East 9 th Avenue S:Husing Department/Updated and Revised Frms fr Resident Manager/Frms, Letter & Ntices/Applicatin Frms/Bnd Market/ Ntice t Applicant Smke Free 2515 A Street, Anchrage, AK p f

2 2515 A Street Anchrage, AK (907) When submitting yu applicatin, please ensure that the infrmatin is cmplete and the requested dcuments are attached. DO NOT USE WHITE OUT! APPLICATION WILL NOT BE PROCESSED The landlrd reference check will be faxed t yur previus landlrd t fill ut. Only the applicant s printed name, signature, and date are t be n the frm. Nthing else needs t be cmpleted n the frm. The remainder is fr ffice use nly. There must be at least ne landlrd reference t check. The fllwing pages are the applicatin. Please fill ut the applicatin cmpletely and leave n blank spaces. If it des nt pertain t yu, please write N/A. REQUESTED DOCUMENTS: There is a $25.00 applicatin fee per adult. Each adult must cmplete an applicatin. The fee is nn-refundable. This is t cver the administrative cst incurred fr a criminal backgrund check and t verify credit histry. A signed Landlrd Reference frm is required. T expedite the applicatin prcess, if a family member received incme frm any surce such as frm the fllwing agencies, please prvide a current print-ut r award letter: Scial Security Incme Scial Security Admin. Adult Public Assistance Child Supprt Alaska Temprary Assistance Prgram (ATAP) Unemplyment PFD (current year) Pht cpy (legible) f yur driver s license r identificatin card. The items cpied must cntain a picture f the applicant, and date f birth. If yu d nt have valid identificatin, yur applicatin will nt be prcessed. Pht Cpy (legible) f All Husehld Member s scial security cards. Thank yu fr applying with NeighbrWrks Alaska U:\A Krieger\Temp Prject Flder\SDrive Organizatin\bnd&Mkt Applicatins\Applicatin Cver Sheet - Bnd&Mkt Rate.dc Revised: 05/17/2016

3 NeighbrWrks Alaska Prperties Applying fr: Campbell View Merrill Crssing Patrit Square Panramic View The Mallary Stephen s Park Each Adult (18 and Older) Must cmplete a separate applicatin. There is a nn-refundable fee f $25/adult t apply RESIDENTIAL HOUSING APPLICATION Please Print Last Name: First Name: M.I.: Other/Previus Names (please list all names used) Current Address: City: State: Zip Cde: Date f Birth: Scial Security #: Driver s License/State ID #: State: Bedrm Size Wanted: Address: Best Cntact Number(s): Hw Did Yu Hear Abut Us? Date Available t Mve In? Are yu Active Duty Military? Yes N D Yu Have a Rental Vucher? Yes N Are yu a U.S. Veteran? Yes N If yes, where frm? Des the ENTIRE husehld (adults included) Cnsist f r Anticipate becming Full Time Students Yes N PLEASE LIST ALL HOUSEHOLD MEMBERS TO RESIDE IN UNIT N. First & Last Name Gender Date f Birth N. First & Last Name Gender Date f Birth LAST TWO YEARS RESIDENCE HISTORY Current Landlrd Name: Phne #: Address: Unit #: City: State Zip Name On Lease: Building r Management Cmpany Name: Date Tenancy Began: Why Are Yu Mving?: Have yu given ntice? Previus Landlrd Name: Phne #: Address: Unit #: City: State Zip Name On Lease: Building r Management Cmpany Name: Fax #: Dates: Frm: T: Why Did yu Mve?: Other States Previusly Lived In: EMPLOYMENT INFORMATION Current Emplyer: Yur Title: Address: City: State Zip Supervisr s Name: Phne #: Fax #: Mnthly Grss Incme: $ Date Emplyed: U:\A Krieger\Temp Prject Flder\SDrive Organizatin\bnd&Mkt Applicatins\Applicatin fr Bnd.dcx Revised: 05/17/2016 Page 1 f 2

4 Previus Emplyer: Yur Title: Address: City: State Zip Supervisr s Name: Phne #: Fax #: Mnthly Grss Incme: $ Dates Emplyed: T ADDITIONIAL HOUSHOLD INCOME (i.e. child supprt, scial security, pensins, etc) GENERAL INFORMATION Have yu r any member f yur family ever been evicted frm any husing? Yes N If yes, describe: D yu we mney t a previus landlrd? Yes N If yes, explain: Have yu r a member f yur family ever been cnvicted f a crime? Yes N If yes, explain: Are yu required t register under a state sex ffender law? Yes N Have yu r a member f yur family been in jail r prisn within the last three years? Yes N If yes, explain: REFERENCES Father/Mther: Phne: Address: In case f emergency, wh may we cntact? Address: Phne #: The applicant certifies that the freging infrmatin is true and cmplete. NEIGHBORWORKS ALASKA charges a $25 nnrefundable applicatin prcessing fee whether the applicatin is apprved r denied. It is required that yur mnthly incme be at least 2 ½ times the rental amunt. It is the plicy f NEIGHBORWORKS ALASKA nt t discriminate in rental practices n the basis f race, religin, sex, age, sexual rientatin, natinal rigin, familial status, r disability status. I AUTHORIZE RELEASE OF INFORMATION REGARDING MY CREDIT, REFERENCES, AND CRIMINAL HISTORY TO A REPRESENTATIVE OF NEIGHBORWORKS ALASKA FOR A PERIOD OF ONE YEAR FROM THE DATE HEREBY SIGNED. I UNDERSTAND THAT IT IS MY RESPONSIBILITY TO KEEP NEIGHBORWORKS ALASKA INFORMED OF MY CURRENT ADDRESS/TELEPHONE NUMBER, AND THAT MY APPLICATION MAY BE CANCELLED IF I FAIL TO DO SO. Print Legal Name Signature Date WARNING: Title 18, Sectin 1001, f the United States Cde states a persn is guilty f a felny fr knwingly and willingly making false r fraudulent statements in this applicatin. Such false r fraudulent statements are punishable as crimes under Title 11 and 12 f the Alaska Statutes. U:\A Krieger\Temp Prject Flder\SDrive Organizatin\bnd&Mkt Applicatins\Applicatin fr Bnd.dcx Revised: 05/17/2016 Page 2 f 2

5 Anchrage Neighbrhd Husing Services, Inc.dba, NeighbrWrks Alaska LANDLORD REFERENCE CHECKLIST Please release the fllwing infrmatin t NeighbrWrks Alaska where I have applied fr an apartment. Applicant: (Print Name) Date: Signature: OFFICE USE ONLY BELOW THIS LINE Address f Residence: Landlrd s Name: Phne # ( ) Fax#: Dates f Residence: Frm: T: Are yu a Relative f the Tenant? Yes N RENT PAYMENT HISTORY Amunt f Mnthly Rent $ Is rent paid n time? Yes N. If late, hw ften? Have yu ever begun r cmpleted evictin prceedings? Yes N If yes, please explain: Have tenant-paid utilities ever been discnnected? Yes N UNIT CARE Is/was there a security depsit? Yes N Is the unit kept clean, safe and sanitary? Yes N Has the unit been damaged? Yes N If yes, please describe: Did the tenant pay fr damage? Yes N Did yu keep the security depsit? Yes N Was rdent/insect infestatin a prblem? Yes N Did the tenant s husekeeping cntribute t infestatin? Yes N GENERAL Was the tenant listed n the lease? Yes N Did the tenant vilate yur lease/huse rules in any way? Yes N Did the tenant allw persns nt listed n the lease t live in the unit n a regular basis? Yes N Did the tenant, family members r guests cause any disturbances r cmplaints? Yes N Did the tenant, family members r guests damage r vandalize the cmmn areas? Yes N Did the tenant, family members r guests engage in criminal activity including, drug-related activity in the building r unit? Yes N Has the tenant given yu any false infrmatin? Yes N If yes, please explain: Did the tenant, family members r guests act in a physically vilent r verbally abusive manner twards neighbrs, yurself r yur staff? Yes N Wuld yu rent t this tenant again? Yes N Additinal Cmments Name: Date: Reference cmpleted by: Phne Persn t Persn Written U:\A Krieger\Temp Prject Flder\SDrive Organizatin\bnd&Mkt Applicatins\Landlrd Reference.dc

6 Race and Ethnic Data Reprting Frm Name f Prperty: Name f Head f Husehld: Ethnic Categries Select One: Hispanic r Latin Nt Hispanic r Latin Racial Categries Select All That Apply: American Indian r Alaska Native Asian Black r African American Native Hawaiian r ther Pacific Islander White Other * Definitins f these categries are available upn request. There are n penalties fr persns wh d nt cmplete this frm. Signature Date S:\HOUSING DEPARTMENT\Updated Revised frms fr Resident Managers\Applicatin Frms\Bnd Market Rate App Frms