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1 Dear Applicant: Thank you for applying for tenancy at Whalepond Village/ Heritage Village at Ocean LLC 1, located in Ocean New Jersey Please complete this application in accordance with the following application instructions: 1. PLEASE READ CAREFULLY Applications will be processed in order of date and time received. There is a $50 application fee* for each applicant age 18 and over which must be submitted with a completed application. Incomplete applications or applications not accompanied by the appropriate documentation or fees will not be processed and will be returned. *Application fee is waived for applicants that are currently participating in the Section 8 and/or Public Housing Program. 2. COMPLETE ALL AREAS. If an item does not apply to you, answer N/A to that question or mark with a 0 if it is a dollar amount line or section. Answer all questions; do not leave any questions blank. Do not cross out or use white out on the application. a) All sources of earned income must be reported for all household members. b) All unearned income and assets must be reported for all household members. 3. SIGNATURES Signatures are required for all adult applicants. 4. PLEASE PROVIDE COPIES OF THE FOLLOWING INFORMATION a. Birth Certificates for all household members; b. Social Security cards for all household members; c. Name, address and phone number of current employer; and d. Income verification: 1. Social Security award letter; 2. 4 current consecutive pay stubs; 3. Bank name, address, and phone number; 4. 6 Most recent bank statement for checking and savings account(s); 5. Most recent tax return; 6. Real Estate documents; 7. Child Support Award Letter; 8. All asset information; 9. Welfare/public assistance documents, AFDC Documentation; 10. Pension benefits award letter; 11. W-2 s, 1099; 12. Workers compensation award letter; and 13. Unemployment award letter PLEASE RETURN THE APPLICATION TO: Along with the Application Fee ($50.00 for 1 applicant or $ for 2) to: Whalepond Village/ Heritage Village at Ocean LLC, 400 Stacey Drive Ocean, NJ Should you have any questions, please feel free to contact: Whalepond Village/ Heritage Village at Ocean LLC, at: Thank you, Whalepond Village/ Heritage Village at Ocean LLC Staff Page 1 of 5
2 APPLICATION FOR HOUSING Low-Income Housing Property Please Print Clearly This is an application for housing at: Please complete this application and mail to: Project : WhalePond Village/ Heritage Village at Ocean LLC WhalePond Village/ Heritage Village at Ocean LLC 400 Stacey Drive Ocean, NJ Applicant Name(s): Applications are placed in order of date and time received. An applicant may be interviewed only after the receipt of this tenant application. ALL QUESTIONS MUST BE ANSWERED OR APPLICATION WILL BE CONSIDERED INCOMPLETE AND RETURNED A. GENERAL INFORMATION Street Apt.# State ZIP Daytime Phone: Evening Phone: No. Of BR s in current unit: Do you RENT or OWN (circle one) Amount of current monthly rental or mortgage payment: $ If owned, do you receive monthly rental income from property? Yes No (circle one) Circle utilities paid by you: Heat Electricity Gas Other (specify) Approximate monthly cost of utilities paid by you (excluding phone and cable TV): $ Verified FEMA Registration applicants will be prioritized the first three (3) months of leasing Do you receive rental assistance? (Example: Section 8 or any other type of voucher) Yes No (circle one) How did you hear about us? (Please be specific.) The following information is requested by the apartment owner in order to assure the Federal government that Federal laws prohibiting discrimination against tenant applicants on the basis of race, national origin, familial status, handicap/ disability and gender are complied with. You are not required to furnish this information, but are encouraged to do so. This information will not be used in evaluating your application or to discriminate against you in any way. However, if you choose not to furnish it, the owner is required to note the race/ national origin and sex of individual applicants on the basis of visual observation or surname. Please check one: Caucasian African American Asian Hispanic Other B. HOUSEHOLD COMPOSITION List ALL persons who will live in the house. List the head of household first. Name Relationship to head Marital Status M-married D-divorced S-single E-estranged L-legal separation Applicant Co-Applicant Birth Date Age SS# Student Y/N Will any of the persons in the household be or have been full-time students during five calendar months of this year or plan to be in the next calendar year at an educational institution (other than a correspondence school) with regular faculty and students? Yes No (circle one) IF YOU CIRCLED YES, ANSWER THE FOLLOWING QUESTIONS: Are any full-time student(s) married and filing a joint tax return? (circle one) Yes No Are any student(s) enrolled in a job-training program receiving assistance under the Job Training Partnership Act? (circle one) Yes No Are any full-time student(s) a TANF or a title IV recipient? (circle one) Yes No Are any full-time student(s) a single parent living with his/her minor child who is not a Dependent on another s tax return? (circle one) Yes No Page 2 of 5
3 Do you anticipate any additions to the household in the next twelve months? Yes No (circle one) If yes, explain: C. INCOME List ALL sources of income as requested below. If a section doesn t apply, write NA. Household Member Name Source of Income Social Security $ SSI Benefits $ Pension (list source) $ Veteran s Benefits (list claim #) $ Unemployment Compensation $ Unemployment Compensation $ Title IV/TANF $ Title IV/TANF $ Title IV/TANF $ Gross Monthly Amount Full-Time Student Income (18 & Over Only) $ Full-Time Student Income (18 & Over Only) $ Interest Income (source) $ Interest Income (source) $ Other $ Household Member Name Source of Income Monthly Amount Employment amount Employer: Position Held How long employed: $ Employment amount $ Employer: Position Held How long employed: TOTAL GROSS ANNUAL INCOME (Based on the monthly amounts listed above x 12) Alimony Are you entitled to receive alimony? Yes No If yes, list the amount you are entitled to receive. $ Do you receive alimony? Yes No If yes list amount you receive. $ Child Support Are you entitled to receive child support? Yes No If yes list the amount you are entitled to receive. $ Do you receive child support? Yes No If yes, list the amount you receive. $ Other Income $ Other Income $ TOTAL GROSS ANNUAL INCOME FROM PREVIOUS YEAR $ Do you anticipate any changes in this income in the next 12 months? Yes No If yes, explain: D. ASSETS If your assets are too numerous to list here, please request an additional form. If a section doesn t apply, write NA. Checking Accounts # Bank Balance $ # Bank Balance $ Savings Accounts # Bank Balance $ # Bank Balance $ Trust Account # Bank Balance $ # Bank Balance $ Certificates of Deposit # Bank Balance $ Credit Union # Bank Balance $ Savings Bonds # Maturity Date Value $ Life Insurance Policy # Cash Value $ $ Mutual Funds Name: #Shares: Interest or Dividend $ Value $ Stocks Name: #Shares: Dividend Paid $ Value $ Bonds Name: #Shares: Interest or Dividend $ Value $ Page 3 of 5
4 Investment Property Appraised Value $ Real Estate Property: Do you own any property? (circle one) Yes No If yes, Type of property Location of property Appraised Market Value $ Mortgage or outstanding loans balance due $ Amount of annual insurance premium $ Amount of most recent tax bill $ Have you sold/disposed of any property in the last 2 years? (circle one) Yes No If yes, Type of property Market value when sold/disposed $ Amount sold/disposed for $ Date of transaction Have you disposed of any other assets in the last 2 years (Example: Given away money to relatives, set up Irrevocable Trust Accounts)? (circle one) Yes No If yes, describe the asset Date of disposition Amount disposed $ Do you have any other assets not listed above (excluding personal property)? (circle one) Yes No If yes, please list: E. ADDITIONAL INFORM ATION Are you or any member of your household currently using an illegal substance? (circle one) Yes No Have you or any member of your household ever been convicted of a felony? (circle one) Yes No If yes, describe Have you or any member of your household ever been evicted from any housing? (circle one) Yes No If yes, describe Have you ever filed for bankruptcy? (circle one) Yes No If yes, describe Will you take an apartment when one is available? (circle one) Yes No Briefly describe your reasons for applying: Current Landlord Prior Landlord Credit Reference #1: Name: Home Phone: Bus. Phone: How Long? Name: Home Phone: Bus. Phone: How Long? F. REFERENCE INFORMATION Account #: Phone #: Credit Reference #2: Account #: Phone #: Personal Reference #2: Relationship: Phone #: Personal Reference #3: Relationship: Phone #: G. VEHICLE AND PET INFORMATION (if applicable) List any cars, trucks, or other vehicles owned. Parking will be provided for only one vehicle. Type of Vehicle: License Plate #: Year/Make: Color: Type of Vehicle: License Plate #: Year/Make: Do you own any pets? (circle one) Yes No If yes, describe: Color: Page 4 of 5
5 TO COMPLETE THIS APPLICATION FOR TENANCY, PLEASE CAREFULLY READ ALL TERMS AND COMPLETE THE ATTACHED PAGES WHICH FORM PART OF THE APPLICATION. PLEASE READ ALL TERMS CAREFULLY ON THIS FORM AND SIGN BELOW: Whalepond Village/ Heritage Village at Ocean LLC, complies with all state and federal statutes which prohibit discrimination in the rental of dwellings. This application is subject to Whalepond Village/ Heritage Village at Ocean LLC, and may without designating cause, be disapproved by them. I understand that this application creates no obligation for Whalepond Village/ Heritage Village at Ocean LLC, or applicant. This application may be made part of my lease. I understand that the truth of the information contained herein is essential. If Whalepond Village/ Heritage Village at Ocean LLC, deems any answer or statement herein to be false, or misleading, any lease granted by virtue of this application maybe canceled at their option. AGREEMENT, AUTHORIZATION AND CONSENT FOR RELEASE OF BACKGROUND INFORMATION I understand that in conjunction with my application for tenancy, Whalepond Village/ Heritage Village at Ocean LLC, may use the services of an outside agency to research and verify the information I have provided on my application for housing including my personal background, work history and qualifications. I therefore authorize Whalepond Village/ Heritage Village at Ocean LLC,, CIS, CIS Management Inc., or Yardi Resident Screening (or any authorized entity hired for this purpose) to verify any information provided by me in this tenancy application and any supplemental attachments, including but not limited to: criminal conviction record, current and former employers, credit reports, and personal references and I agree, authorize and consent to the release and disclosure of any and all information including but not limited to the above to Whalepond Village/ Heritage Village at Ocean LLC,, CIS, CIS Management Inc., Yardi Resident Screening and any authorized reporting agency. I further agree, authorize and consent to Whalepond Village/ Heritage Village at Ocean LLC, CIS and/or CIS Management Inc. to obtain a consumer report as well as a criminal and sexual offender report from Yardi Screening Reports (or any other entity hired for this purpose) and/or investigative consumer report, which may contain information about my credit worthiness, credit standing, credit capacity, and criminal background. In accordance with the Fair Credit Reporting Act, I will be notified by Whalepond Village/ Heritage Village at Ocean LLC,. CIS and/or CIS Management Inc. if my tenancy is denied because of information obtained from a consumer reporting agency. I further understand that I may request a copy of the report from the consumer reporting agency having conducted the background investigations. By signing this application, I hereby expressly release Whalepond Village/ Heritage Village at Ocean LLC, and any agent, procurer or furnisher of information, from any liability what-so-ever in the use, procurement, or furnishing of such information, and understand that my application information may be provided to various local, state and/or federal government agencies, including without limitation, various law enforcement agencies. SIGNATURE(S) (Signature of Tenant) Date (Signature of Co-Tenant) Date 1 For the purpose of this Application for Housing, the term Whalepond Village/ Heritage Village at Ocean LLC refers to Whalepond Village/ Heritage Village at Ocean LLC and its successors, assigns, divisions, affiliated or related entities, owners, partners, officers, directors, management and parent companies, including CIS and CIS Management Inc. Page 5 of 5
6 WHALEPOND VILLAGE / HERITAGE VILLAGE AT OCEAN EVERYTHING YOU WANTED TO KNOW ABOUT OUR COMMUNITY 1. Where is the rental community, Whalepond Village, located? We are located on 400 Stacey Drive, Ocean NJ which is off of West Park Avenue within easy reach of many shopping centers along Route 35 from the Monmouth mall in Eatontown to Seaview Square Mall in Ocean Township in Monmouth County. 2. How many apartments are there in the buildings? There are 96 units in 3 buildings. 3. How many styles of apartments are there? 96 (1) bedroom, One (1) bath units approximately 700 sq. ft. Whalepond Village/ Heritage Village at Ocean LLC 4. What are the buy-in fees? There are no buy-in fees. Although Whalepond Village offers many amenities, all apartments are rental. 5. How much shall I estimate as the average monthly expense for utilities? Residents will be responsible for paying their own Gas, Electric, air conditioning, telephone and cable TV. For a one (1) bedroom apartment one can expect to pay approximately $100 per month (total/ Combined) 6. How long are the leases on the apartments and when will the rental rates change? The leases are for one (1) year. The rental rates are affordable and monitored by the State through the Low Income Housing Tax Credit Program and could change yearly. 7. What are the requirements for admission? Anyone is welcome to apply. No applicant will be discriminated against due to race, creed, color, natural origin, nationality, ancestry, religion, age, sex, marital status, or sexual orientation, gender identity or expression, disability, familial status or handicap. Specific financial requirements will be addressed by the Admission Application. 8. What about parking? Parking is available on a first come, first serve basis. 9. What kind of features and amenities will this Community offer? Wall to Wall Carpeting Stackable Washers and Dryers in each unit Mini Blinds Central Air-Conditioning Coat Closet Community Building Walk-in Closet On-Site Leasing and Management Offices Stove-top and Oven On-Site Superintendent Community Manager Pool (*additional Charge for the season)
7 WHALEPOND VILLAGE / HERITAGE VILLAGE AT OCEAN 10. How much annual income do I need to be able to afford to be a resident? Government experts counsel that one can afford to spend as much 60% of his/her annual income on rent. Our trained staff can work with you to establish your individual needs. 11. Exactly how much cash do I have to have available, and when? When you submit your admission application you will need to submit a non-refundable application fee of $50.00 per adult applicant (18 years of age or older). This fee covers processing credit and background checks for each adult applicant. At the time of your appointment with one of our team members to verify your income and assets 12. Are pets allowed? Whalepond Village has a No-Pets Policy (except for Service Animals). 13. What is the policy on an overnight guest? Overnight guests are permitted, however Management must be notified in writing. Guest stays may not exceed 14 days and must be approved by Management prior to the visit. 14. Is smoking allowed? There is NO SMOKING in our indoor/outdoor public areas. The negative health factors associated with passive smoke inhalation prompted this recommendation. 15. If I have a question that is not on this list, may I contact someone for an answer? Yes, call Whalepond Village at While we believe all of these answers will remain in force, some may be subject to change. HOMEOWNER STATEMENT If an applicant owns property, it is considered an asset. An applicant can own a home, so long as their total household income and assets are still under the income and asset limit. If an applicant owned a home that was sold or disposed of in the last two (2) years, the closing papers from the sale of the home must be provided to the team at the time of application. There are many possible scenarios pertaining to home ownership and every case is reviewed on an individual basis.
8 WHALEPOND VILLAGE / HERITAGE VILLAGE AT OCEAN Rent** 60% of the Area Median Income ONE Bedroom $890.00/MONTH Income Limits* Gross Annual Household Income may not exceed*: 60% of the Area Median Income One Person: $38,520 Two Persons: $44,040 APPLICATION FEE There is an application fee of $50.00 per adult applicant (18 years of age or older). Application fees are payable only in the form of a money order or a cashier s check and must be made payable to / Heritage Village at Ocean. *As of 3/2015, subject to periodic adjustment by the Federal Government. Other limitations may apply. **Proposed as of 3/2015, subject to change.
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