THE FUCCI COMPANY 6 Regency Manor, Suite 1, Rutland, VT Tel Fax
|
|
- Leslie Cannon
- 5 years ago
- Views:
Transcription
1 THE FUCCI COMPANY 6 Regency Manor, Suite 1, Rutland, VT Tel Fax PLEASE PRINT ALL INFORMATION CLEARLY : PROJECT APPLYING FOR: BEDROOM SIZE: ANY SPECIAL ACCOMODATIONS NEEDED?: HOW SOON DO YOU NEED AN APARTMENT?: GENERAL INFORMATION: NAME: HOME PHONE: ADDRESS: WORK PHONE: MESSAGE PHONE: PLEASE LIST BELOW EACH AND EVERY INDIVIDUAL TO BE INCLUDED IN YOUR HOUSEHOLD INCLUDING YOURSELF. HOUSEHOLD MEMBER RELATIONSHIP TO HEAD OF HOUSE OF BIRTH SOCIAL SECURITY # PLACE OF BIRTH PLEASE PROVIDE OUR OFFICE WITH A PHOTOCOPY OF ALL HOUSEHOLD MEMBERS SOCIAL SECURITY CARDS PER GOVERNMENT REGULATIONS. HOUSING STATUS: NUMBER OF BEDROOMS IN PRESENT UNIT: PRESENT RENT: $ /MONTH IF RENT DOES NOT INCLUDE UTILITIES, PLEASE INDICATE WHAT UTILITIES COST YOU PER MONTH: $ ARE YOU CURRENTLY LIVING IN SUBSIDIZED HOUSING? DO YOU HAVE A RENTAL ASSISTANCE VOUCHER? ARE YOU BEING DISPLACED? IF SO, WHY? IS YOUR CURRENT UNIT IN A SUBSTANDARD CONDITION? IF SO, DESCRIBE: HAVE YOU EVER FILED AN APPLICATION WITH THE FUCCI COMPANY? HAVE YOU EVER BEEN A TENANT OF THE FUCCI COMPANY BEFORE? HAVE YOU EVER BEEN EVICTED? IF SO, EXPLAIN: ARE YOU HANDICAPPED OR DISABLED? IF SO, EXPLAIN: HOW LONG HAVE YOU LIVED AT YOUR CURRENT ADDRESS? WHY DO YOU WISH TO MOVE? ARE YOU APPLYING FOR STATUS AS AN ELDERLY HOUSEHOLD, WHERE THE TENANT OR CO-TENANT IS 62+ YEARS OLD OR HANDICAPPED OR DISABLED, AS DEFINED BY HUD AND RURAL DEVELOPMENT, AND IF SO, ARE YOU AWARE YOU WILL RECEIVE A $ ELDERLY HOUSEHOLD AND MEDICAL DEDUCTION? IF SO, PLEASE INDICATE. PLEASE BE AWARE THAT ELIGIBILITY MUST BE VERIFIED. DO YOU REQUEST A HANDICAP (BARRIER FREE) UNIT? DO YOU REQUEST ANY MODIFICATIONS OF AN APARTMENT? HAVE YOU OR ANYONE IN YOUR HOUSEHOLD EVER BEEN CONVICTED OF A CRIME? YES NO IF YES, PLEASE EXPLAIN: (To be verified through Criminal Background check) ARE YOU LEGALLY CAPABLE OF ENTERING INTO A LEASE AGREEMENT? YES NO C:\staging\471F AFB6\in\471F AFB6.doc Page 1
2 OTHER INFORMATION: VEHICLES: LIST ALL VEHICLES IN HOUSEHOLD. MAKE: YEAR: PLATE # MAKE: YEAR: PLATE # DO YOU OWN A PET? YES NO IF YES, DESCRIBE ARE YOU A FULL-TIME STUDENT? The Fucci Company does not discriminate on the basis of race, color, religion, marital status, age or handicap/disability. The Fucci Company will make every reasonable accommodation for persons with handicaps/disabilities. To remain current on our waiting list you must write or telephone the Fucci Company every six (6) months to confirm your interest in housing and to update any pertinent information. APPLICANT EMPLOYMENT INFORMATION: Applicant name: CURRENT EMPLOYER: EMPLOYER ADDRESS: S EMPLOYED: TO. PREVIOUS EMPLOYER: EMPLOYER ADDRESS: S EMPLOYED: TO. CO-APPLICANT EMPLOYMENT INFORMATION: Applicant name: CURRENT EMPLOYER: EMPLOYER ADDRESS: S EMPLOYED: TO. PREVIOUS EMPLOYER: EMPLOYER ADDRESS: S EMPLOYED: TO. OTHER INCOME AND ASSET INFORMATION: PLEASE LIST BELOW ALL HOUSEHOLD INCOME FROM OTHER SOURCES. THIS INCLUDES, BUT IS NOT LIMITED TO, FULL AND/OR PART-TIME EMPLOYMENT, ANFC, SOCIAL SECURITY, SSI, SSD, PENSIONS, UNEMPLOYMENT COMPENSATION, CHILD CARE, ALIMONY AND CHILD SUPPORT, ANY INTEREST ON ASSETS, DIVIDENDS, ANNUITIES, AND ANY REGULAR CONTRIBUTIONS FROM PEOPLE NOT RESIDING WITH YOU. HOUSEHOLD MEMBER NAME & ADDRESS OF INCOME SOURCE TYPE OF INCOME (I.E. PENSION) MONTHLY GROSS AMOUNT DO YOU ANTICIPATE ANY CHANGES IN THIS INCOME IN THE NEXT 12 MONTHS? IF SO, EXPLAIN C:\staging\471F AFB6\in\471F AFB6.doc Page 2
3 ASSETS: CHECKING ACCT BANK: BALANCE: $ RATE % SAVINGS ACCT CERTIFICATE DO YOU OWN ANY STOCKS OR BONDS? IF SO, PLEASE DETAIL: DO YOU OWN ANY REAL ESTATE? IF SO, PLEASE DETAIL: HAVE YOU SOLD; DISPOSED OF; OR OTHERWISE GIVEN AWAY ANY ASSETS OR REAL ESTATE IN THE LAST 2 YEARS (EXAMPLES: GIVEN MONEY OR REAL ESTATE TO RELATIVES, SET UP IRREVOCABLE TRUST ACCOUNTS) IF SO, PLEASE EXPLAIN: MEDICAL, CHILD CARE, AND HANDICAP ASSISTANCE EXPENSES: MEDICAL COSTS: Complete only if head or spouse is 62 or older, handicapped or disabled. MEDICARE MONTHLY AMOUNT: $ MEDICAL INSURANCE MONTHLY AMOUNT: $ ANTICIPATED PRESCRIPTION COSTS, NOT COVERED BY INSURANCE MONTHLY $ ANY OTHER MEDICAL EXPENSES NOT COVERED BY INSURANCE: LIST TYPE AND AMOUNTS: $ HANDICAP ASSISTANCE EXPENSE: (COMPLETE ONLY IF A MEMBER OF THE HOUSEHOLD IS ABLE TO WORK AS A RESULT OF THE ASSISTANCE PROVIDED) TYPE OF EXPENSE: WEEKLY AMOUNT $ PAID TO: CHILD CARE EXPENSES: (COMPLETE FOR CHILDREN 12 AND YOUNGER) WEEKLY COST: $ PAID TO: REFERENCE INFORMATION: CREDIT REFERENCES: TELEPHONE # PERSONAL REFERENCES: The Fucci Company is authorized to obtain credit reports to establish my credit worthiness, or for any other purpose. I hereby certify that I do not and will not maintain a separate, subsidized rental unit in another location. I understand I must pay a security deposit for this apartment prior to occupancy. I certify that the housing I will occupy will be my permanent residence. I understand that eligibility for housing will be based on the Department of HUD s eligibility criteria; Rural Development s eligibility criteria and/or The Fucci Company s resident selection criteria. I understand that this application in no way ensures occupancy and that my application can be rejected based on, but not limited to, poor credit or personal references, police records indicating unacceptable or criminal behavior, or poor personal interview. I understand that the site will deny my household s application if any adult household member has been convicted of a felony crime. I certify that the information given in this application is true to the best of my knowledge. I understand that any false information is punishable by law, and could be grounds for cancellation of this application or termination of residency after occupancy. Release of information authorization: I do hereby authorize The Fucci Company and its staff to attain any information or materials deemed necessary to determine my eligibility for housing, including contacting agencies, offices, groups or organizations, which may provide information that could substantiate or verify information given in this application; for example, local police department, welfare agency, or senior service agency. By signing this form, I consent to the release of my credit report and criminal record to the site, and I agree that I will not file any claim or lawsuit relating to the site s use of my criminal record for screening purposes. Signature of Applicant Date Signature of Co-Applicant Date The following information is required for statistical purposes so the Dept. of HUD and Rural Development may determine the degree to which its programs are utilized by minority families. Ethnicity: Hispanic or Latino Not Hispanic or Latino Gender: Male Female Race: (Mark one or more) White Black or African American American Indian/Alaskan Native Native Hawaiian or Other Pacific Islander Asian Other The information regarding race, ethnicity, and sex designation solicited on this application is requested in order to assure the Federal Government, acting through HUD/Rural Development that Federal Laws prohibiting discrimination against tenant applicants on the basis of race, color, national origin, religion, sex, familial status, age, and disability 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 LEGAL or LANDLORD to discriminate against REFERENCES you in any way. FOR However, THE if PAST you choose TEN not YEARS to furnish it, the owner is required to note the race/ethnicity and sex of an individual applicant on the basis of visual observation or surname. C:\staging\471F AFB6\in\471F AFB6.doc Page 3
4 DO NOT LIST FAMILY MEMBERS OR FRIENDS AS LEGAL LANDLORDS. (If evicted, a copy of the eviction is required.) INDICATE WHEN LIVING AT HOME WITH FAMILY AT END OF LIST. Legal Landlord: Tel #: Address of your apartment: on Lease: Legal Landlord: Tel #: Address of your apartment: on Lease: Legal Landlord: Tel #: Address of your apartment: on Lease: Legal Landlord: Tel #: Address of your apartment: on Lease: Parent/Family Member: Tel #: Parent/Family Member: Tel #: Parent/Family Member: Tel #: C:\staging\471F AFB6\in\471F AFB6.doc Page 4
5 ABSENT PARENT INFORMATION *IF DIVORCED: ATTACH COPY OF COURT DOCUMENTS REGARDING CUSTODY OF MINOR CHILDREN Absent Parent Information (re: all children that will be living with/visiting you) Child s Absent Parent s Street Address City State Last Contact Date Comments Visitation How often? If separated or divorced, list name and address of spouse/ex-spouse as follows or last known legal residence: Street Address Street Address City, State, Zip City, State, Zip Social Security # (if known) Social Security # (if known) DO YOU EXPECT ANYONE TO MOVE IN OR OUT OF YOUR HOUSEHOLD WITHIN THE NEXT 12 MONTHS YES NO IF YES, NAME: RELATIONSHIP: IS THERE ANYONE LIVING WITH YOU NOW THAT IS NOT LISTED ABOVE? YES NO IF YES, NAME: RELATIONSHIP: EQUAL HOUSING OPPORTUNITY C:\staging\471F AFB6\in\471F AFB6.doc Page 5
1) To be eligible for this property, you must be at least 55 years of age to qualify. Income limits do apply.
INSTRUCTIONS FOR COMPLETING THE APPLICATION FOR THE INN AT CITY HALL: Thank you for your interest. The following instructions, if followed properly, will ensure timely processing of your application and
More informationAPPLICATION FOR HOUSING (Please print all information) How long have you lived at this address Current Rent $
Date Sent Date/Time received A. Applicant APPLICATION FOR HOUSING (Please print all information) Name(s): Address: Tel. # (home) (work) Email: Current landlord: Name Address Telephone How long have you
More informationAPPLICATION FOR OCCUPANCY
Equal OFFICE USE ONLY /Time Received: Housing Opportunity Erskine Community Homes APPLICATION FOR OCCUPANCY PLEASE PRINT - RETURN COMPLETED APPLICATION TO: GREATER MINNESOTA MANAGEMENT 210 GARFIELD AVENUE,
More informationQ & D Management, Inc.
Q & D Management, Inc. www.qanddmanagement.com 5500 Main Street, Suite 264 TDD: (800) 662-1220 Williamsville, New York 14221 NYS TDD RELAY LINE: 711 (800) 848-8569 GENERAL INFORMATION REGARDING APPLICATION
More informationHodges Development Corporation Hodges Properties, Inc Hodges-Portsmouth, LLC Hodges-Pembroke, LLC Instructions: Please follow carefully - Incomplete applications will be returned 1. Complete all areas.
More informationTENANT APPLICATION EMERALD HILLS ESTATES ALLEGANY, NEW YORK
EQUAL HOUSING OPPORTUNITY TENANT APPLICATION EMERALD HILLS ESTATES ALLEGANY, NEW YORK MAIL ONLY ONE (1) APPLICATION PER FAMILY TO: EMERALD HILLS ESTATES PO Box 235 Allegany, NY 14706 716-373-2202 TDD Number:
More informationRental Application for New Horizons 20 Benson Avenue Worcester, MA (508) / TTY (978)
For Internal Use Only Rental Application for New Horizons 20 Benson Avenue Worcester, MA 01605 (508) 852-2711 / TTY (978) 630-6754 Date Received Time Received If you have a disability and as a result of
More informationCommon Rental Application for Housing in Vermont
Form RENT State of Vermont s Housing Community Instructions Common Rental Application for Housing in Vermont (not for tenant-based vouchers) FORM REVISED MAR 2018 Please type or print in ink the information
More informationApplication and Tenant Selection Information
1277 Shoreline Lane Boise, Idaho 83702 (208) 336-4610 Phone ~ (208) 345-8990 Fax, TDD #1-800-545-1833 Ext. 298 Application and Tenant Selection Information Completed applications for the should be returned
More informationRENTAL HOUSING APPLICATION
OFFICE USE ONLY: Property: Date/Time: 901 30th Street Paso Robles, CA 93446 Phone: (805) 238-4015 Fax (805) 238-4036 Bdrm size: Waitlist No: Hhld Size: AMI: % Applicant RENTAL HOUSING APPLICATION M / F
More informationTotal number of persons to reside in household: Number of Bedrooms requested: LIMIT 2 PERSONS PER BEDROOM NAME RELATION AGE GENDER
Occupancy Application Holcroft Park Homes Limited Partnership C/o YMCA of the North Shore 245 Cabot St. Beverly, MA 01915 Please complete this application and return to Holcroft Park Homes Limited Partnership
More informationWelcome to Pine Grove Apartments. Thank you for your interest in our community.
PINE GROVE APARTMENTS 600 Carlton Rd., #111 Palmetto, Georgia 30268 Tel 770-463-2107 Fax 770-463-5952 TDD # 800-255-0135 Visit our website: apartmentspalmetto.com TO ALL PROSPECTIVE RESIDENTS: Welcome
More informationRental Application for Cottage Street Apartments, Athol, MA
For Internal Use Only Rental Application for Cottage Street Apartments, Athol, MA If you have a disability and as a result of your disability you need a reasonable accommodation in order to participate
More informationCOMMUNITY: PROGRAM: ORIGINAL DATE: TIME: UPDATE: TIME:
SUBJECT: APPLICANT FOR RESIDENCY TAX CREDIT COMMUNITIES COMMUNITY: PROGRAM: ORIGINAL DATE: TIME: UPDATE: TIME: HOW DID YOU HEAR ABOUT US? APARTMENT SIZE: APPLICANT NAME (FIRST, MIDDLE, LAST): CURRENT ADDRESS:
More informationCommon Rental Application for Housing in Vermont. (not for tenant-based vouchers)
Form Common Rental Application for Housing in Vermont RENT State of Vermont s Housing Community FORM REVISED OCT 2016 www.vhfa.org/documents/property_ managers/vtcommonrentalapp.pdf (not for tenant-based
More informationNO PETS WILL BE ALLOWED, EXCEPT FOR SERVICE ANIMALS AND CAGED ANIMALS.
TENANT APPLICATION Meadowbrook Farms II MAIL ONLY ONE (1) APPLICATION FORM PER HOUSEHOLD TO: Meadowbrook Farms 11 Apartments 914 Meadowbrook Circle, Mgmt. Office New Paltz, New York 12561 NO PETS WILL
More informationCHASE RUN APARTMENTS RENTAL APPLICATION PACKET
CHASE RUN APARTMENTS RENTAL APPLICATION PACKET Thank you for your interest in Chase Run Apartments. Please feel free to contact our office at 989-772 772-7029 7029 if you have any questions while completing
More informationWELLFLEET APARTMENTS HOUSING APPLICATION PLEASE PRINT
Three Main Street Mercantile Unit # 7 Eastham, MA 02642 Tel: 508-240-7873, ext 17 *TDD #1-800-439-0183 Fax: 508-240-1511 WELLFLEET APARTMENTS HOUSING APPLICATION PLEASE PRINT This is an application for
More informationBlackstone Falls Application for Subsidized Housing
Blackstone Falls 1485 High Street Central Falls, RI 02863 Tel: (401) 725-1188 Fax: (401) 726-8711 Email: manager@blackstonefalls.com Blackstone Falls Application for Subsidized Housing We thank you for
More informationProperty Management, Inc.
EQUAL HOUSING O P P O R T U N I T Y Justus Property Management, Inc. RENTAL APPLICATION Marketing info: How did you hear about the property? Please include a $16.00 fee for each adult household member.
More informationInstructions: Please follow carefully - Incomplete applications will be returned
The Caleb Group Mohawk Forest Apartments 201 Mohawk Forest Blvd. North Adams, MA 01247 Building Affordable Communities Instructions: Please follow carefully - Incomplete applications will be returned 1.
More information# of people who will be living in unit: Application Denied
Rental Application Information on this application will be used to determine your eligibility to be a Project NOW housing resident. Fill out all sections completely. This application will not be processed
More informationAddress: City: State: Zip: Telephone: Lived There From: to: Monthly Payment: $ Landlord Address: City: State: Zip: Landlord Telephone: Comments:
FOR OFFICE USE: EQUAL HOUSING OPPORTUNITY DATE REC D: TIME REC D: Mgr. Initials: 522 S. 13 th St. P.O. Box 549 Decatur, IN 46733 260-724-9131 (VOICE) 800-743-3333 (TDD) 260-724-6439 (FAX) RENTAL APPLICATION
More informationAPPLICATION FOR APARTMENTS. NAME: Last First Middle. ADDRESS: Street City State Zip Code TELEPHONE #: HOME WORK MESSAGE. * Social Security #
1 APPLICATION FOR APARTMENTS NAME: Last First Middle ADDRESS: Street City State Zip Code TELEPHONE #: HOME WORK MESSAGE APARTMENT SIZE REQUESTED Directions to Applicant: Answer all questions on this application.
More informationAPPLICATION COVER SHEET
APPLICATION COVER SHEET Date of Application: Name of Applicant: Date of Birth Email Address: Additional Applicant(s): 1) Date of Birth Email Address: 2) Date of Birth Email Address: 3) Date of Birth Email
More informationRental Application. Applicant: Name: Current Address: City, State, Zip Code: Work Phone: Marital Status: single married divorced separated widow
Rental Application Applicant: Name: Current Address: City, State, Zip Code: Work Phone: Home Phone: Date of Birth: Social Security # Bedroom Size Requested: Marital Status: single married divorced separated
More informationRENTAL HOUSING APPLICATION WHITMORE CIRCLE APARTMENTS Circle Makai Street, Wahiawa, Oahu, Hawaii 96786
3165 Waialae Avenue, Suite 200, Honolulu, Hawaii 96816 Ph: (808) 735-9099 Fax: (781) 295-3427 RENTAL HOUSING APPLICATION WHITMORE CIRCLE APARTMENTS 05-2013 111 Circle Makai Street, Wahiawa, Oahu, Hawaii
More informationGranada Associates. Dear Applicant:
Dear Applicant: Attached please find the rental application which you have requested. Please note that ALL information, including the information requested on the Addendum to the Application, Form 92006
More informationBefore you begin, please read all instructions.
HOUSING SERVICES 157 Roosevelt Rd., Suite 200 P. O. Box 1416 St. Cloud, MN 56302-1416 320.229.4576 320.253.7464 fax Before you begin, please read all instructions. 1. Do not fax this application. See #8
More informationApplicant Name(s): Current Address: City, State, Zip Code Home Phone #: Work Phone #: address: Nearest Relative: Phone #: Address:
HIGHLAND VIEW APARTMENTS/LE SUEUR, MN LANDMARK SQUARE APARTMENTS/LONSDALE, MN MAPLE VIEW APARTMENTS/LE CENTER, MN PHONE TOLL FREE 1-877-208-0693 or 651-578-3588 Fax #: 651-578-3588 MAILING ADDRESS: 9569
More informationAPPLICATION-FmHA 515 PROGRAM PHINEAS PARK BETHEL HOUSING AUTHORITY 5-7 MAIN STREET BETHEL, CONNECTICUT
# Page 1 of 7 APPLICATION-FmHA 515 PROGRAM PHINEAS PARK BETHEL HOUSING AUTHORITY 5-7 MAIN STREET BETHEL, CONNECTICUT THIS INSTITUTION IS AN EQUAL OPPORTUNITY PROVIDER *Commencing September 1, 2015 Phineas
More informationAPPLICATION FOR RENTAL HOUSING LIHUE GARDENS ELDERLY 02/ Jerves Street, Lihue, Kauai, Hawaii 96766
3165 Waialae Avenue, Suite 200, Honolulu, Hawaii 96816 Ph: (808) 735-9099 Fax: (781) 295-3427 APPLICATION FOR RENTAL HOUSING LIHUE GARDENS ELDERLY 02/2015 3120 Jerves Street, Lihue, Kauai, Hawaii 96766
More informationRESIDENTIAL APPLICATION- HUD Properties
Please complete this application and return to: 188 Warburton c/o The Community Builders, Inc. 43 Ashburton Ave. Management Yonkers NY 10701 Application No. Interviewer Applicant s Last Name Date Received
More informationAPPLICATION FOR HOUSING
APPLICATION FOR HOUSING Low-Income Housing Tax Credit Property Smoke Free Property Please Print Clearly This is an application for housing at: Please complete this application and return to: Project: Belder
More informationApplication for Tenancy for Rural Housing Properties
The Morrow Companies MULTI-FAMILY, COMMERCIAL AND INVESTMENT PROPERTIES MRC APP.1 Rev 8//011 Application for Tenancy for Rural Housing Properties Date Received: Time: Signature of Manager: A $15.00 Non-refundable
More informationUSDA RENTAL APPLICATION
Office use only: Date: Time: Apt. Size: Office Use Only Gross Income: Adj. Income: USDA Income Level: 30% EVL 50%VL 80%L USDA RENTAL APPLICATION Name: Telephone: Date: Mailing Address: City: State: Zip
More informationAPPLICANT NAME: First Middle Last. CO-APPLICANT NAME: First Middle Last CURRENT ADDRESS: APT. #: P.O. BOX #
Which property are you interested in? APARTMENT NAME I/WE WISH TO MOVE IN WITH A CURRENT RESIDENT NAME: APT#: Revision 10/17 CITY ALL INCOMPLETE APPLICATIONS WILL BE RETURNED Please complete all areas
More informationApplicant Information
Applicant Information provides affordable housing for very low, low and moderate income households. This is an Equal Housing Opportunity community and we all are welcome to apply. Inquire at the community
More informationWe Do Business in Accordance to the Federal Fair Housing Law
PLEASE COMPLETE IN FULL Housing Authority of the City of Fort Myers Affordable Housing - HORIZONS APARTMENTS 5360 Summerlin Road, Fort Myers, FL 33919 Telephone (239) 936-6760 Fax (239) 936-6761 TDD (239)
More informationPURSEL MANAGEMENT GROUP 88 Bull Run Crossing, Suite 5A. (570) TDD Relay Service #711
Revised 1/26/10 PURSEL MANAGEMENT GROUP 88 Bull Run Crossing, Suite 5A Lewisburg, PA 17837 (570)523-1680 TDD Relay Service #711 Application for Occupancy in the following Apartment Complex: OFFICE USE
More informationCARPENTER MANAGEMENT COMPANY, INC. APPLICATION INSTRUCTIONS
, INC. APPLICATION INSTRUCTIONS DATE: KEEP THIS PAGE FOR YOUR RECORDS To properly process your application, we must run a credit check and national criminal search, which includes a national sex offender
More informationTHE LUMBER YARD RENTAL APPLICATION FOR AFFORDABLE APARTMENTS
APPLICATION THE LUMBER YARD RENTAL APPLICATION FOR AFFORDABLE APARTMENTS A co-development of Valley Community Development and Way Finders, Inc. Please Print Clearly This is an important document. If you
More informationAFFORDABLE HOUSING OPPORTUNITY SENIORS AGE 55 AND OLDER
AFFORDABLE HOUSING OPPORTUNITY SENIORS AGE 55 AND OLDER Project Based Section 8 Voucher Waitlist Opening for: LION CREEK SENIOR 6710 Lion Way, Oakand, Ca Anticipated move-ins July, 2014 127 Total Units
More informationKEKAHA PLANTATION ELDERLY
Application for Housing KEKAHA PLANTATION ELDERLY Revision Date: 11/03/2015 MAILING ADDRESS: 1103 LILIHA STREET; SUITE 102 HONOLULU, HI 96817 TELEPHONE (808) 439-6286 HI RB#16985 EAH Property Management
More informationCOMPANY NAME: WinnResidential Phone: (202) Third Street SE, Suite 200 Fax: (202) Washington, DC 20032
Elementary, Middle or High School College, University, or Trade School COMPANY NAME: WinnResidential Phone: (202) 561-8600 4319 Third Street SE, Suite 200 Fax: (202) 516-8054 Washington, DC 20032 Email:
More informationAPPLICATION FOR RESIDENCY
Please note: Each adult 18 years of age and older needs to complete a separate application unless a married couple. APPLICANT INFORMATION Name: Spouse: Current Address: Telephone: Email: Bedroom Size Requested:
More informationLast Name First Name Middle. Address Number & Street City State Zip Code. Date of Birth Applicant Co-applicant / / / / Month Day Year Month Day Year
PARKVIEW APARTMENTS HOUSING APPLICATION Mr. Ms. Miss Date: Mrs. Mr. & Mrs. Last Name First Name Middle Address Number & Street City State Zip Code ( ) ( ) Home Phone Number Alternate Contact Number How
More informationDate Size unit desired 1 bedroom 2 bedroom. Married Single Divorced Widowed Other. Last name First name Date of birth Social Security number
Rental Application Size unit desired 1 bedroom 2 bedroom Married Single Divorced Widowed Other If not married co-tenant must fill out separate application. 1. s name Last name First name of birth Social
More informationRESIDENTIAL APPLICATION- LIHTC Properties
Please complete this application and fax or email to: The Lofts At NoDa Mills (857) 241-2332 nodamills@tcbinc.org Application No. Interviewer Applicant s Last Name Date Received Time Received RESIDENTIAL
More informationNOTE: THIS FORM IS NOT A FAXABLE FORM, ORIGINAL APPLICATION IS REQUIRED.
DUNN COUNTY HOUSING AUTHORITY 1421 Stout Road, Menomonie, WI 54751 PLEASE PRINT Phone 715-235-4511 ext. 204 Fax 715-235-9241 OFFICE USE ONLY Application Received on: Date Time AM/PM PHA Representative:
More informationI am interested in living in the following bedroom size (please circle all that apply):
Please fill out and submit to: Housing Visions Consultants, Inc. 1201 East Fayette Street Syracuse, NY 13210 315-472-3820 Phone 315-422-4317 Fax 711 TDD For management office use: Candlewood Court I&II
More informationMACO Management Company, Inc. Rental Application
MACO Management Company, Inc. Rental Application Property Name Office Use Only Date Received Time Received am or pm Requested # of Bedrooms Full Legal Name List all other names or aliases you have used:
More informationKING S VALLEY SENIOR APARTMENTS 100 KINGS CIRCLE CLOVERDALE, CA TELEPHONE (707) CA BRE#853485
Application for Housing KING S VALLEY SENIOR APARTMENTS 100 KINGS CIRCLE CLOVERDALE, CA 95425 TELEPHONE (707) 894-2961 CA BRE#853485 EAH Property Management Use Only APPLICATION APPROVED: Yes No BEDROOM
More informationJane Place Neighborhood Sustainability Initiative! Application:! Palmyra Apartments!
Thank you for contacting Jane Place Neighborhood Sustainability Initiative regarding rental availabilities at 2739 Palmyra Street. The first step in the process is to complete the enclosed application."
More informationSEPP Management Co., Inc. Windsor Woods Apartments 49 Grover Street Windsor, NY 13865
Date: SEPP Management Co., Inc. For Office Use Only: Date received Time received By. Property Name: Telephone: 607-655-4191 : 49 Grove Street Fax: 607 655-5752 2: TTD/TTY: 711 National Voice Relay or 607-677-0080
More informationCortland Housing Assistance Council, Inc. Housing Application
Cortland Housing Assistance Council, Inc. 36 Taylor Street Cortland, NY 13045 607-753-8271 Phone 607-756-6267 Fax Housing Application 1 to 3 Bedroom Units * Rent ranges $450 - $600 * Includes Heat & Hot
More informationPreliminary Rental Application Rural Development Financed Properties
For Office Use Only Rec d Time Rec d Initials OP 203 Preliminary Rental Application Rural Development Financed Properties Please note that this is a preliminary application and gives no lease or rent rights.
More informationHousing Eligibility Questionnaire
Office Use Only Time/ Received: Housing Eligibility Questionnaire INSTRUCTIONS: This information will be used to determine for which Avesta Housing communities your household is eligible. Please answer
More informationSEPP Management Co., Inc. Wells Apartments 299 Floral Ave Johnson City, NY 13790
Date: For Office Use Only: Date received Time received By. Property Name: Telephone: 607-797-8862 Address: Fax: 607-797-0463 Address 2: TTD/TTY: 711 National Voice Relay or 607-677-0080 Property Web Site
More informationIn order to process your application, we find it necessary to charge an application fee. The fee is $17 for one adult or $34 for two or more adults.
Dear Applicant: In order to process your application, we find it necessary to charge an application fee. The fee is $17 for one adult or $34 for two or more adults. This is a NON-REFUNDABLE FEE, even if
More informationAPPLICATION FOR HOUSING
APPLICATION FOR HOUSING Low-Income Housing Tax Credit Property Please Print Clearly This is an application for housing at: Please complete this application and return to: Project: Hillcrest Manor Apartments
More informationMACKEY TERRACE 626 OWENS DRIVE NOVATO, CA TELEPHONE (415)
Application for Housing MACKEY TERRACE 626 OWENS DRIVE NOVATO, CA 94949 TELEPHONE (415) 883-1601 EAH Property Management Use Only APPLICATION APPROVED: Yes No BEDROOM SIZE TIME OF APPLICATION: COMMENTS
More informationRENTAL HOUSING APPLICATION
RENTAL HOUSING APPLICATION Please note that special arrangements will be made to assist any individual who is handicapped or disabled fill out this application if such request is made. NEW APPLICATION
More informationApplication for Public Housing
Application for Public Housing DATE: TIME: UNIT SIZE: BEDROOM(S) ETHNICITY: General Family Information Legal Name of Head of Household Your Name if Family Head is not present [ ] HISPANIC [ ] NONHIPANIC
More informationDate: Dear Applicant:
A Division of Biggs, Inc. Date: Dear Applicant: Thank you for your interest in our community! We take pride in our management and in our apartment communities. We screen all of our applicants carefully
More informationHough Heritage. Application Instructions. 2. Use only black or blue ink. Colored inks, markers or pencil are not permitted.
Hough Heritage Application Instructions 1. Please print all answers. 2. Use only black or blue ink. Colored inks, markers or pencil are not permitted. 3. If a question does not apply, please write N/A
More informationPLAZA SOUTH Fact Sheet
PLAZA SOUTH Fact Sheet Henry Phipps Plaza South, Located in the Kips Bay area of Manhattan, is pleased to announce that applications are now being accepted for studio, one, two, three and four bedroom
More informationDO NOT LEAVE ANY PART BLANK, WRITE NO or NA (Not Applicable) Head of Household Last Name First Name Middle Initial
Lake County Housing Authority 33928 North US Highway 45 Grayslake, IL 60030 PERSONAL DECLARATION This Form MUST be completely filled out personally by the head of the household. You must use the correct
More informationSUBJECT: APPLICATION FOR RESIDENCY
SUBJECT: APPLICATION FOR RESIDENCY COMMUNITY: PROGRAM: ORIGINAL DATE: TIME: UPDATE: TIME: HOW DID YOU HEAR ABOUT US? APPLICANT NAME: APARTMENT SIZE: CURRENT ADDRESS: CITY STATE, ZIP: HOME PHONE #: WORK
More informationPark Properties Management Company The Vistas at Dreaming Creek
Park Properties Management Company 434-979-2900 The Vistas at Dreaming Creek APPLICATION FOR HOUSING PLEASE PRINT All questions must be answered before The Vistas at Dreaming Creek Application is accepted.
More informationCypress Grove Homes of McGehee Unit Availability Policy
RE: Cypress Grove Homes of McGehee Unit Availability Policy Dear Applicant: We appreciate your initial interest in renting a unit at Cypress Grove Homes of McGehee. In an effort to facilitate your housing
More informationGan-Aden of Colchester 385 South Main Street, Colchester
Paradise Agency, LLC Property Development & Management 151 Broadway P.O. Box 175 Colchester, Connecticut 06415 Phone: (860) 537-7044 Fax: (860) 537-1142 TDD/TT: 1-800-842-9710 Visit us at www.paradiseagency.com
More informationCENTENNIAL VILLAGE APPLICATION INSTRUCTIONS
CENTENNIAL VILLAGE APPLICATION INSTRUCTIONS Thank you for your interest in applying for housing at Centennial Village. Please complete the attached application and return to us by either mail or hand deliver
More informationAPPLICATION DEADLINE SEPTEMBER 8, 2017
AVALON SOMERS APARTMENTS 49 Clayton Blvd, Baldwin Place, NY 10505 APPLICATION DEADLINE SEPTEMBER 8, 2017 Mail or Hand Deliver Application to: at 55 South Broadway, Tarrytown, NY 10591 Phone: 914-332-4144
More informationNEWLY CONSTRUCTED APARTMENTS FOR RENT
NEWLY CONSTRUCTED APARTMENTS FOR RENT Zion Court LLC is pleased to announce applications are now being accepted for future rentals at 114 West First Street, in the Mount Vernon section of Westchester.
More informationYOU MUST MEET THE FOLLOWING BASIC REQUIREMENTS TO BE CONSIDERED FOR SELECTION:
YOU MUST MEET THE FOLLOWING BASIC REQUIREMENTS TO BE CONSIDERED FOR SELECTION: You must have attended a Homeowner Information Meeting within the past 6 months. You must have lived or worked in Lee or Hendry
More informationWe Do Business in Accordance to the Federal Fair Housing Law
PLEASE COMPLETE IN FULL SW Florida Affordable Choice Foundation, Inc. Application for Covington Meadows Covington Meadows Circle, Lehigh Acres, FL 33936 Telephone (239) 344-3220 Fax (239) 344-3273 TDD
More informationTenant Data Release of Information
TH E MUNICIPAL HOUS I NG AGENCY Tenant Data Release of Information For: Applicant's Name Social Security Number I hereby authorize the landlord or landlord's agents to verify the information on the application.
More informationApplication for Admission
Application for Admission Schall Landings Apartments 2402 Schall Circle West Palm Beach, FL 33417 (561) 683-6417 For Office Use Only (Date Stamp) Applicants Current Information First Name Last Name SSN
More informationHOUSING AUTHORITY OF GLOUCESTER COUNTY 100 Pop Moylan Blvd, Deptford, NJ PRE-APPLICATION FOR ADMISSION AND RENTAL ASSISTANCE GENERAL INFORMATION
DATE: HOUSING AUTHORITY OF GLOUCESTER COUNTY 100 Pop Moylan Blvd, Deptford, NJ 08096 PRE-APPLICATION FOR ADMISSION AND RENTAL ASSISTANCE GENERAL INFORMATION APPLICATION NUMBER (Office Use): APPLICANT NAME:
More informationOffice Use Only Application Type: Bedroom Size: Application Date: Alias(es)
Rental Application (Please Print) Name of Head of Household Office Use Only Application Type: Bedroom Size: Application Date: Name of Spouse or Co- Head of Household Applicants Address City, State, & Zip
More informationArapahoe Housing Authority
Arapahoe Housing Authority 208 Sixth Street, Box 0 Arapahoe, NE 68922 Telephone: (308) 962-7669 Fax: (308) 962-3669 Email: araphous@atcjet.net Office Use Only: Date of Application: Time of Application:
More informationNEWLY CONSTRUCTED APARTMENTS FOR RENT
NEWLY CONSTRUCTED APARTMENTS FOR RENT www.wavecrestrentals.com Apartment Size Monthly Rent* Homeport I LLC is pleased to announce applications are now being accepted for affordable housing rental apartments
More informationAPPLICATION FOR HOUSING
APPLICATION FOR HOUSING PROPERTY NAME: DATE: TIME: Applications are placed in order of date received. An applicant may be interviewed only after the receipt of this tenant application, which must be fully
More informationHousing Authority for the City of Amery 300 North Harriman Avenue Amery, WI (phone) (fax)
Housing Authority for the City of Amery 300 North Harriman Avenue Amery, WI 54001 715-268-2500 (phone) 715-268-7700 (fax) aha@amerytel.net Office Use Only: (/Time stamp) Programs Applying For: (Check all
More information*161* Housing Authority of the City of Vineland Administrative Offices 191 W. Chestnut Avenue Vineland, NJ Fax
*161* Housing Authority of the City of Vineland Administrative Offices 191 W. Chestnut Avenue Vineland, NJ 08360 856-691-4099 Fax 856-691-8404 ***Accepting Applications for Oakview Apartments 2, 3, & 4
More informationApplication For Occupancy
One of The Related Companies Marine Terrace Apartments 2024 21 st Street Astoria, NY 11105 Ph: (718) 726-9614 Fax: (718) 726-4109 TTY: 1-800-662-1220 Marine Terrace is a smoke-free community Application
More information1. COMPLETE ALL AREAS. If an item does not apply to you, answer NO or N/A on that question or mark with a 0 if it is a dollar amount line or section.
VISIT THE NNI WEBSITE AT WWW.NNISTAMFORD.ORG FOR MORE INFORMATION! INSTRUCTIONS FOR APPLICATION PLEASE READ CAREFULLY. INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED. 1. COMPLETE ALL AREAS. If an item does
More informationRECEIVED BY THE HRA Date: Time: APPLICATION FOR PUBLIC AND SECTION 8 NEW CONSTRUCTION HOUSING ASSISTANCE Equal Housing Opportunity
RECEIVED BY THE HRA Date: Time: APPLICATION FOR PUBLIC AND SECTION 8 NEW CONSTRUCTION HOUSING ASSISTANCE Equal Housing Opportunity Applicant Name: First Middle Initial Last Co-Applicant: First Middle Initial
More informationSpokane Housing Authority Tenant Selection Criteria
Spokane Housing Authority Tenant Selection Criteria We are happy you are applying to make Woodhaven Apartments your new home! Attached are our Rental Application, and Reasonable Accommodation Request Form.
More informationREQUESTED INFORMATION
Allen Metropolitan Housing Authority 600 S. Main St. Lima, OH 45804 Phone: 419-228-6065 Fax: 419-228-1018 REQUESTED INFORMATION In order for the Allen Metropolitan Housing Authority to process your application
More informationApplicant Criteria. Pheasant Ridge
Applicant Criteria Pheasant Ridge supports the Fair Housing Act as amended, and prohibits discrimination based on race, color, religion, sex, national origin, handicap or familial status. Section 8 applicants
More informationThe Housing Authority of the City Of New Albany 300 Erni Avenue New Albany IN 47150
The Housing Authority of the City Of New Albany 300 Erni Avenue New Albany IN 47150 Public Housing: GENERAL INFORMATION We do not have emergency housing. Emergency housing is available only through a shelter.
More informationSOMERVILLE HOUSING AUTHORITY 30 Memorial Road, Somerville, Massachusetts Telephone (617) TDD (617)
SOMERVILLE HOUSING AUTHORITY 30 Memorial Road, Somerville, Massachusetts 02145 Telephone (617) 625-1152 TDD (617) 628-8889 EMERGENCY HOUSING PACKAGE FOR FEDERAL-AIDED HOUSING Control Number: SHA use only
More informationPleasant Oaks of Stillwater
Pleasant Oaks of Stillwater 207 East Pleasant Hill Drive Guthrie, OK 73044 Phone: 405-742-7887 Fax: 405-293-9260 Email: Dear Applicant, Thank you for your interest in Pleasant Oaks of Stillwater. We look
More informationAPPLICATION FOR HOUSING
APPLICATION FOR HOUSING All applicants must demonstrate a Need, an Ability to Pay a mortgage and a Willingness to Partner. The following information outlines the Home Ownership Program requirements. If
More information** TEAR OFF THIS TOP SHEET AND RETAIN FOR YOUR INFORMATION**
** TEAR OFF THIS TOP SHEET AND RETAIN FOR YOUR INFORMATION** An application for the Public Housing Program is attached. NO EMERGENCY HOUSING is available. We must serve all applicants in order by placement
More informationDate Received: Time Received: Application taken by:
Received: Time Received: Application taken by: APPLICATION FOR HOUSING Project Base Section 8 Property/ Low-Income Housing Tax Credit Property This is an application for housing at: Garden Spires Urban
More informationAPPLICATION PROCESS for RealAmerica Management
APPLICATION PROCESS for RealAmerica Management RENTAL GUIDELINES: 1. Falsification of information on an application is basis for denial. 2. All applicants and residents 18 years of age and older must complete
More informationECHO Apartments Fact Sheet. To request an application, mail a post card to: ECHO Apartments 1050 Amsterdam Avenue New York, NY 10025
ECHO Apartments Fact Sheet ECHO Apartment is a building under US Dept of HUD Section 202 Program, is located at 1050 Amsterdam Avenue in Manhattan Applications are available for individuals and couples
More information