APPLICATION FOR AFFORDABLE HOUSING WELCOME! We are very happy you are interested in Our Family Services affordable apartments. Our units are spacious, comfortable with a washer and dryer in each unit. Bus lines and shopping are easily accessible. We promote a tenant-driven community attitude. We are highly invested in making your tenancy with us a successful, positive experience. Our affordable housing is a compliance monitored program. This means you will need to meet some basic requirements. To help you decide whether you qualify, we are asking you review the requirements and to do some self-evaluation before submitting your application. Application fee is $30.00 per adult applicant, is NON-REFUNDABLE and is due when you submit your application. BASIC REQUIREMENTS: Able to pay deposit and calculated rent at lease signing Able to obtain TEP and SW gas accounts Able to provide copies of social security cards, birth certificates and driver s license or other official ID Able to pass a general criminal background check & review Meet the income requirements, both minimums and maximums Pets accepted up to 35lbs. Additional pet deposit required ($300) INCOME REQUIREMENTS, APPLICATION INSTRUCTIONS AND PAPERWORK: The below step-by-step guide will help you work through the self-evaluation and application process. Step 1. Your income will need to meet certain minimum levels to qualify for housing. Please compare your current income to the levels listed below to see if you meet the minimum income requirements. 2 Bedroom Gross annual income must be at least $14,000 3 Bedroom Gross annual income must be at least $16,000 You can calculate your annual income by taking your hourly rate, multiplying it by the average number of hours you work per week, then multiplying this number by 52 weeks. Example: $10.00 per hour x 40 hours per week = $400 per week. $400 per week x 52 weeks = $20,800 per year Compare your annual salary of $20,800 to listed minimums. You meet minimum income for 2 or 3 bedroom units. Step 2. Your maximum annual income increase with family size and are reviewed during the application process. Please feel free to call our office, 520-323-1708 ex. 410 with any questions you might have about income limits. Step 3. Review your expenses. We have included a budget sheet (next page) to help you figure your monthly expenses and the amount you would have to pay for rent. Please try to be accurate! Our rents range from $565 to $700. Step 4. Once you determine you meet the basic income guidelines, you will need to fill out the attached application. Application must be completed by the applicant. Co-applicants must fill out a separate application Print legibly and in ink Fill out EVERY field. Do not leave any fields blank. Use N/A for fields which do not apply to you Sign application where indicated Step 5. Submit your application with your $30.00 non-refundable fee per adult applicant. You will need to provide the following documentation with the application. We will help you with making copies of your documentation, if necessary. 4 weeks of pay stubs. They must be the most recent and concurrent Other income information such as letter from social security, unemployment benefit information, child support, cash assistance (income list attached) Step 6. Prior to signing your lease for your new home, you will need to submit additional documentation. However, when you submit the information is up to you. You are welcome to submit all the documentation with your application, or we can review and qualify you first, then you can bring in the additional paperwork. The choice is yours! However, be aware that we will need all of the documents and documentation before your lease is signed. Thank you so much for your interest in our affordable housing. We hope you decide to join us. Please feel free to call our office with any questions or if you need assistance with the application, 520-323-1708 ex. 410. Return completed application(s) and fee(s) to: Our Family Services, 2590 N. Alvernon Way, Tucson, AZ 85712.
APPLICATION FOR AFFORDABLE HOUSING Budget Worksheet Please use this worksheet as part of your initial self-evaluation to see if you might qualify for one of our affordable apartments. Our units are wonderful and our rent extremely reasonable, however, we still are an affordable housing program and require some additional paperwork. Part of the advantage to applying for our affordable housing is our ability to accept tenants with credit issues and some eviction history. In addition, your application is screened on an individual basis and YOUR unique situation is individually assessed. To help us in our assessment process and to potentially save you a NON- REFUNDABLE $30 per adult application fee, we highly encourage you to review our basic criteria to qualify, income ranges, and complete the below budget self-evaluation. Self- Evaluation of Estimated Monthly Expenses Gas & Electric Telephone / Internet / Cable Daycare Expense / Tuition Food Clothing / Household Supplies Auto Expense (payment, gas, insurance) Debt (student loan, credit card, court fees, etc.) Other expense Other expense Total of Your Estimated Expenses Monthly Income Calculate your monthly income by: 1) Take gross annual income calculated in Step 1of your application 2) Divide by it by 12 Total of your Estimated Monthly Income How much rent can I afford? Enter Estimated Monthly Income Subtract Estimated Monthly Expenses Remaining amount for rent Compare to rent ranges listed on front Example: Monthly income = $1,700. Monthly expenses = $950.00 (1700 950 = 750) Remaining amount towards rent = $750.00 Compare to rent range of $565 - $700 Return application and documentation to: Our Family Services, 2590 N. Alvernon Way, Tucson, AZ 85712. We have resources available if you feel you would not qualify for our Affordable Housing. Please contact our Pathways to Home program @ 520-867-6396.
APPLICATION FOR AFFORDABLE HOUSING CHECK SHEET OF REQUIRED INFORMATION We need to verify and document ALL your income for our program reporting requirements. You may have one form of income or a combination of several forms of income. Please indicate all that apply. You will need to provide documentation and we are happy to assist you with any copying needs. INFORMATION YOU MUST SUBMIT WITH YOUR APPLICATION, AS IT APPLIES TO YOU: EMPLOYMENT AND/OR INCOME (Please check all that apply to you and provide documentation): PAY STUBS Four (4) most recent, consecutive weeks and for all working family members o OR VERIFICATION OF EMPLOYMENT FROM EMPLOYER o OR IF SELF EMPLOYED, SELF EMPLOYMENT CERTIFICATION (Ask us for the form) o OR UNEMPLOYMENT AWARD LETTER SOCIAL SECURITY AWARD LETTER (SSI and / OR SSDI) PUBLIC ASSISTANCE AWARD LETTER ANY OTHER RELEVANT DOCUMENATION TO ASSIST IN VERIFICATION OF INCOME OTHER: INFORMATION YOU MUST SUBMIT ONCE YOU ARE APPROVED AND WANT TO PROCEED: OTHER INCOME INFORMATION: TANF AWARD LETTERS SCHOOL TUTION, STUDENT LOAN/GRANTS / FINANCIAL AID DOCUMENTS, SCHOOL SCHEDULE COURT DOCUMENTS FOR CHILD SUPPORT OR ALIMONY CHECKING Six months of most recent, consecutive statements SAVINGS current monthly savings statement RECURRING CASH CONTRIBUTION FORM must be MAILED or FAXED into the office from contributor TAX RETURN: Last or most recent year filed. If not filed, why? LEGAL DOCUMENTS: SOCIAL SECURITY CARDS (for any children born/in custody since move-in) BIRTH CERTIFICATES (for any children born/in custody since move-in) DIVORCE DECREE Or court related documents to petition for divorce COPY OF DRIVER S LICENSE THERAPY ANIMAL DOCUMENTATION CHECK SHEET OF REQUIRED INFORMATION this form AFFORDABLE APPLICANT HOUSING INCOME CHECKLIST (attached). Additional documentation may be requested depending on your answers to the Income Check List FORMS YOU MAY NEED TO COMPLETE AT LEASE SIGNING IN ADDITION TO LEASE/ADDENDUMS You may need to fill out additional affidavits, depending on your situation. If any of the below affidavits are required, you will be asked at lease signing to fill out and sign them. AFFIDAVIT OF NO CHILD SUPPORT One (1) form per each child GENERAL TENANT RELEASE AND CONSENT FORM SELF EMPLOYMENT CERTIFICATION FORM UNEMPLOYMENT AFFIDAVIT AUTO INSURANCE AND REGISTRATION Return application and documentation to: Our Family Services, 2590 N. Alvernon Way, Tucson, AZ 85712. If you have any questions concerning the application or application process, please call our Alvernon front desk, 520-323-1708, ex. 410.
APPLICATION FOR AFFORDABLE HOUSING Applicants will receive consideration without discrimination of race, national origin, ancestry, disability, gender identity, marital status, color, age, religion, gender (sex), sexual orientation, familial status. Reasonable accommodation and alternative format for people with disabilities are available upon request. Please call (520) 323-1708 ex. 410 for assistance. INSTRUCTIONS: Application is to be completed by the applicant. Please print legibly in ink. Do not leave ANY blanks. Use N/A for questions or fields which do not apply to you. Return completed application and documents to: 2590 N. Alvernon Way, Tucson AZ 85712 1. BASIC INFORMATION APPLICANT: FIRST MIDDLE LAST CURRENT CONTACT NUMBER: SOCIAL SECURITY NUMBER: - - DATE OF BIRTH: / / STUDENT STATUS: _YES _NO_ CURRENT ADDRESS: DEPENDENTS: ADDRESS CITY STATE ZIP (1) YES NO (2) YES NO (3) YES NO (4) YES NO (5) YES NO CO-APPLICANT Must fill out a separate application: (1) YES NO DO YOU HAVE AN OUTSTANDING BALANCE WITH OUR FAMILY? _YES_NO_ HOW MUCH? PAID BEFORE LEASE SIGNING THE BALANCE MUST BE HOW DID YOU HEAR ABOUT OUR FAMILY S AFFORDABLE APARTMENTS? 2. EMPLOYMENT INFORMATION EMPLOYMENT STATUS: EMPLOYED FULL-TIME EMPLOYED PART-TIME SELF-EMPLOYED UNEMPLOYED_ CURRENT EMPLOYER: POSITION: CURRENT WAGES: $ PER: HOUR WEEK BI-WEEKLY SEMI-WEEKLY MONTH YEAR 3. STUDENT STATUS ARE ALL APPLICANTS/ DEPENDENTS FULL TIME STUDENT? YES NO IF YES, COMPLETE THE FOLLOWING: YES NO DOES THE HOUSEHOLD RECEIVE TANF? YES NO IS THE HEAD OF HOUSEHOLD IN A JOB TRAINING PROGRAM? YES NO IS THE HOUSEHOLD COMPRISED OF A SINGLE PARENT AND DEPENDENT CHILD (REN)? YES NO ARE APPLICANT AND CO-APPLICANT MARRIED AND DO THEY FILE A JOINT TAX RETURN? 4. VEHICLE INFORMATION - PROVIDE A COPY OF CURRENT REGISTRATION(S) AND INSURANCE WITH APPLICATION DO YOU OWN VEHICLE(S)? YES NO IF YES, You will need to provide registration and proof of insurance at or before lease signing. Page 1 of 2 Application for Affordable Housing revised January 2016
6. PETS ACCEPTED UP TO 35 LBS WITH ADDITIONAL PET DEPOSIT ($300) AND ADDENDUM Do you have any pets? : YES NO TYPE / BREED: 7. LEGAL INFORMATION PLEASE ATTACH A DETAILED EXPLANATION FOR ANY YES ANSWERS YES NO HAVE YOU EVER BEEN INCARCERATED? IF YES, ARE YOU CURRENTLY ON PROBATION OR PAROLE? YES NO YES NO HAVE YOU EVER BEEN CONVICTED OF A SEX OFFENSE? YES NO HAVE YOU EVER BEEN IN A GANG? IF YES, DO YOU HAVE CURRENT GANG AFFILIATIONS: YES NO YES NO ARE YOU CURRENTLY INVOLVED WITH THE COURT SYSTEM? 8. CERTIFICATION OF DIVESTITURE OF ASSETS I hereby certify that during the two (2) year (24 month) period preceding the effective date of my certification/recertification of eligibility for program participation, I HAVE NOT disposed of any asset(s) valued at more than $1,000. I hereby certify that during the two (2) year (24 month) period preceding the effective date of my certification/recertification of eligibility for program participation, I HAVE disposed of the following asset(s) (TOTAL VALUE OF ALL ASSET(S) DISPOSED OF IS GREATER THAN $1,000.00) as identified below (if necessary, attach additional information): PROVIDE INFORMATION BY ATTACHING A SHEET TO THIS APPLICATION. I have been made aware of the provisions of Section 1001 of Title 18 of the U.S. Code. I understand it is a criminal offense, punishable by a $10,000.00 fine or 10 years imprisonments or both, to make willful statements of misrepresentation to any Department or Agency of the United States as to any matter within its jurisdiction. I certify that the information I have provided is true and complete to the best of my knowledge. _ Applicant Signature Date 8. AGREEMENTS, AUTHORIZATIONS, ACKNOWLEDGEMENTS AND EXPECTATIONS Initial each of the following: _ 1. I understand a refundable security deposit of $200.00 is required prior signing the lease. The deposit may not be used as payment of outstanding rent during my occupancy. It is refundable after move out as long as the conditions outlined in the lease are met. _ 2. I understand participation in Our Family s affordable housing program requires annual income certification and household size verification. I agree to provide the appropriate documents necessary to Our Family staff by the deadline given to me. Failure to comply could result in termination of housing. _ 3. I understand I must pay a non-refundable $30.00 application fee per adult applicant in the form of a money order, cashier s check or credit card/debit card with my completed application for affordable housing. _ 4. I understand and consent for Our Family staff to run a credit and criminal background check. The reports will be obtained to verify my credit information and criminal record report and will be used in determining whether I am eligible for affordable housing offered by Our Family. Should I be accepted into affordable housing, I understand Our Family staff has continued rights to review my credit information / criminal records for review purposes. _ 5. I agree to provide additional documentation if there are judgments on my credit report which individually exceed $2,000. I also agree to provide documentation of payment on certain outstanding utility accounts. _ 6. I agree to provide additional documentation Our Family staff may request as a result of my criminal background report. RELEASE OF INFORMATION: For eligibility, I must provide documentation of income, assets, and household composition to the authorized Agency representative for the unit I wish to rent. This information is provided by me at an eligibility certification or recertification is considered confidential. I authorize the release of information to the City of Tucson Community Services Department. Applicant Signature Date APPLICANTS WILL BE DENIED FOR THE FOLLOWING REASONS: Conviction of a violent crime, manufacture or distribution of a controlled substance within seven (7) years prior to application date. Conviction for drug related offenses within one (1) year prior to the application date. Conviction of a sexual offense. Previous evictions for reasons other than non-payment of rent. Income unqualified. Use of threats, intimidation, and / or violence towards Our Family staff, clients and / or applicants. Our Family has final and conclusive interpretation of these rules. I have read and understand the reasons for which I may be denied housing with Our Family. Applicant Signature Date ACKNOWLEDGMENT: I acknowledge and attest that all information contained in this application is complete and true to the best of my knowledge. I understand that willful falsification or omission of information may result in the denial of my application or future termination from Our Family housing. Applicant Signature Date Please return application to: Our Family Services, 2590 N. Alvernon Way, Tucson, AZ 85712. Please call our front office, 520-323-1708. Ex. 410 with any questions about the application or application process. Page 2 of 2 Application for Affordable Housing revised January 2016
AFFORDABLE APPLICANT HOUSING INCOME CHECKLIST DOCUMENTATION NEEDED BEFORE LEASE IS SIGNED Please complete a separate checklist for each member of the household who is 18 years or older. You will need to provide documentation for all items which are checked YES including any authorization we may need to verify these items. Please be aware, we will need all the indicated documentation and failure to provide it before lease signing could result in the denial of your application or termination of your housing. NAME: SS#: Telephone: YOU MUST COMPLETE EACH ITEM. CHECK EITHER YES OR NO. YES NO I have a job and receive money/tips/wages. Company Name: I have more than one job. Company Name(s): I am unemployed. Do you receive unemployment benefits? YES NO You must complete Unemployed Affidavit. If receiving benefits, provide documentation of benefits I am self-employed. You must complete the Self-Employment Certification form. I am a student. Are you Full or Part-Time student? Circle one: FULL-TIME PART-TIME You must provide your school schedule, tuition costs, fees, loans, etc. I receive educational grants, scholarships or financial assistance to pay for school. You must provide documentation. I receive cash or gifts to help pay rent, utilities or living expenses from persons not living with me. I receive them regularly and on an ongoing basis. Name of Contributor: Contributor must complete and fax / mail back Verification of Recurring Cash Contribution form. I receive Public (Cash) Assistance. You must provide documentation I have Checking Accounts: Name of Institution _ Acct#_ Please provide most recent 6 months of statements OR have Financial Institution complete and FAX or MAIL back form Asset Verification. I have Savings Account(s): Name of Institution _ Acct#_ Provide current month statement OR have Financial Institution complete and FAX or MAIL back form Asset Verification. I have Money Market Account(s). I receive Social Security or Supplemental Social Security (SSI). Indicate which one: I receive disability benefits from sources OTHER than Social Security. I receive periodic payments from a trust, annuity, inheritance or lottery winnings. I receive periodic payments from Worker s Compensation. Page 1 of 3 Affordable Income Checklist revised January 2016
YES NO I receive military pay, Veteran s Benefits, or GI Bill Benefits. I receive payments from insurance policies and/or have policies with cash surrender valued at $. I receive periodic payments from a pension, annuity or retirement benefit account. I receive income from property rentals or real estate or I own real estate or have land contract(s). I hold personal property (coins, stamps, gems) for investment purposes. I have Certificates of Deposits, Time Certificates, Treasury Bills or Savings Bonds. I have IRA, Keogh, 401k, Annuity or similar retirement account. I have Stocks, Bonds, Mutual Funds, Capital Investments or a Whole Life (not TERM) Insurance Policy, where you can make withdrawals prior to death. I HAVE sold or given away or transferred ownership of assets within the last 2 years. These items are:. I have additional income or assets that were not described above. DO NOT include personal use vehicles, furniture, clothing, etc. These items are:. I expect changes in my household s income during the next 12 months. If Yes, please describe:. CHILD SUPPORT AND ALIMONY INFORMATION Please check which situation applies to you and fill in the requested information (PLEASE LIST ANY ADDITIONAL CHILDREN, THEIR INFORMATION AND ANY OTHER ON SEPARATE SHEET) I have COURT ORDER(S) and RECEIVE FULL AMOUNT of child support, alimony, other compensation 1) I receive the full amount ordered. Amount ordered: Name of person(s) obligated to pay: 2) I receive the full amount ordered. Amount ordered: Name of person(s) obligated to pay: 3) I receive the full amount ordered. Amount ordered: Name of person(s) obligated to pay: I am NOT receiving the full ordered amount of child support, alimony, or other compensation 1) What is the FULL amount you are supposed to receive each month? What is the amount you ARE receiving each month? Name of who pays: Are you making efforts to collect the full amount? Circle one: YES NO Please explain these efforts: Page 2 of 3 Affordable Income Checklist revised January 2016
2) What is the FULL amount you are supposed to receive each month? What is the amount you are receiving each month? Name of who pays: Are you making efforts to collect the full amount? Circle one: YES NO Please explain these efforts: 3) What is the FULL amount you are supposed to receive each month? What is the amount you are receiving each month? Name of who pays: Are you making efforts to collect the full amount? Circle one: YES NO Please explain these efforts: I am NOT receiving ANY of the full ordered amount of child support, alimony, or other compensation Total amount ordered? Are you making efforts to collect the full amount? Circle one: YES NO Please explain these efforts: I am NOT currently entitled BUT expect to receive a court order for child support or other compensation within the next 12 months. Name of person(s) you are seeing support / alimony from: If child support, name of child(ren): What is the amount you expect to receive? $ per What date do you think the payments will begin? I receive child support, alimony or other compensation that are NOT COURT ORDERED. You must fill out recurring cash form. Name of person(s) paying: Amount: $ For child(ren) I do NOT have a court order for child support, alimony or other compensation nor am I receiving any support or other compensation. Please return completed check list and supporting documentation to: Our Family Services, 2590 N. Alvernon Way, Tucson, AZ 85712. If you have questions, call 520-323-1708. Ex. 410 for assistance. I certify that to the best of my knowledge that all statements are true and factual. When or if any circumstances change I will notify Our Family Services for possible recertification and program compliance. I understand that providing false information and/or withholding information can result in denial and/or termination of housing. Print Name: Signature: Date: Page 3 of 3 Affordable Income Checklist revised January 2016