OREGON RENTAL APPLICATION TO BE COMPLETED BY EACH ADULT APPLICANT

OREGON RENTAL APPLICATION TO BE COMPLETED BY EACH ADULT APPLICANT ALL UNITS SUBJECT TO AVAILABILITY PROPERTY NAME / NUMBER UNIT NUMBER _ ADDRESS 555 NE 100th Ave, Portland OR 97220 DATE UNIT WANTED UNIT RENT $ SCREENING CHARGE $ 40.00 OWNER / AGENT PHONE STREET ADDRESS SMOKING POLICY: c SMOKING ALLOWED - ENTIRE PREMISES c SMOKING PROHIBITED - ENTIRE PREMISES c SMOKING ALLOWED IN LIMITED AREAS (ASK MANAGEMENT FOR DETAILS) APPLICANT FULL LEGAL NAME EMAIL PREVIOUS NAMES, ALIASES OR NICKNAMES USED DATE OF BIRTH SOC. SECURITY # APPLICANT PHONE ( ) _ APPLICANT GOVERNMENT ISSUED PHOTO I.D. TYPE # / STATE EP. DATE CURRENT STREET ADDRESS CITY STATE ZIP DATE YOU MOVED IN CURRENT LANDLORD NAME LANDLORD PHONE ( ) _ STREET ADDRESS (OR APARTMENT NAME) CITY STATE ZIP APPLICANT FORMER STREET ADDRESS CITY STATE ZIP FROM TO FORMER LANDLORD NAME LANDLORD PHONE ( ) _ STREET ADDRESS (OR APARTMENT NAME) CITY STATE ZIP OTHER STATES AND COUNTIES YOU HAVE LIVED IN DURING THE PAST 5 YEARS CURRENT EMPLOYER PHONE ( ) _ STREET ADDRESS CITY STATE ZIP POSITION HOW LONG? (DATE HIRED) GROSS MONTHLY INCOME $ OTHER MONTHLY INCOME: SOURCE / SOURCE ARE YOU SELF-EMPLOYED? c YES c NO c PREVIOUS c ADDITIONAL EMPLOYER PHONE ( ) _ STREET ADDRESS Form M002 OR Copyright 2013 Multifamily NW. NOT TO BE REPRODUCED WITHOUT WRITTEN PERMISSION. Revised 12/10/2013. CITY STATE ZIP POSITION HOW LONG? RENT IF ADDITIONAL EMPLOYER, GROSS MONTHLY INCOME $ THE FOLLOWING ARE MAIMUM AMOUNTS. THE ACTUAL AMOUNT CHARGED WILL DEPEND ON UNIT SIZE, SCREENING RESULTS, AND OTHER FACTORS. MAIMUM POTENTIAL RENT THE FOLLOWING INFORMATION IS SUBJECT TO CHANGE PRIOR TO EECUTION OF RENTAL AGREEMENT. 585.00 DEPOSITS SECURITY DEP. MINIMUM 300.00 SECURITY DEP. MAIMUM 1,170.00 (DEPENDS ON SCREENING RESULTS AND UNIT SIZE) INSURANCE c IF CHECKED, RENTER S INSURANCE WILL BE REQUIRED. MINIMUM INSURANCE AMOUNT: $ ($100,000 IF LEFT BLANK) ON SITE RESIDENT MAIN OFFICE (IF REQUIRED) PAGE 1

OTHER OCCUPANTS NAME DATE OF BIRTH MAKE MODEL COLOR STATE LICENSE PLATE # VEHICLES ANIMALS (SUBJECT TO APPROVAL BY MANAGEMENT): How many animals will be residing in this unit? TYPE BREED AGE WEIGHT TYPE BREED AGE WEIGHT DO YOU INTEND TO USE: c WATERBED c AQUARIUM c MUSICAL INSTRUMENT DO YOU HAVE RENTER S INSURANCE? c YES c NO OTHER SCREENING SIGNATURE BANK(S) EMERGENCY CONTACT PHONE ( ) ADDRESS CONTACT IN CASE OF DEATH PHONE ( ) ADDRESS HAVE YOU EVER BEEN EVICTED, OR ARE YOU CURRENTLY IN THE EVICTION PROCESS? c YES c NO IF YES, DATE HAVE YOU EVER FILED FOR BANKRUPTCY, OR ARE YOU CURRENTLY IN THE BANKRUPTCY PROCESS? c YES c NO IF YES, DATE HAVE YOU EVER HAD A HOME FORECLOSED ON, OR ARE YOU CURRENTLY IN THE FORECLOSURE PROCESS? c YES c NO IF YES, DATE HAVE YOU OR ANY OTHER PERSON WHO WILL BE OCCUPYING THE UNIT EVER BEEN CONVICTED OF, OR PLED GUILTY OR NO CONTEST TO, ANY FELONY OR MISDEMEANOR? c YES c NO IF YES, WHO WHERE WHEN WHAT WHY ARE YOU VACATING YOUR PRESENT PLACE OF RESIDENCE? HAVE YOU GIVEN LEGAL NOTICE WHERE YOU NOW LIVE? c YES c NO HOW DID YOU HEAR ABOUT OUR PROPERTY? Owner/Agent has charged a screening charge as set forth above. Owner/Agent may obtain a consumer credit report and/or an Investigative Consumer Report which may include the checking of the applicant s credit, income, employment, rental history, and criminal court records and may include information as to his/her character, general reputation, personal characteristics, and mode of living. You have the right to request additional disclosures provided under Section 606 (b) of the Fair Credit Reporting Act, and a written summary of your rights pursuant to Section 609(c). You have the right to dispute the accuracy of the information provided to the Owner/Agent by the screening company or the credit reporting agency as well as complete and accurate disclosure of the nature and scope of the investigation. SCREENING COMPANY OR CREDIT REPORTING AGENCY COMPANY NAME RealPage PHONE (800) 456-4008 ADDRESS PO Box 11889, Carrollton, T 75011 If the application is approved, applicant will have 0 hours from the time of notification to either, at Owner/Agent s option, execute a rental agreement and make all deposits required thereunder or make a deposit to hold the unit and execute an agreement to execute a rental agreement which will provide for the forfeiture of the deposit if applicant fails to occupy the unit. If applicant fails to timely take the steps required above, he/she will be deemed to have refused the unit and the next application for the unit will be processed. GOOD FAITH ESTIMATE Approximate number of units currently available, or which will in the foreseeable future be available, of the size and in the area requested by applicant: unit(s). Approximate number of applications previously accepted and currently under consideration for those units: application(s). If the blanks above are not filled in, then there is at least one unit available and there are no applications ahead of yours currently under consideration. I certify that the above information is correct and complete and hereby authorize you to do a credit check and make any inquiries you feel necessary to evaluate my tenancy and credit standing. I understand that giving incomplete or false information is grounds for rejection of this application. I understand that if any information supplied on this application is later found to be false, this is grounds for termination of tenancy. I have received and read the Owner/Agent s rental criteria. APPLICANT DATE c PHOTO I.D. VERIFIED BY (INITIALS) OWNER/AGENT DATE RECEIVED TIME RECEIVED Form M002 OR Copyright 2013 Multifamily NW. NOT TO BE REPRODUCED WITHOUT WRITTEN PERMISSION. Revised 12/10/2013. OWNER/AGENT NOTES ON SITE RESIDENT MAIN OFFICE (IF REQUIRED) RENTAL APPLICATION = PAGE 2

Criteria for Residency Thank you for applying to rent an apartment at. We want each resident s stay to be a positive experience for themselves and the community, and we work with our resident to keep our apartments safe and livable. That effort begins with our screening process. We are committed to Fair Housing and follow the laws of Equal Opportunity Housing, the Fair Housing Act, and the Violence Against Women Act. After reviewing the criteria, please ask any questions and tell us if you need a reasonable accommodation. If you believe you do not meet the requirements, please discuss it with us. A healthy community begins at home. REACH s mission is to provide quality, affordable housing for individuals, families and communities to thrive. REACH Community Development, Inc. is a private non-profit corporation that provides affordable housing for lower income families and individuals. I. OCCUPANCY REQUIREMENTS: Maximum occupancy is two persons per bedroom (plus one additional person for the unit); minimum is one person per bedroom. Exceptions are made based on documented need for Reasonable Accommodation. You will need to select a bedroom size for your household on your application. Bedrooms Number of Persons Minimum Maximum Studio 1 2 1-Bedroom 1 3 II. INCOME CRITERIA AND CONTINGENCIES: 1. is operated under Section-42 of the Internal Revenue Service Tax Code and requires that residents meet income guidelines upon move-in. All household information will be verified according to program guidelines and you must promptly provide required supporting documentation. Maximum Household Income Limits 2014 Household Size 30% MFI 60% MFI 1 $14,580 $29,160 2 $16,680 $33,360 3 $18,750 $37,500 2. Total household monthly income must be 1.5 times the rent. If monthly income is not greater than 1.5 times the stated monthly rent, your application will be denied. 3. Application will be denied if your source of income cannot be verified. 4. Applicants with zero income must provide proof of 12 months of rent in a checking or savings account and a source of income must be anticipated within the next 12 months. Anticipated income is not required if proof of 24 months or more of the rent amount is verifiable in a checking or savings account. III. APPLICATION PROCESS: 1. Apply to be placed on Waitlist for your preferred unit style. 2. Complete the Rental Application (one for each adult applicant). 3. All applicants must show two pieces of current I.D. (one with photo). 4. Pay the non-refundable screening charge of $40.00 for each applicant. Please pay with check or money order; no cash please. 5. If the application is approved and you accept an available unit, you will be required to: Page 1 of 3

a. Within 24 hours of approval notification (or one business day) pay a $200 execution deposit to hold the unit. Upon move-in the $200 will be applied to your security deposit. Failure to move-in will result in forfeiture of the deposit. b. Complete the Section 42 Tax Credit paperwork promptly and provide the required supporting documentation. c. Sign the Rental Agreement in which you agree to abide by all the rules and regulations. d. Pay the balance of your move-in costs (security deposit and first month s pro-rated rent.) IV. APPLICATION APPROVAL PROCESS: 1. A credit report will be obtained: a. 10 or more collections reported (not medical or educational related) will result in denial; b. Outstanding bad debts (i.e. slow pay, collections, repossessions, liens, judgments, bankruptcies, wage garnishments) which are more than $2,000 will require a security deposit equal to two months rent. c. Bankruptcies discharged within one year from the date of application will require a security deposit equal to two months rent. Open bankruptcy will result in denial. 2. Landlord will conduct a search of public records to determine whether the applicant or any proposed occupant has been convicted of, or pled guilty or no-contest to, any crime. a. Current registered sex offenders will be denied. b. A conviction, guilty plea or no contest plea for the following will result in the denial of the rental application: i. any felony involving serious injury, kidnapping, death, arson, rape, sex crimes and/or child sex crimes, extensive property damage or drug-related offenses (sale, manufacture, delivery or possession with intent to sell), Class A felony burglary or Class A felony robbery; ii. any other felony, or any Class A misdemeanor involving: assault, intimidation, sex crimes, drug related offenses (sale manufacture, delivery or possession), property damage, or weapons charges where the date of disposition, release, or parole have occurred within the last 7 years; iii. any Class B or C misdemeanor in the above categories or those involving Criminal Trespass 1, theft, dishonesty, prostitution, or any Class A misdemeanor motor vehicle and traffic offenses, where the date of disposition, release, or parole have occurred within the last 3 years. c. Pending charges for any of the above will result in a suspension of the application process until the charges are resolved. Upon resolution, if an appropriate unit is still available, the processing of the application will be completed. No unit will be held awaiting resolution of pending charges. 3. The applicant shall not have been evicted from any rental housing at any time during the past 4 years. 4. Applicants must list complete and accurate information regarding current landlord and at least one previous verifiable landlord reference and phone numbers. Rental history demonstrating residency, but not contractual rental history, will require a security deposit equal to two months rent. 5. Rental history demonstrating noise or other disturbance complaints or violations of the rental agreement or state law will result in denial if the applicant s former manager would not re-rent to the applicant. 6. Applicant s receipt of four or more notices for non-payment of rent within a period of 12 months will result in denial. 7. Two or more NSF checks within a period of 12 months will result in denial. 8. Exceptions for #6 and #7 may be made for applicants with qualified co-signers or increased deposits. 9. Self-employed applicants will be required to show proof of income through previous year s tax returns. 10. Any individual, who may constitute a direct threat to the health and safety of an individual, the complex, or the property of others, will be denied. 11. Applicants with outstanding rental collection balances, whether for damage or non -payment of rent or fees will be denied. V. BUILDING ACCESS CRITERIA 1. Applicants requiring the assistance of a permanent or temporary live-in caregiver will be required to have the caregiver fill out an application and pay a screening fee of $20.00. A limited screening involving a credit report (for identification purposes) and a criminal background check will be performed. The Caregiver must meet requirements regarding criminal history (see section IV. (2)) or their application will be denied. 2. Similarly, prior to being issued a security fob (keyless entry device) nonresidents must pass the limited screening as described above. Page 2 of 3

VI. DISABLED ACCESSIBILITY: (REACH allows existing premises to be modified at the full expense of the disabled person, if the disabled person agrees to restore the premises to the pre-modified condition per Fair Housing guidelines) REACH requires: 1. Written proposals detailing the extent of the work to be done. 2. Written assurances that the work will be performed in a professional manner by a licensed/bonded contractor. 3. Written approval from the landlord before modifications are made. 4. Documents identifying the names and qualifications of the contractors to be used. 5. All appropriate city, county or state building permits and required licenses made available for landlord inspection, prior to beginning the work. 6. A restoration deposit may be required per Fair Housing guidelines. VII. STUDENT STATUS: In general, apartments at may not be occupied by households consisting entirely of full-time students. A fulltime student is defined as an individual who attends school full-time (as defined by the institution being attended) for some part of five (5) or more months in the current calendar year. The 5 months do not need to be consecutive. Full-time students who work full-time are still considered students. Individuals attending on-the-job training courses are not considered to be students. Some exceptions do apply. As of 2012, if all members of the household are full-time students, the applicants may still qualify for residency if: 1. Students are married and entitled to file a joint federal income tax return. (A married couple who has not filed a joint tax return but is eligible to do so will still qualify, but will need to submit a copy of their marriage certificate); 2. The household consists of an independent single parent and his/her children, all of whom are not dependents of a third party other than the absent parent; 3. At least one household member receives welfare assistance under Title IV of the Social Security Act (AFDC/TANF); 4. At least one household member is enrolled in and receiving assistance under the Workforce Investment Act (WIA formerly the Job Training Partnership Act) or other similar programs operating under Federal, State or local laws; 5. At least one household member previously received Foster Care Assistance under part B or E of Title IV of the Social Security Act (H.R. 3221, effective 07/30/08 forward). VII. REJECTION POLICY: If your application is denied due to an unfavorable credit report, you may: 1. Contact the credit reporting company at: RealPage at PO Box 11889, Carrollton, T 75011-88869, 1-800-456-4008 or Equifax, PO Box 105873, Atlanta, GA 303-0241, 800-759-5979 2. Correct any misinformation as outlined by the credit reporting company. 3. Request a corrected report is sent to REACH. 4. Upon receipt of a satisfactory, updated report, your application may be considered for the next available unit. If your application is denied for reasons other than unfavorable credit, you may: 1. Submit a written explanation appealing your denial, within 14 days of receipt of the denial letter to: Property Manager, REACH Community Development, Inc. 4150 SW Moody St. Portland, OR 97239 2. A panel will review the materials regarding your application and will notify you in writing of the results within 5 business days of the panel review. 3. Persons with disabilities have the right to request reasonable accommodations to participate in the informal hearing process. 4. If you feel you have been a victim of discrimination, you may contact HUD at: 909 1 st Ave. Rm. 205, Seattle, WA 98104-1000, 1-800-877-0246, TTY 1-206-220-5185, www.hud.gov 555 NE 100 th Ave Portland OR 97220 Page 3 of 3