Preliminary Application For Housing

1. List each person in your household starting with yourself. Information will be added to the property's waiting list.
Incomplete applications will not be processed.

2. Does anyone live with you now who is not listed above?
YES    NO

3. Do you expect any change in your household composition?
YES    NO

4. If you answered yes to either # 2 or # 3, please explain:

5. What type of income do you have:
Select an option Employment Social Security or SSI Welfare Unemployment Child Support Other

6. Current Address

7. Are you a US Citizen?
YES    NO

8. Please identify any special housing needs that may be required by you or any of the members in your household

9. Are you currently residing in subsidized housing or do you have a Section 8 voucher?
YES    NO

CERTIFICATION

We hereby certify that I/We do/will not maintain a separate subsidized rental unit in another location. I/We further certify that this will be my/our permanent residence. I/We understand I/We must pay a security deposit for the apartment prior to occupancy. I/We understand that our eligibility for housing will be based on applicable income limits and by management's selection criteria. I/We certify that all information in this application is true to the best of my/our knowledge and I/We understand that false statements or information are punishable by law and will lead to cancellation of this application or termination of tenancy after occupancy. I/We further consent to have the Owner/Management Agent verify all of the information contained in this Rental Application as well as my/our credit, landlord, criminal background and personal references.

Any changes in family household income or student status changes are required to be reported to the management office within 10 days of the change. All adult applicants, 18 or older, are required to sign application.