LIHTC Rental Application

The Woda Group Rental Application

Property Name:

Phone Number:

Email Address:

PLEASE READ AND FOLLOW THESE INSTRUCTIONS

THE SITE MANAGER CAN ASSIST WITH ANY QUESTIONS CONCERNING YOUR APPLICATION TO THIS COMMUNITY

Print legibly or type all entries. All “Yes or No” questions must be answered with “Yes or No” and provide explanation for given response as requested. Other questions must be answered with either applicable information or “N/A” (not applicable) where you have no information that applies.

Each adult member of the household must sign and certify to the completeness and accuracy of the information provided in this application.

Applicant Information

Applicant Name:

Address: City State Zip Code

Phone Number: N/A Email Address: N/A

Cell Phone Number: N/A

Best time and method for us to contact you?

How many bedrooms are you requesting? 1-BR 2-BR 3-BR 4-BR Other

How did you hear about our community?

Desired Move-In Date: OR ASAP

Yes No Do you wish to have priority for an apartment with special design features for persons with disabilities?

Household Composition

List all household members who will live in the apartment within the next twelve months.

Yes No N/A Do your minor son(s) and/or daughter(s) listed above live with you in the household 50% or more of the time? If no, please explain:

Yes No N/A Do you have legal custody of minors, other than your son(s) and/or daughter(s) listed above? If no, please explain:

Yes No N/A Are you currently in the process of adopting minors listed above? If yes, please explain:

Income Information

For everyone 18 and older:

Yes No Employment Wages or Salaries? If yes, what date did you begin with current employer: Do not remember

Yes No Anticipated income that has been secured/awarded but not started?

Yes No Self-Employment?

Yes No Regular pay as a member of the Armed Forces/Military?

Income Source(s)

Asset Information

Current Residential Housing References

Previous housing history if current residency is less than five years.

Current Residency Address: City State Zip County

Monthly Payment:

Daytime Phone: Email Address:

Own/Rent: Own Rent Live with Family Date of Move-In:

Other Information

Yes No Does your household currently have a Section 8 Voucher for rental assistance? If yes, please list name of agency:

Yes No Have you or any member of your household applied for Section 8 rental assistance?

Yes No Are you fleeing or attempting to flee domestic violence, dating violence, sexual assault, stalking, or other violent dangerous or life-threatening conditions?

Yes No Are you able to obtain utility service in your name?

Yes No Do you have or plan to obtain renters insurance?

Yes No Have you or any member of the household been evicted, or are currently under eviction from a rental unit? If yes, please explain:

Emergency Contact

Name:

Address: City State Zip

Phone Number: Email Address: N/A

Relationship:

Vehicles

How many vehicles do you own? None 1 2 Other

1) YEAR MAKE MODEL COLOR

LICENSE PLATE #: STATE

2) YEAR MAKE MODEL COLOR

LICENSE PLATE #: STATE

Student Status

Yes No Does your household currently consist ENTIRELY of persons who are FULL-TIME students?

Yes No Does your household anticipate becoming a household that would consist ENTIRELY of FULL-TIME students in the next 12 months?

Signature Clause

I/We hereby apply to the above named community for an apartment on substantially the terms set forth herein.

Supplemental Information Form

Property Name:

Head of Household Name:

Resident/Applicant: I do not wish to furnish information regarding ethnicity, race and other household composition.

Authorization to Release Information

The undersigned individual(s) has applied for residency at .

I/we agree that a photocopy of this authorization may be used for the purposes stated above.

NOTE: THIS GENERAL CONSENT MAY NOT BE USED TO REQUEST A COPY OF A TAX RETURN.