Preliminary Income and Information Form for Multi-Family Housing

Preliminary Income & Information Form for Multi-Family Housing

Click here for a printed form.

If you are applying for our Section 42 affordable rental rates, please note the income guidelines listed for the respective property. If you feel that you would meet these guidelines, please fill out the information below and submit this form to the appropriate property manager.

Apply To:

Thank you for applying for residency in our multi-family housing community. Before you complete this form, please tell us how you learned about our property:
Comment:

NOTE: Please remember that we must maintain strict income guidelines in order to offer our affordable rental rates. Therefore, you must provide accurate income that can be verified by third parties.

Annual Gross wages, tips & bonuses for all household members over 18 years of age:
$

Add income for individuals under 18, up to a maximum of $480:
$

Court-ordered Child Support for all children (even if currently not received)
$

Alimony, spousal support or ongoing financial gifts
$

Income from interest on bank accounts:
$

Approximately 2% of income from assets over $5000.00
(This would include the equity in your home if your home is currently for sale.)
$

Income from a rental property:
$

Total: $

Are you currently a student? Yes No

When do you anticipate moving?

Have you had an Unlawful Detainer or Eviction Action filed against you
in the past 5 years? Yes No

Do you have a Felony Conviction on your Criminal Record? Yes No
If yes, please explain.

Requested unit size:
(Not all sizes available at some sites.)

Total number of Household Members:

Head of Household Name(s):

Street Address:

City, State, Zip:

Phone Number with Area Code:

Email Address:

Thank you for applying for residency. We will review your Preliminary Information to determine whether it appears that you are income-qualified and, if so, inform you how you may proceed with your application. We appreciate your interest in our community.