By submitting this application, I certify the accuracy if the information contained herein. I understand that the Department of HUD is authorized to collect this information to determine eligibility, appropriate bedroom size, and the amount my family will pay for rent. I also understand that this will be my only residence. I authorize management to contact my present/prior landlords for information regarding my tenancy, and to access records pertaining to me which may be on the file with the credit bureau authorities. I authorize a criminal background check and a check of the state/national sex offender registry for all adult household members. I understand that all information I have listed is subject to verification and that a final decision on eligibility cannot be made until all verifications are complete. I understand that it is a crime to knowingly provide false information for the purpose of obtaining or maintaining occupancy in, and/or, for the purpose of securing lower rent, in a subsidized housing unit, and that the penalty for knowingly providing false information is up to five years in prison and/or $10,000 fine upon conviction. I hereby do swear and attest that all of the information herein about me is true and correct. I understand that if no unit is currently available and I am put on a waiting list, I must update all information about my household at the time that a unit is available to be offered.
All applicants 18 years of age or older must sign this preliminary application. If a co-head is listed on this application, the co-head must also provide their signature. Preliminary applications received without all 18 year old and over signatures will not be processed.
It is the policy of this company to provide an equal opportunity basis. We do not discriminate on the basis of race, color, national origin, ancestry, sex, disability, religion, familial status, sexual orientation, gender identity, or medical condition.