Common use of OFFICE USE ONLY Clause in Contracts

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_s_______________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 3 contracts

Samples: Application Agreement, Application Agreement, Application Agreement

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OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sC__o__k_a__t_o__P__a__r_k_v__i_e_w____________________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W_2__6_0___T__h_i_r_d__S__t_r_e__e_t__S__o__u_t_h__w__e__s_t_____________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1C__o__k_a__t_o_,__M___N___5_5__3_2__1_________________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_3__2__0_)__9__0_5__-_2__8_7__4________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 3 contracts

Samples: Application Agreement, Application Agreement, Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sN__o__r_t_h_b__r_i_d_g__e__A__p__a__r_tm___e__n_t_s__________________ _8__0_6___T__r_o_y___R__o_a__d______________________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__WA__l_b_e__r_t__L_e__a__,_M___N___5_6__0__0_7______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_5__0__7_)__4__0_2__-_3__3_7__3________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 3 contracts

Samples: Application Agreement, Application Agreement, Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sR__i_v_e__r_w__o__o_d___A__p__a_r_t_m__e__n__t_s___________________ _9__0_0___W___e_s__t_P__a__r_k__S__t_r_e__e_t_____________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1___C__a__n__n_o__n__F__a__ll_s__,_M___N___5_5__0__0_9_________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_5__0__7_)__2__8_9__-_1__8_9__5________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 3 contracts

Samples: Application Agreement, Application Agreement, Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sN__o__b__le__s__S__q__u_a__q__r_e__A__p__a_r_t_m___e_n__t_s____________ _2__1_7__5__N___o_b__l_e_s___S_t_r_e__e__t_______________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1__W___o__r_th__i_n_g__t_o_n__,__M__N___5__6_1__8__7__________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9(_5__0_7__)__3_6__0__-_6_0__8__3_____________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 3 contracts

Samples: Application Agreement, Application Agreement, Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sC__a__r_d_i_n__a_l__M__a__n__o_r__A__p__a_r_m___e__n_t_s______________ _1__8_2__0__S__E___B__e__c_k__e_r__A__v__e_n__u__e_,__S__u__it_e___2_1__3___ _W___i_ll_m__a__r_,__M__N___5__6_2__0__1________________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_3__2__0_)__2__2_2__-_5__8_0__8________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 2 contracts

Samples: Application Agreement, Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sG__o__l_f_V__i_e__w___A__p_a__r_t_m__e__n_t_s_____________________ _1__8_3___S__u_n__s__e_t__A__v_e__n__u_e___N__W___,_E__2_____________ _C__o__k_a__t_o_,__M___N___5_5__3_2__1_________________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_3__2__0_)__2__8_6__-_4__4_8__0________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 2 contracts

Samples: Application Agreement, Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sN__i_m__e__n__s__E__s_p__e__g_a__r_d__________________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W1__7_0__0__W___i_d__m__a__n__L__a_n__e______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9C__r_o__o_k__s_t_o__n__,_M___N___5_6__7__1_6_____________________ _P__h__:_(_2__1__8_)__2__8_1__-_1__2_8__2________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 2 contracts

Samples: Application Agreement, Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sW___e__s_t_b_r_o__o__k__A__p__a_r_t_m___e_n__t_s___________________ _9__0_0__-_9__0_4___1_1__t_h__S__t_r_e__e_t_______________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1W___e__s_t_b_r_o__o__k_,__M__N___5__6__1_8__3____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_5__0__7_)__3__6_0__-_8__9_5__9________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 2 contracts

Samples: Application Agreement, Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sG__o__l_f_V__i_e__w___A__p_a__r_t_m__e__n_t_s_____________________ _1__8_3___S__u__n_s__e_t__A__v_e__n__u_e___N__W___,_E__2_____________ _C__o__k_a__t_o__,_M___N___5_5__3__2_1_________________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_3__2__0_)__2__8_6__-_4__4_8__0________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 2 contracts

Samples: Application Agreement, Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sH__a__m__o__n__y__M__a__n__o_r_____________________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W4__4_5___M__a__i_n__A__v__e_n__u_e______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9H__a__r_m__o__n__y_,__M__N___5__5_9__3__9______________________ _P__h__:_(_5__0__7_)__8__8_6__-_2__1_3__7________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 2 contracts

Samples: Application Agreement, Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sS__i_b_l_e__y__E__s_t_a__t_e_s___E__a_s__t_______________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W6__1_0___M__a__i_n__S__t_r_e__e_t______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9H__e__n__d_e__r_s_o__n__,_M___N___5_6__0__4_4____________________ _P__h__:_(_5__0__7_)__4__7_9__-_3__8_4__6________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 2 contracts

Samples: Application Agreement, Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sN__o__b__le__s__S__q__u_a__q__r_e__A__p__a_r_t_m___e_n__t_s____________ _2__1_7__5___N__o_b__l_e_s___S__tr_e__e__t_______________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1__W___o__r_th__i_n_g__t_o_n__,__M__N___5__6_1__8__7__________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9(_5__0_7__)__3__6_0__-_6_0__8__3_____________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sN__i_m__e__n__s__E__s_p__e__g_a__r_d__________________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W1__7_0__0___W__i_d__m__a__n__L__a__n_e______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9C__r_o__o__k_s__to__n__,_M___N___5_6__7__1_6_____________________ _P__h__:_(_2__1__8_)__2__8_1__-_1__2_8__2________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_s__W___e__s_t_v_i_e__w___A__p_a__r_t_m__e__n_t_s_____________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W4__3_4__5___2_2__0_t_h___S__t_r_e_e__t_W___e__s_t__________________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1_F__a__r_m__i_n_g__t_o_n__,__M__N___5__5_0__2__4___________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_6__5__1_)__4__6_3__-_7__3_6__9________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_s___K__n__o_l_l_w__o_o__d___A__p_a__r_t_m__e__n_t_s____________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W5__0_5___5_t_h___S__t_r_e_e__t_S__o__u__t_h_w__e__s_t________________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1P__i_n_e___I_s_l_a_n__d__,_M___N___5__5_9__6_3____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_5__0__7_)__3__5_6__-_4__8_2__8________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sW___e__s_t_b__r_o_o__k__A__p__a_r_t_m___e_n__t_s___________________ _9__0_0__-_9__0_4___1_1__t_h__S__t_r_e__e_t_______________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1W___e__s_t_b__r_o_o__k_,__M__N___5__6__1_8__3____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_5__0__7_)__3__6_0__-_8__9_5__9________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sS__t_o__r_y_b__r_o_o__k__A__p__a_r_t_m___e_n__t_s___________________ _4__0_5___2_n__d___S__t_N__W_______________________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__WP__i_p_e__s_t_o__n__e_,__M__N___5__6__1_6__4______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_5__0__7_)__2__1_5__-_7__0_3__7________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sR__u__s_h___C__r_e__e_k___T_o__w__n__h_o__m___e_s_________________ _2__1_0___S__o_u__t_h__P__r_a__i_r_ie___________________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__WR__u__s_h__f_o_r_d__,__M__N___5__5_9__7__2______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_5__0__7_)__9__2_3__-_7__7_7__2________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sW___o__o_d__la__n__d__C__o__u__r_t___________________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W3__0_0___C__o__u_r_t__A__v_e__n__u_e______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__a__r_k__R__a__p_i_d__s_,__M__N___5__6__4_7__0__________________ _P__h__:_(_2__1__8_)__7__3_2__-_9__3_2__1________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sW___i_ll_o__w___A_p__a__r_t_m__e__n_t_s_________________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W1__0_2__5___S__e_c__o_n__d__S__t_r_e__e_t__N__E___________________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1L__it_t_l_e__F__a__ll_s_,__M___N___5_6__3_4__5_____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_3__2__0_)__6__3_2__-_0__9_8__0________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sW___i_n_d__o__m___A__p_a__r_t_m__e__n__ts_______________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_11__3_5___6__th___A__v_e__n__u_e___S__o_u__t_h____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9W___i_n_d__o__m__,__M__N___5__6_1__0__1_______________________ _P__h__:_(_5__0__7_)__8__3_1__-_4__6_3__6________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_s__W___e__s_t_v_i_e__w___A__p_a__r_t_m__e__n_t_s_____________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W4__3_4__5__2__2__0_t_h___S__t_re__e__t_W___e__s_t__________________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1_F__a__r_m__i_n_g__t_o_n__,__M__N___5__5_0__2__4___________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_6__5__1_)__4__6_3__-_7__3_6__9________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

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OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sW___i_n_d__o_m____A__p_a__r_t_m__e__n__ts_______________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_11__3_5___6_t_h___A__v_e__n__u_e___S__o_u__t_h____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9W___i_n_d__o_m___,__M__N___5__6_1__0__1_______________________ _P__h__:_(_5__0__7_)__8__3_1__-_4__6_3__6________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_s_S__i_b_l_e__y__E__s_t_a__t_e_s___W___e_s__t______________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W5__0_9___W___e_s__t_H___ig__h__S__t_r_e__e_t______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9W___i_n_t_h__r_o_p__,__M__N___5__5_3__9__6______________________ _P__h__:_(_5__0__7_)__4__7_9__-_3__8_4__6________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sS__t_o__r_y_b__r_o_o__k__A__p__a_r_t_m___e_n__t_s___________________ _7__1_5___4_t_h___S__t_N___W_______________________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__WP__i_p_e__s_t_o__n__e_,__M__N___5__6__1_6__4______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_5__0__7_)__2__1_5__-_7__0_3__7________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sR__u__s_h___C__r_e__e_k___T_o__w__n__h_o__m___e_s_________________ _2__1_0___S__o__u_t_h__P__r_a__i_r_ie___________________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__WR__u__s_h__f_o__r_d_,__M__N___5__5__9_7__2______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_5__0__7_)__9__2_3__-_7__7_7__2________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sS__t_o__n_e___C__r_e_e__k__T__o__w__n__h_o__m__e__s________________ _5__0_3___W___e_s__t_H___a_t_t_in__g___S__tr_e__e__t_________________ _L__u_v__e_r_n__e__,_M___N___5_6__1__5_6________________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_5__0__7_)__2__2_0__-_0__7_5__7________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sT__r_a__il_s_i_d__e__A__p__t_s__&___T_o__w__n__h__o_m___e_s____________ _2__0_4___E__a_s__t__F_r_o__n__t_S__t_r_e__e_t_____________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__WA__l_b_e__r_t__L_e__a__,_M___N___5_6__0__0_7______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_5__0__7_)__3__7_3__-_5__5_3__3________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_s_S__i_b_l_e__y__E__s_t_a__t_e_s___W__e__s__t______________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W5__0_9___W___e_s__t_H___ig__h__S__t_r_e__e_t______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9W___i_n_t_h__r_o_p__,__M__N___5__5_3__9__6______________________ _P__h__:_(_5__0__7_)__4__7_9__-_3__8_4__6________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sN__o__r_t_h__&___S__o__u_t_h__O___a_k__s_______________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W___2__2_0___G__r_e__e_n__v__a_l_e__A__v__e_n__u__e_,__#__1_0__1___________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1N__o__r_t_h_f_i_e_l_d__,_M___N___5_5__0__5_7______________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_5__0__7_)__6__6_4__-_1__1_1__1________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sH__a__n__s_o__n__A__p__a_r_t_m___e_n__t_s_______________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W_____4__0_1___L_a__k__e_l_a__n_d___D__r_iv__e__S__o__u__th__e__a_s__t_________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1W___i_ll_m__a__r_,__M__N___5__6_2__0__1________________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_3__2__0_)__2__2_2__-_5__8_0__8________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sH__a__n__s_o__n__A__p__a_r_t_m___e_n__t_s_______________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W_____4__0_1___L__a_k__e_l_a__n_d___D__r_i_v_e__S__o__u__t_h_e__a__s_t_________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1W___i_ll_m__a__r_,__M__N___5__6_2__0__1________________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_3__2__0_)__2__2_2__-_5__8_0__8________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sC__e__n__te__n__n_i_a__l _A__p__a_r_t_m___e_n__t_s___________________ _L__u_v__e_r_n__e__,_M___N___5_6__1__5_6________________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_5__0__7_)__2__8_3__-_2__6_5__2________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sC__a__r_d_i_n__a_l__M__a__n__o_r__A__p__a_r_t_m___e_n__t_s_____________ _5__0_5___U__n__u_m___b__S__t_r_e__e_t_________________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1A__l_e_x__a_n__d__r_ia__,__M__N___5__6_3__0__8____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_3__2__0_)__7__6_0__-_3__2_7__6________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sV__i_k_i_n__g__T__e_r_r_a__c__e__A__p__a_r_t_m___e_n__t_s______________ _1__4_5__6___B__u_r_l_in__g__t_o_n___A__v_e__n_u__e___N__o_r_t_h__________ _W___o__r_th__i_n_g__t_o_n__,__M__N___5__6_1__8__7__________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__W______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_5__0__7_)__3__7_6__-_6__9_7__4________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

OFFICE USE ONLY. Unit Size Requested Unit Number Targeted Move-In Date Date Received Time Received _U__p__t_o_w__n___A__p__a_r_t_m__e__n__t_sT__r_a__il_s_i_d__e__A__p__t_s__&___T_o__w__n__h__o_m___e_s____________ _2__0_4___E__a__s_t__F_r_o__n__t_S__t_r_e__e_t_____________________ _3__0_1___N__o__r_th___C__e__n_t_e__r__S__tr_e__e__t_N__WA__l_b_e__r_t__L_e__a__,_M___N___5_6__0__0_7______________ _S__i_lv__e_r__L__a__k_e__,_M___N___5_5__3__2_1____________________ _P__h__:_(_5__0__7_)__6__2_5__-_0__2_4__9P__h__:_(_5__0__7_)__3__7_3__-_5__5_3__3________________________ APPLICATION FOR OCCUPANCY Incomplete applications will be returned APPLICANT INFORMATION Applicant Name (Head of Household): First Middle Last Address: Street Address City State Zip Social Security Number: Date of Birth: [ ] Male [ ] Female [ ] Decline Applicant Phone #: Applicant Email: Alternate Phone #: Alternate Email: Emergency Contact: Name (Someone outside your household) Phone Email List All Other Household Members First MI Last Relationship to Head Date of Birth Male/Female/ Decline to Answer Social Security Number [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline [ ]M [ ]F [ ]Decline Primary Language: Do you require an interpreter? [ ] Yes [ ] No How did you hear about this housing? [ ] Online [ ] Newspaper [ ] Local Agency [ ] Drive By [ ] Resident Referral [ ] Other What is the combined gross monthly income of all household members? $ ADDITIONAL HOUSEHOLD MEMBERS CURRENT HOUSING STATUS How long have you lived at your current address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: Do all adult household members live at this address?........................................................................................................................ [ ] Yes [ ] No If NO, include additional adult household’s current address and contact information on a separate piece of paper. PREVIOUS HOUSING STATUS Your previous address: How long did you live at your previous address? From: To: Is this family or a friend? [ ] Yes [ ] No Name of Owner/Manager: Phone #: Email: Address: List every state in which each household member has lived: ELIGIBILITY INFORMATION The following questions pertain to yourself and every member of your household who will occupy the unit. Check either Yes or No in response to each question. All questions must be answered; for those questions that do not apply, you are required to indicate so by answering “not applicable” or “n/a”.

Appears in 1 contract

Samples: Application Agreement

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