Apply for Fair & Affordable Rental Housing in: Hastings-on-Hudson, New York Deadline: May 1, 2018

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1 Apply for Fair & Affordable Rental Housing in: Hastings-on-Hudson, New York Deadline: May 1, 2018 Hastings-on-Hudson is in Southern Westchester in the Town of Greenburgh and is bordered by Yonkers on the south, Dobbs Ferry on the north, the unincorporated area of Greenburgh to the east, and the Hudson River to the west. A supermarket, restaurants, deli, book store, consignment and other retail shops are located on the Village s Main Street. Major shopping malls are located nearby in Yonkers and White Plains. The Westchester County Bee- Line Bus System offers regular service to White Plains and Yonkers (Routes 1 & 6). The Metro North Hudson line provides service to Yankee Stadium, 125 th Street in Harlem, Grand Central and north to Poughkeepsie. The nearby Saw Mill River Parkway provides easy car access to lower Westchester and New York City. Recreational facilities are nearby, including historic Draper Park, Old Croton Aqueduct, and the MacEachron Waterfront Park with its views of the Palisades. The nearby South County Trailway offers biking and walking opportunities. The Village s Parks & Recreation Department offers swim lessons, an after school program, preschool classes, summer camp and other activities. Residents will be served by the Hastings-on-Hudson Union Free School District consisting of three schools elementary, middle and high school. Each is recognized by the U.S. Department of Education as a National Blue Ribbon School of Excellence. The Hastings-on-Hudson Public Library offers adult and children programs and computer services. Apartment Features: 10 West Main St., Hastings-on-Hudson: There are four (4) rental apartments in this newly renovated building two 2 BR and two 3 BR apartments. The apartments are +/- 790 sq. ft. with one bath. They are separately metered for heat and hot water. There are tongue and groove wood floors in all living spaces and porcelain title in the bathrooms. Developed by Riverton Lofts West, LLC. Rent: $1,542 for two bedrooms and $1,783 for three bedrooms * (Tenant pays utilities). 190 Farragut Avenue, Hastings-on-Hudson: This one bedroom duplex (bedroom and bathroom are on the second floor) is an accessory apartment (+/- 900 sq. ft.) within a newly constructed owner-occupied single family detached dwelling. Developed by Hastings on Hudson Affordable Housing Development Fund Company. Rent: $900 for one bedroom* (Tenant pays utilities) How to Apply: An application for the affordable apartments may be obtained from. Applications must be received by May 1, Maximum Household Incomes (subject to change): Property 1 Person 2 Persons 3 Persons 4 Persons 5 Persons 10 West Main St NA $53,520 $60,180 $66,840 $72, Farragut $39,000 $44,600 $50,150 NA NA For further information or to obtain an application contact Inc hac@affordablehomes.org

2 Apply for Fair & Affordable Rental Housing in: Hastings-on-Hudson APPLICATION DEADLINE: MAY 1, 2018 Mail or Hand Deliver Application to: at 55 South Broadway, Tarrytown, NY Phone: ** Check the Rental(s) in which you are Interested ** 190 Farragut Avenue, Hastings on Hudson (one bedroom) 10 West Main Street, Hastings on Hudson (two and three bedrooms) # of Apartments Rents* Location Maximum Incomes 1 One Bedroom $900 2 Two Bedrooms $ Farragut Avenue, Hastings-on-Hudson 10 West Main St., Hastings-on-Hudson 1 person household $39,000 2 person household $44,600 3 person household $50,150 2 person household $53,520 3 person household $60,180 4 person household $66,840 5 person household $72,240 2 Three Bedrooms $ West Main St., Hastings-on-Hudson 2 person household $53,520 3 person household $60,180 4 person household $66,840 5 person household $72,240 *Rents & Maximum Household Income as of February 2018, Subject to Change. Tenant pays utilities

3 1. APPLICANT INFORMATION: Name: Address: Apt#: _ City: State: Zip: Home Phone: Cell Phone: Work Phone: SSN: DOB: Gross Income: 2. APPLICANT INFORMATION: Name: Address: Apt#: City: State: Zip: _ Home Phone: Cell Phone: Work Phone: SSN: DOB: Gross Income: 3. LIST ALL PERSONS WHO WILL LIVE WITH YOU, PLEASE START WITH YOURSELF: FULL NAME RELATIONSHIP DATE OF BIRTH SEX ATTENDING SCHOOL a. H.O.H Social Security #: Occupation: b. Social Security #: Occupation: c. Social Security #: Occupation: e. Do you expect any change (s) in your family size? YES NO If YES, EXPLAIN:

4 4. STATISTICAL INFORMATION a. The following information is required for statistical purposes so that the Department of Housing and Urban Development (HUD) may determine the degree to which its programs are utilized by people of different racial & ethnic backgrounds. RACIAL GROUP IDENTIFICATION: Used for statistical purposes only. (Please check only one from this group for the head of household only). Single Race White Black or African American Asian American Indian or Alaska Native Native Hawaiian or Other Pacific Islander Multi-Race American Indian or Alaska Native & White Asian & White Black or African American & White American Indian or Alaska Native & Black or African American Other Multi Racial b. ETHNICITY: (check only one from this group) Hispanic Non-Hispanic 5. ACCESSIBILITY/ADAPTABILITY Do you need a handicapped accessible/adaptable apartment? YES NO 6. RENT: What is your Current Monthly Rent $ Check Utilities paid by you now: Heat Electricity Gas Water Other $ per month $ per month $ per month $ per month $ per month Do you receive Rental Assistance? Yes No If YES, identify source

5 7. INCOME: List ALL full-time, part-time, seasonal and/or temporary employment for ALL household members. Include overtime pay, commissions, fees, tips, bonuses and/or self-employed earnings. HOUSEHOLD EMPLOYER'S GROSS EARNINGS (Pre-Tax) MEMBER NAME/ADDRESS CURRENT ANTICIPATED $ _ $ $ _ $ $ _ $. 8. OTHER SOURCES OF INCOME: (EXAMPLES: welfare, social security, SSI, pensions, disability compensation, unemployment compensation, interest, baby-sitting, care-giving, alimony, child support, annuities, dividends, income from rental property and/or Armed Forces Reserves.) HOUSEHOLD MEMBER SOURCE AMOUNT $ _ $ $ _ $ $ _ $

6 9. HOUSEHOLD ASSETS: Checking Accounts: Bank: Acct. No.: Amt.: Bank: Acct. No.: Amt.: Savings Accounts: (includes Passbook/Statement and Christmas/Vacation Clubs) Bank: Acct. No.: Amt.: Bank: Acct. No.: Amt.: Bank: Acct. No.: Amt.: Certificates of Deposit (CD's): Bank: Acct. No.: Amt.: Bank: Acct. No.: Amt.: Credit Union Shares: Credit Union Name: Amt.: Address Stocks/Bonds (value): $ Savings Bonds (value): Other Amt.: (includes IRA's, mutual funds, etc.) $ _ Does the applicant NOW own real estate: YES NO If "yes", what is the value: Has the applicant EVER owned real estate? YES NO If "yes", when?

7 10. DOCUMENTATION All household members must submit COPIES of the following documents with their application: 2017 & 2016 W2 s 2017 & 2016 Federal Tax Returns with all Schedules One Month s Most Recent Pay Stubs & documentation on any other source of income, e.g. social security, pension, child support (child support court order or private arrangement) 3 Months of all Bank, Credit Union, and Investment Statements (all pages) Most Recent Retirement Fund Account Statements (e.g. 403b, 401k) Divorce/ Separation Documents, if applicable Driver s License for any household member 18+, Birth Certificates for all household members, Resident card if applicable (All applicants must have two government issued qualifying documents) $35 Consumer Report Fee (Non-refundable Made payable to ) I DECLARE THAT THE STATEMENTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. WARNING: WILLFUL FALSE STATEMENTS OR MISREPRESENTATIONS ARE A CRIMINAL OFFENSE. Applicant Signature Applicant Signature Date Date CONSUMER CREDIT INFORMATION I/ We hereby authorize to use any consumer reporting agency, credit bureau or other investigative agencies employed by such, to investigate references, or statements or other data obtained from me or from any person pertaining to my employment history, credit, prior tenancies, character, general reputation, personal characteristics and mode of living, to obtain a consumer report and such other credit information which may result thereby, and to disclose and furnish such information to, to the owner, and to agencies that made or will make funding available in connection with this property listed above in support of this application. I have been advised that I have the right, under 606B of the Fair Credit Reporting Act, to make a written request, within reasonable time, for a complete and accurate disclosure of the nature and scope of any investigation. Applicant Signature Applicant Signature Date

8 11. HOW DID YOU HEAR ABOUT THIS DEVELOPMENT? Friend If friend, how did your friend hear about this? _ Employer Sign Posted on Site Website/ Internet (list site) Newspaper (Identity): On-line Version? Church/ Synagogue (Identify): Community Organization (Identify): Other (Identify): Note: 1. Only one (1) application per household. If your name appears on more than one application you will be disqualified and the application will not be considered. 2. Applications must be signed in all requested places. 3. Applications must be returned by mail or hand delivered with supporting documentation. 4. No payment should be given to anyone in connection with the preparation or filing of this application 190 Farragut Farragut Avenue, Hastings

9 3 Bedroom Single Family Home with 1 Bedroom Accessory Apartment for Rent Under Construction Rental Unit Entrance to 1 Bedroom Accessory Apartment Floor Plans for 1 Bedroom accessory Apartment For Illustrative Purpose Only

10 10 West Main Street, Hastings on Hudson 2 & 3 Bedroom Apartments

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