BASIC APARTMENT RENTAL CRITERIA A. Applicants must be at least eighteen (18) years of age or older and must allow a photo-copy of driver's license or state issued identification card with photo. B. Applicants must have verifiable current employment and/or income with a gross monthly income of at least two and a half (2.5) times the rental rate. In the event that the applicant has been at his or her current job for a period of six (6) months or less, then the applicant must provide verification of prior employment. Should the applicant be self-employed, proof of income. he or she must then provide a copy of the previous year's tax return as C. A LeaseGuarantor will be accepted on behalf of full time students and for persons with no prior rental or credit history. A Lease Guarantor must complete a Lease Contract Guaranty. Income requirement for a cosigner is six (6) times the rental amount. D. Applicants must have a verifiable rental reference of six (6) months or more with a lease term fulfilled and a copy of the thirty (30) day written notice to vacate current or previous address. E. Applicants must not have more than two (2) late payments and/or non-sufficient fund (NSF)checks in one (1) year of residency. F. Any applicant with questionable rental history or eviction maybe subject to denial of application. G. Applicant's credit report must be in good and acceptable standing. H. Medical collection on accounts will be the only exception is determining acceptable credit. Personal bankruptcies shall be allowable as long as the applicant meets all other qualifications and criteria and has reestablished a good credit rating. - I. All adu~ must complete rental application, pay an applicable fee of Sm.()() be listed on the lease as a resident, and have full liability to fulfill all terms and conditions of the lease. The rental application fee shall be waived for spouses and any children under age eighteen (18) at the time of applying for a unit. J. The non-refundable application fee must be paid BEFOREAPPROVALPROCESSCAN BEGIN. K. Applicants must consent to a credit and background/criminal investigation search. Criminal and/or felony convictions may be grounds for denial MAXIMUM OCCUPANCYSTANDARS Efficiency/Studio has maximum capacity of TWO (2) persons 1 bedroom unit has maximum capacity of THREE (3) persons 2 bedroom units have maximum capacity of FIVE(5) persons I have read and agree to the above rental criteria requirements. Applicant Signature Date
tir equal HOUSINfl O~PORTUNITY HOUSING OPPORUNITIES MADE ECONOMICAL, INC. 1907 CHARLES ST. FREDERICKSBURG, VA 22401 540-361-7477 540-361-4417 (FAX) We do Business ill Accordance with the Fair Housing Act APPLICATION FOR LEASE (This is a legally binding contract. If you do not understand, seek competent advice before signing) APPLICANT INFORMATION: NAME: FIRST MIDDLE INITIAL LAST CURRENT ADDRESS: STREET CITY STATE ZIP PHONE NUMBER: SOCIAL SECURITY # CELL PHONE NUMBER: EMAIL ADDRESS DATE OF BIRTH: STATUS: single married divorced widow # OF BEDROOM(S) NEEDED: CO-APPLICANT INFORMATION: NAME: FIRST MIDDLE INITIAL LAST CURRENTADDRESS:, STREET CITY STATE ZIP PHONE NUMBER: SOCIAL SECURITY #: CELL OPHONE NUM BER EMAIL ADDRESS DATE OF BIRTH : RELATIONSHIP TO APPLICANT MARITAL STATUS: single married divorced separatedwidow APPLICANT CURRENT LANDLORD INFORMATION: MONTHLY RENT AMOUNT: LAN DLORD'S NAME: PHONE NUMBER: LENGTH OF RESIDENCY REASON FOR LEAVING:
ADDRESS: PREVIOUS ADDRESS (if less than 3 yrs. at present address} ------------------------------------------- OWN: RENT: --- MONTHLY RENT AMOUNT; LANDLORD'S NAME: --------------------------------- PHONE NUMBER: LENGTH OF RESIDENCY REASON FOR LEAVING: ----------------------------- APPLICANT EMPLOYMENT INFORMATION: PRESENT EMPLOYER: EM PLOYER ADDRESS: STREET CITY STATE ZIP TELEPHONE # START OF EMPLOYMENT: OCCUPATION : SALARY: SUPERVISOR: PER hour week month year PREVIOUS EMPLOYER INFORMATION: EMPLOYERNAME: EM PLaYER ADDRESS: STREET CITY STATE ZIP TELEPHONE # OCCU PATION: DATES OF EMPLOYMENT: SALARY: PER hour week month year SUPERVISOR: CO-APPLICANT EMPLOYMENT INFORMATION: PRESENTEMPLOYER: EMPLOYERADDRESS: STREET CITY STATE ZIP TELEPHONE # DATES OF EMPLOYMENT: OCCUPATION: SALARY: SUPERVISOR: PER hour week month year
Please list names and ages of all persons that will occupy unit including. NAME RELATIONSHIP AGE PERSONAL REFERENCES NAME: PHON E # : RELATION: NAME: -------------------------- PHONE#: RELATION: NAME: PHONE #: RELATION: ADDITIONAL INFORMATION : Does anyone who will occupy the Property smoke? Will Applicants maintain renters insurance? Has Applicant ever: 1) Been evicted? 2) Been asked to move out by a Landlord? 3) Breached a lease or rental agreement? 4) Filed for bankruptcy? 5) Lost property in a foreclosure? 6) Had any credit problems? 7) Been convicted of a crime? 8) In any occupant a registered sex offender? 9) Are there any criminal matter pending against any occupant? Yes No If answered "YES" to any of the items #1-9 above, please explain what, when, where, etc.
VEHICLE INFORMATION: APPLICANT DRIVERS LICENSE /STATE 10#: STATE ISSUED: CO-APPLICANT DRIVERS LICENSE /STATE ID#: STATE ISSUED: VEHICLE 1: YEAR MAKE MODEL COLOR TAG# VEHICLE 2: year MAKE MODEL COLOR TAG# EMERGENCY CONTACT INFORMA TlON: NAME: RELATIONSHIP: ADDRESS: STREET CITY STATE ZIP CODE DAYTIME PHONE # CELL PHONE# EMAIL ADDRESS AUTHORIZATION and REPRESENTATION: Applicant authorizes Landlord and Landlord's agent, at any time before, during or after any tenancy, to: (1) obtain a copy of Applicants credit report; (2) obtain a criminal background check related to Applicant and any occupant; and (3) verify any rental, employment, or criminal history or verify any other information related to this application with persons knowledgeable of such information. Applicant represents that the statements in this application are true and complete. Applicant understands that providing false or inaccurate information is grounds for rejection and a breach of any lease. Applicant' 5 Signature: Date: Co-Applicant's Signature: Date: ACCEPTED: Date: For Office use Only: COMPLEX UNIT# Accepted Denied Declined
~~~ &.:.I f QUAL HOUSIItG OnOA1UrmV HousingOpportunities Made Economical, Inc. 1907 cnartcs St. Fredericksburg,VA 22401 540-361-7477 540-361-4417fax EMPLOYMENT VERIFICATION FORM has applied for residency at a complex owned and managed by HOME, INC. As part of our processing, it is necessary that we obtain verification of his/her employment and Gross Annual Income. The applicant/resident hereby authorizes the release of information regarding his/her employment and income. PRINTED NAME OF APPLICANT: APPLICANT'S SIGNATURE: DATE: Please complete the section below and fax to HOME, INC. at 540-361-4417 ASAP. Thank you in advance for your prompt attention. THE FOLLOWING TO BE COMPLETED BY EMPLOYER: Gross Income for the Next 12 Months Employed Since: No. Hours per Week I Status: Permanent or Temporary: : Part-time or Full Time (circle one each) Hourly Wage Overtime: Average hours per month Bonuses: s Average per year Anticipated Increase in Pay: Yes - Date: Amount: No Printed Name of Person Providing Info I Signature Title Date Phone Number WARNING: Section 1001 of Title 18 of the U.S. Code makes it a criminal offense for any person to make false or fraudulent statements to any department or agency of the United States Government or public housing authority as to any matter within its jurisdiction or to make unauthorized disclosures or improper use of the information collected hereunder.
UNDER 5,000 ASSET CERTIFICATION For aouseholds whose combined net assets do not exceed 5,000. Complete only ~ form per household; include assets of children. Household Name; Unit No. neveiopmem Name; City: Complete all that apply for 1 through 4: 1. My/our assets include: (A) Cash Value* (B) Int. Rate (A*B) Source (A) (B) (A*B) Source Annual Cash Int. Annual Income Value* Rate Income Savings Account Checking Account Cash on Hand Safety Deposit Box Certificates of Deposit Money market funds Stocks Bonds IRA Accounts 401 K Accounts Keogh Accounts Trust Funds Equity in real estate Land Contracts Lump Sum Receipts Capital investments Life Insurance Policies (excluding Term) Other Retirement/Pension Funds not named above: Personal property held as an investment** : Other (list): PLEASE NOTE: Certain funds (e.g., Retirement, Pension, Trust) mayor may not be (fully) accessible to you. Include only those amounts which are. "Cash value is defined as market value minus the cost of converting the asset to cash, such as broker's fees, settlement costs, outstanding loans, early withdrawal penalties, etc. **Personal property held as an investment may include, but is not limited to, gem or coin collections, art, antique cars. etc. Do not include necessary personal property such as, but not necessarily limited to, household furniture, daily-use autos. clothing, assets of an active business, or special equipment for use by the disabled. 2. 0 Within the past two (2) years, I/we have sold or given away assets (including cash, real estate, etc.) for more than 1.000 below their fair market value (FMV). Those amounts" are included above and are equal to a total of: (*the difference between FMV and the amount received, for each asset on which this occurred). 3. 0 I/we have not sold or given away assets (including cash, real estate, etc.) for less than fair market value during the past two (2) years. 4. 0 I/we do not have any assets at this time. The net family assets (as defined in 24 CFR 813.102) above do not exceed 5,000 and the annual income from the net family assets is. This amount is included in total gross annual income. Under penalty of perjury, I/we certify that the information presented in this certification is true and accurate to the best of my/our knowledge. The undersigned further understand(s) that providing false representations herein constitutes an act of fraud. False, misleading or incomplete information may result in the termination of a lease agreement. ApplicanUT enant Date ApplicanUT enant Date 03110
MARKET RATE DEVELOPMENTS To All Prospective Tenants: As provided by the Government Data Coffection and Dissemination Practices Act, anyone who is requested to provide personal information about him/herself must be informed whether he is legally required to provide such information, or whether he may refuse to supply the information requested. As an applicant for housing financed by the Virginia Housing Development Authority, you are requested to provide certain information that will enable HOME, INC. to complete a "Tenant Income Certification". The information requested will be used to determine an adjusted annual income which you and your family receive from all income sources. This is necessary because the Rules and Regulations adopted pursuant to the Authority conferred on the Virginia Housing Development Authority limit eligibility for initial occupancy to families whose adjusted income does not exceed certain established limits. In addition, it is necessary to know the composition of your family (number of dependents) so that the proper size of dwelling unit may be authorized for you and your family. Although you are not legally required to provide the information requested, your failure to do so will result in our inability to determine your eligibility for housing in this development. The completed "Tenant Income Certification" is electronically transmitted by this management agent/owner to the Virginia Housing Development Authority, 601 South Belvidere Street, Richmond, VA 23220. It is possible that information provided by you will be revealed to others for the purpose of confirmation or for other purposes in accordance with the Virginia Freedom of Information Act, but any information so supplied is subject to the safeguards of the Government Practices Act. Data Collection and Dissemination Sincerely, Management or Agent Date: VHDA Form No. MD:202 (01/07) MD:202.DOC