Bangor Waterworks - Eligibility and Rental Rates

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Bangor Waterworks - Eligibility and Rental Rates The Bangor Waterworks includes 35 spacious and attractive studio apartments that are available to single adult households. Comparable apartments would rent for well over $600 per month. Heat, hot water and electricity are included in the rents. The Low Income Housing Tax Credit Program at Bangor Waterworks enables a rent schedule that includes rent charges that are well below market rents for eligible households who meet the Program s annual income limit of $26,280. Eligibility includes verification of assets and income and student status. This rent may be adjusted annually and is currently at $480. Each applicant must also meet tenant selection criteria, demonstrating his/her ability to meet the lease obligations of paying rent, caring for the apartment, complying with house rules, not interfering with the rights of other residents or staff and complying with Housing Program reporting and certification rules. We check with prior landlords, make contacts with personal/character references, do credit and law enforcement record checks. It is important to note that Bangor Waterworks does not have housing subsidies beyond the Low Income Housing Tax Credit Program and every applicant must demonstrate s/he can pay the rent. Penquis CAP does administer a voucher program that includes 8 housing subsidies (tenants only pay 30% of income for rent) for eight residents of Bangor Waterworks. Applicants for these units must apply to Penquis CAP and ask Penquis CAP to include his/her name on the Waterworks voucher program list. As a general guideline, applicants should have either a housing subsidy or an income that is at least three times the monthly rent: $480 x 3 = $1,440/monthly income. Consideration will be given to applicants with lower monthly incomes, but as a general rule, without a housing subsidy, the minimum monthly income should be no less than two times the monthly rent: $480 x 2 = $960/monthly income. Consideration can be given for additional household resources, such as assistance programs that would aid the applicant ability to meet costs for food, medical, transportation. Applicants who have housing subsidies are encouraged to apply. Housing subsidies include Penquis CAP Section 8 Vouchers, local housing authority Vouchers such as those issued by the Bangor Housing Authority, Bridging Rental Assistance Program (BRAP) and Shelter Plus Care. Waterworks will coordinate with each agency to assure that the Contract Rent offered will work with each rental assistance program s rent limits. General assistance is not an on-going housing subsidy program.

C & C Realty Management, LLC APPLICATION FOR HOUSING 1 Waterworks Road Bangor, ME 04401 Received Date Time Telephone 207-262-1064 By: Fax 207-262-1064 TTY 711 (Above info Office Use) APPLICATION FOR HOUSING Bangor Waterworks ** Smoke Free ** Efficiency units Housing for single adults, limited set-aside for adults with disability & homeless, verification required APPLICANT FOR HOUSING: Name: Address: Home Phone: Work Phone: Cell Phone: How did you hear about our housing? Please indicate which newspaper or name of person or agency that referred you to us: C & C Realty Management does business in accordance with the Federal Fair Housing Law. We do not discriminate against any person because of race, color, religion, sex, handicap, familial status, or national origin. We do not discriminate on the basis of handicap status in admission or access to, or treatment or employment in, federally assisted programs and activities. The responsible person designated to coordinate compliance with the nondiscrimination requirements is Catherine Whitney. Qualified individuals with handicaps may request reasonable accommodations to rules, policies, and procedures of dwelling units to assure equal opportunity to receive and enjoy the benefits of our housing programs. C & C Realty Management, LLC is an Equal Opportunity Provider. Complaints of discrimination HUD (800) 669-9777(voice) or (800) 925-9275 (TTY). Do you wish to be placed on a waiting list for an apartment with specific design features, such as one with features designed for persons using wheelchairs? [ ] Yes [ ] No If yes, describe needed features: Do you require a specific accommodation in order to fully utilize the program or services of the housing development? [ ] Yes [ ] No If yes, please describe what you will need: Have you applied to Bangor Housing Authority, another local housing authority or with Penquis CAP? [ ] Yes [ ] No If yes, which agency has your application? Do you have a voucher or other approved rental assistance? [ ] Yes [ ] No If yes we need to know Which program? [] Section 8 [] BRAP [] RAC+ [] Shelter+ [] VASH [] General Assistance [] Other: Which agency? [] Bangor HA [] Penquis [] Comm Health & Counseling [] Vets Admin [] City of Bangor [] Do you qualify as BOTH an individual with a disability AND homeless [ ] Yes [ ] No If homeless, do you currently reside in a facility for homeless? [ ] Yes [ ] No If yes, where If homeless, will your shelter verify that you qualify as chronically homeless? [ ] Yes [ ] No NOTE: If you are homeless but are not/have not been in a shelter attach a note describing your living situation You will be asked for personal character references and for information about your prior renting history, credit and whether you have any criminal or complaint history. It is important that you answer all questions as completely and accurately as possible to meet the Tenant Selection

Criteria. We reserve the right to deny any application that is incomplete, inaccurate or does not meet the criteria. Nothing in our policies, nor the Fair Housing Act, provides that an apartment be made available to anyone whose tenancy would constitute a direct threat to the health or safety of other individuals or whose tenancy would result in substantial physical damage to the property of others or who is a current, illegal user of or addicted to a controlled substance. Please answer the following questions and provide details of any Yes response: Does anyone in the household post such a direct threat? [ ] Yes [ ] No Is anyone in the household a current, illegal user of or addicted to a controlled substance? [ ]Yes [ ]No Has anyone in the household been convicted OR are there charges now pending for the illegal manufacture or distribution of a controlled substance? [ ] Yes [ ] No Has anyone in the household been convicted OR are there charges now pending of a felony OR any criminal offense OR convicted for any criminal offense at any time in the past? [ ] Yes [ ] No Explain any Yes answer, attach additional sheets if necessary: HOUSEHOLD COMPOSITION AND CHARACTERISTICS Your Full Name Date of Birth Social Security Number US Citizen? Yes or No Head Full-Time or Part- Time Student? Yes or No How many people live in your home now? Describe any pets: Do you expect any changes in your household? [ ] Yes [ ] No If yes, describe: What do you pay for rent or mortgage now? $ / per (week, month) What utilities do you pay for now? Monthly Cost? $ Have you ever, or are you now receiving rental assistance or lived in subsidized housing? [ ] Yes[ ] No If yes, where, when and from what agency? Do you owe money to any housing agency or former landlord? [ ] Yes [ ] No If yes, describe how much and to what agency or person: Have you ever been evicted or have any eviction proceedings every commenced against you? [ ] Yes [ ] No If yes, provide details: Please list three personal character references. These should not include relatives or close friends. It is helpful to have the names of other people who know you and can recommend you for proposed tenancy. Name Address Phone Number RESIDENTIAL HISTORY: We need to know all of the addresses where you have lived, even if you did not pay rent or have a Landlord. Please be sure to provide a five year minimum timeline. Incomplete information may result in the denial of your application. Attach additional sheets if more space if needed. Current and prior addresses Name(s) Dates you Landlord/Manager Where you lived street, city, state on Lease lived there Contact Name & Phone Number

INCOME AND ASSET INFORMATION: Please provide the following information to assist us in assessing your ability to pay the rent and any tenant-paid utilities: List all money earned or received by everyone living in your household. Family member with income Gross amount of money received How often money is received week/month/year Name of employer, agency, person, company, bank who pays this income Type of income, such as wage, Soc Sec, SSI, VA, TANF, child support, etc List all assets of all household members. Family Member Name Bank or Company Name Type of Account Account Number Balance Do you own real estate? [ ] Yes [ ] No If yes, what? Where? Value? Please describe your credit history. Be sure to list any past due rent or other amounts owed to current or prior landlords as well as your experience with obtaining and paying your bills: Please provide Name of Emergency Contact: Relationship to you: Phone Number: APPLICANT CERTIFICATIONS Applications are processed by C&C Realty Management in partnership with Avesta Housing Management. This application does not obligate me/us or the property owner or C & C Realty Management or Avesta Housing Management in any way. I/we understand that any apartment offered must be my/our permanent, primary residence and I/we will not maintain a separate subsidized rental unit or other primary residence in a different location. IMPORTANT INFORMATION ABOUT FRAUD OR MISREPRESENTATION: By signing below I/we confirm that I/we understand that false statements or information are punishable under any State or Federal law or housing program that may apply to this housing. I/we also understand that false statements or information are grounds for denial of my/our application, termination of housing assistance and/or termination of tenancy.

AUTHORIZATION FOR RELEASE OF INFORMATION: By signing below I/we hereby authorize C & C Realty Management, LLC, and Avesta Housing Management to obtain any information relative to my/our application for housing and proposed tenancy, including, but not limited to inquiries of my/our assets, income, character, prior renting history, obtain a credit report; obtain information from any court or law enforcement agency about any complaint or criminal or conviction data. CERTIFICATION AS TO ACCURACY: By signing below I/we hereby certify that the above information is true, complete and accurate to the best of my/our knowledge and belief. Signature of Head of Household Date: