Hanover Woods Housing Application
All items must be completed in order to determine your eligibility. Please upload copies of your driver’s license. Incomplete applications will be returned. If an item does not apply to you, please mark “N/A” on that line. Every applicant will be required to go through a formal process before eligibility is determined.
Application is for Wait List purposes only, unless otherwise specified.
General Information
Application Date
*
-
Month
-
Day
Year
Date
Please select one
*
Please Select
Mr.
Mrs.
Ms.
Miss
Name
*
First Name
Last Name
State ID# or Drivers License#
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Daytime Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Type and Size of Unit Wanted
*
Desired Move In Date
*
-
Month
-
Day
Year
Date
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Household Composition
List all persons, including yourself, who will be living in the apartment.
*
Name
Relationship
Birth Date
Social Security Number
Driver's License # (include if over 18)
Person 1 - Head
Person 2
Person 3
Person 4
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Income
All sources of regularly received monies must be listed regardless of recipient’s age.
*
Family Member Name
Sources of Income
Employer Name (If Applicable)
Amount
Wages – Gross Monthly Amount
Social Security/Pension – Gross Monthly Amount
AFDC – Gross Monthly Amount
Child Support/Alimony - Monthly Amount
Interest Income - Gross Monthly Amount (i.e., interest earned from bank accounts, CD’s, stocks, bonds, etc.)
Other Monthly Income
Wages – Gross Monthly Amount
Social Security/Pension – Gross Monthly Amount
AFDC – Gross Monthly Amount
Child Support/Alimony - Monthly Amount
Interest Income - Gross Monthly Amount (i.e., interest earned from bank accounts, CD’s, stocks, bonds, etc.)
Other Monthly Income
Wages – Gross Monthly Amount
Social Security/Pension – Gross Monthly Amount
AFDC – Gross Monthly Amount
Child Support/Alimony - Monthly Amount
Interest Income - Gross Monthly Amount (i.e., interest earned from bank accounts, CD’s, stocks, bonds, etc.)
Other Monthly Income
Wages – Gross Monthly Amount
Social Security/Pension – Gross Monthly Amount
AFDC – Gross Monthly Amount
Child Support/Alimony - Monthly Amount
Interest Income - Gross Monthly Amount (i.e., interest earned from bank accounts, CD’s, stocks, bonds, etc.)
Other Monthly Income
Wages – Gross Monthly Amount
Social Security/Pension – Gross Monthly Amount
AFDC – Gross Monthly Amount
Child Support/Alimony - Monthly Amount
Interest Income - Gross Monthly Amount (i.e., interest earned from bank accounts, CD’s, stocks, bonds, etc.)
Other Monthly Income
Wages – Gross Monthly Amount
Social Security/Pension – Gross Monthly Amount
AFDC – Gross Monthly Amount
Child Support/Alimony - Monthly Amount
Interest Income - Gross Monthly Amount (i.e., interest earned from bank accounts, CD’s, stocks, bonds, etc.)
Other Monthly Income
Wages – Gross Monthly Amount
Social Security/Pension – Gross Monthly Amount
AFDC – Gross Monthly Amount
Child Support/Alimony - Monthly Amount
Interest Income - Gross Monthly Amount (i.e., interest earned from bank accounts, CD’s, stocks, bonds, etc.)
Other Monthly Income
Wages – Gross Monthly Amount
Social Security/Pension – Gross Monthly Amount
AFDC – Gross Monthly Amount
Child Support/Alimony - Monthly Amount
Interest Income - Gross Monthly Amount (i.e., interest earned from bank accounts, CD’s, stocks, bonds, etc.)
Other Monthly Income
Wages – Gross Monthly Amount
Social Security/Pension – Gross Monthly Amount
AFDC – Gross Monthly Amount
Child Support/Alimony - Monthly Amount
Interest Income - Gross Monthly Amount (i.e., interest earned from bank accounts, CD’s, stocks, bonds, etc.)
Other Monthly Income
Wages – Gross Monthly Amount
Social Security/Pension – Gross Monthly Amount
AFDC – Gross Monthly Amount
Child Support/Alimony - Monthly Amount
Interest Income - Gross Monthly Amount (i.e., interest earned from bank accounts, CD’s, stocks, bonds, etc.)
Other Monthly Income
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References
Current Landlord (for all adult members of the household)
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Rental Began
*
-
Month
-
Day
Year
Date
Current Rent
*
per
*
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Previous Landlords
(for all adult members of the household)
Type a question
*
Name of Landlord
Address
Phone Number
Apartment Address
Period Rented
Landlord 1
Landlord 2
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Professional References
(example: teachers, principals, past/present employers, clergy, physicians, etc.) Please do not list relatives or friends. (list two (2) references for all adult members of the household).
*
Name of Professional Reference
Address
Phone Number
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
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Other Information
Have you or any member of your household been arrested or convicted of a criminal offense?
*
Yes
No
If yes please list/explain
Have you ever been evicted or served with a Notice to Quit?
*
Yes
No
If yes, describe reason
List any vehicles that you own
Yr./Make
License Plate
Vehicle 1
Vehicle 2
Vehicle 3
Vehicle 4
Do you own a pet?
*
Yes
No
If yes, describe
Will you be receiving Section 8 Rental Assistance at the time of move in?
*
Yes
No
If yes, list Housing Authority
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Signatures
Head of Household
*
Clear
Date
*
-
Month
-
Day
Year
Date
Spouse/Co-Tenant
Clear
Date
-
Month
-
Day
Year
Date
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Authorization
I/we do hereby authorize Harbor/Hillside Investments and its staff to contact any agencies, offices, credit bureaus, landlords, or professional references for the purpose of verifying the information I/we have provided on the application. The information provided will be used solely for the determination of my/our eligibility and admission to the housing I/we are applying for and the information that is supplied will be kept confidential.
Applicant Signature
*
Clear
Date
*
-
Month
-
Day
Year
Date
Co-Applicant Signature
Clear
Date
-
Month
-
Day
Year
Date
Co-Applicant, Cosigner Signature
Clear
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Emergency Contacts
Who should we contact in the event of an emergency during your occupancy?
*
Name
Relationship
Phone #s
Person 1
Person 2
Person 3
Submit
Should be Empty: