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HomeMy Public PortalAboutCCC Ready Renter ApplicationEqual Housing Opportunity Page 1 of 10 Regional Ready Renter Application The Cape Cod Commission is currently accepting applications for its Regional Ready Renter List. This list currently covers the Towns of BARNSTABLE, CHATHAM, DENNIS, HARWICH and YARMOUTH (more towns may be added later). It is a list used when there are available rentals in smaller rental developments, accessory apartments, “shop top housing” (rentals on top of retail stores) and other scattered availabilities. Getting on this list does not guarantee you housing, but it does mean that when there is availability, you may be called. IF you are called, you will then have an opportunity to view the home and decide if you want to rent it. Rental Rates and Income Qualification will vary depending on projects; all rents will be affordable; some maximum eligible incomes listed below, different projects may be targeted to difference income levels: 2010 Barnstable MSA Income Limits; see www.huduser.org Household size 1 person 2 persons 3 persons 4 persons 5 persons 6 persons 7 persons 8 persons 30% Income Limits $16,450 $18,880 $21,150 $23,450 $25,350 $27,250 $29,100 $31,000 50% Income Limits $27,400 $31,300 $35,200 $39,100 $42,250 $45,400 $48,500 $51,650 60% Income Limits $32,880 $37,560 $42,240 $46,920 $50,700 $54,480 $58,200 $61,980 80% Income Limits $43,800 $50,050 $56,300 $62,550 $67,600 $72,600 $77,600 $82,600 Applications Due Friday April 15, 2011 by 4 pm (must be received by, not just postmarked by, can be mailed or dropped off) For information or questions, call Leedara at 508-430-4499 x3 or e-mail lzola@baileyboyd.com Please Return Applications to: Ready Renter, Cape Cod Commission, 3225 Main St, Box 226, Barnstable, MA 02630-0226 Discrimination on the basis of race, creed, color, sex, age, disability, marital status, familial status, veterans status, sexual orientation, national origin and/or public assistance recipiencey, or any other basis prohibited by law is specifically prohibited in the selection of applicants for this housing opportunity. Disabled persons are entitled to request a reasonable accommodation of rules, policies, practices, or services, or to request a reasonable modification of the housing, when such accommodations or modifications are necessary to afford the disabled person equal opportunity to apply for, use and enjoy the housing. Equal Housing Opportunity Page 2 of 10 Ready Renter Application Checklist Before submitting this application, please make sure you have filled out all pages and attached the requested documentation. IN ADDITION to completing and signing this application packet, you will need to attach the following documentation. PLEASE make photocopies – do not attach originals!  Complete and Signed Application (this packet)  2009 Federal Income Taxes and 2010 if available (for all household members 18 yrs or older)  Most recent 3 Months of Paystubs (for all household members 18 yrs or older)  Most recent 3 Months of Bank Accounts/Asset Accounts - checking, savings, investment accounts, retirement accounts, etc - (for all household members 18 yrs or older)  YES! I have made a copy of this entire application for my records, and have kept originals of all the supporting documentation Depending on the circumstances of your household, there may be additional document requirements. There may also be additional requirements for specific rental projects based on funding source and/or regulatory agreements that may prohibit a particular household from being offered a particular unit. All information provided in this application will be kept confidential unless you authorize its release. Equal Housing Opportunity Page 3 of 10 Ready Renter List Process Your application will be reviewed for entry into the lottery. You will receive notification of the results of the review, as well as information on the date and time of the lottery, although you do not need to be present at the lottery. If your application is eligible, you will be entered into the lottery and ranked on a list based on lottery drawing results. If your application is reviewed and determined ineligible, you will be given notice and an opportunity to appeal the determination. If your application is received after the lottery date and is eligible, you will be placed, in order received and complete, on the waiting list after the names selected in the lottery. When a rental becomes available, the Local Project Administrator for the specific project with the vacancy will request names from the Ready Renter List. Different projects may have different eligibility requirements and preferences (for instance, different household sizes, different eligible income levels, disability preference, etc). If your name is the next appropriate name on the list, your application will be given to the Local Project Administrator. NOTE: this means that a name “lower” on the list may be offered a unit/selected earlier if the application meets certain requirements/preferences (for example, if an accessible unit becomes available, it would be offered to the first applicant with an appropriate disability preference, not the first applicant on the list). The Project Administrator will contact you and there may be additional steps to the application process. After learning more about the opportunity and/or viewing the unit, you may decline the opportunity. In this case, your name remains in its top place on the Ready Renter List and you would then be called for the next available/appropriate rental. New Units/Larger Developments: The process is slightly different for new affordable units in developments with 3-5 affordable units. For these rental opportunities, a project specific lottery will be conducted at the time of unit availability. So, regardless of your ranking on the initial list, for a new unit in one of these developments, your name will be entered into a new, separate lottery and ranked based on this lottery. You do not need to do anything “extra” to be in these project specific lotteries. Being on the Regional Ready Renter List automatically enters you. You will be notified, as described above, if you are selected for one of the rental opportunities. Your name will stay on this list for up to a year. If you are still on the list and haven’t successfully been placed in affordable housing when the list is due to be refreshed, you will receive a letter asking you if you would like to remain on the list and requesting that you update your information. If you successfully update your information, your name will remain in it its place on the list. If you do not respond, your name will be taken off the list. For more details on process and procedure, please see the Affirmative Fair Housing Marketing Plan, or for specific program details, ask the Project Administrator for that project. Equal Housing Opportunity Page 4 of 10 Household, Income and Asset Information Applicant Name (this is you)______________________________________________________ Address:_____________________________________________________________________ City/Town:___________________________________State:_______Zip Code:____________ E-mail Address:_______________________________________________________________ Telephone:(Day):___________________________(Evening):___________________________ Employer’sName:_______________________________________ Town:_________________ Co-Applicant (this is any other adult in the household)_________________________________ Address:_____________________________________________________________________ City/Town:___________________________________State:_______Zip Code:____________ E-mail Address:_______________________________________________________________ Telephone:(Day):___________________________(Evening):___________________________ Employer’sName:_______________________________________ Town:_________________ If Household Members have more jobs than there is space to list above, please list here: Employer’sName:_______________________________________ Town:_________________ Employer’sName:_______________________________________ Town:_________________ Employer’sName:_______________________________________ Town:_________________ Employer’sName:_______________________________________ Town:_________________ How many people in your household (include everybody; all adults, all children)? _________ Equal Housing Opportunity Page 5 of 10 List all household members including yourself (anyone who will live in the house, any age): Name Age Name of School Currently Attending (if applicable) Relationship to Applicant Last 4 Digits, Social Security Number self For students 18 years old or over: documentation of enrollment will be required. For single/divorced parents: Do you receive child support?  YES  NO If YES, make sure to mark this on the following page. Additional documentation will be required. ***PLEASE NOTE: responses to the two questions below are VOLUNTARY*** Do you need a wheelchair accessible unit, an adaptable unit, or a first floor unit because of a disability?  YES  NO Do you need another type of reasonable accommodation based on a disability?  YES  NO Please Specify: _______________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Equal Housing Opportunity Page 6 of 10 ANNUAL HOUSEHOLD INCOME INFORMATION: Gross Annual income is income from all sources, including all wages and salaries (prior to deductions), overtime pay, commissions, tips, fees and bonuses, and other compensation for personal services, net business income, interest/dividend income, Social Security, Supplemental Security Income, pension payments, disability income, unemployment compensation, alimony/child support, and veterans’ benefits, for all adult household members over the age of 18, unless the member is a full-time student. Annual Income (Applicant): Gross Income for the past 12 months: $__________________ Employer Name: ______________________________________________________________ Employer Address: ____________________________________________________________ Employer Phone: _____________________ Your Job Position: _________________________ Wages BEFORE Taxes and Withholding : $_________(hourly) -or- $ _________(weekly) -or- $ _________(other – specify:_______) Additional Income from other sources (such as Social Security, Alimony, Child Support. Unemployment, Disability, Workers’ Compensation, etc): Source:__________________________________________ Income per month: $___________ Source:__________________________________________ Income per month: $___________ Annual Income (Co-Applicant): Gross Income for the past 12 months: $_______________ Employer Name: ______________________________________________________________ Employer Address: ____________________________________________________________ Employer Phone: _____________________ Job Position: _________________________ Wages BEFORE Taxes and Withholding : $_________(hourly) -or- $ _________(weekly) -or- $ _________(other – specify:_______) Additional Income from other sources (such as Social Security, Alimony, Child Support. Unemployment, Disability, Workers’ Compensation, etc): Source:__________________________________________ Income per month: $___________ Source:__________________________________________ Income per month: $___________ Note: If any other adult household members have income, or if a household member has more sources of income than there is space for above, please attach a separate sheet of paper with their income information as described above. Equal Housing Opportunity Page 7 of 10 Household Asset Information: Assets to be included include: cash, savings and checking accounts, stocks, bonds and other forms of capital investment, real estate and retirement accounts. Do not include the value of personal property such as furniture and automobiles. Name on Account: ___________________________ Bank Name and Address:________________________________________________________ Savings Account Number: ________________________________ Balance: $______________ Checking Account Number : ______________________________ Balance: $______________ Other (e.g. Certificate of Deposit) Account Number: ____________ Balance: $______________ Name on Account: ___________________________ Bank Name and Address:________________________________________________________ Savings Account Number: ________________________________ Balance: $______________ Checking Account Number : ______________________________ Balance: $______________ Other (e.g. Certificate of Deposit) Account Number: ____________ Balance: $______________ Name on Account: ___________________________ Bank Name and Address:________________________________________________________ Savings Account Number: ________________________________ Balance: $______________ Checking Account Number : ______________________________ Balance: $______________ Other (e.g. Certificate of Deposit) Account Number: ____________ Balance: $______________ Cash: __________ Stocks/Bonds - Description:___________________________________ Value: $___________ Real Estate - Description:_____________________________________ Value: $___________ Retirement Account - Description:______________________________ Value: $___________ Total Household Assets: $____________________ Note: If any other household members have assets from other sources, please attach a separate sheet of paper for each with their asset information as described above. Equal Housing Opportunity Page 8 of 10 Affirmative Marketing Please complete the following section to assist us in fulfilling affirmative marketing requirements. The following section is optional, but responses will assist us in fulfilling our requirements. Household Race:  Caucasian  African American/Black  Asian/Pacific Islander/Native Hawaiian  Native American / Alaskan Native Ethnic Classification:  Hispanic/Latino Where did you hear about this program (please check all that apply)  Flyer  Newspaper Ad  Radio  Internet (webpage/e-mail)  Word-of-Mouth  Other ______________________________ Equal Housing Opportunity Page 9 of 10 General Authorization for Release of Information Name: ______________________________________________________________________ Address ____________________________________________________________________ Address ____________________________________________________________________ Social Security Number: ________________________________________________________ Date of Birth: _________________________________________________________________ Name: ______________________________________________________________________ Address ____________________________________________________________________ Address ____________________________________________________________________ Social Security Number: ________________________________________________________ Date of Birth: _________________________________________________________________ I/we, the above named individual(s), authorize the Cape Cod Commission or its Designee to verify the accuracy of the information which I/we have provided or to secure information from the following sources: Employer Banks and Credit Bureaus Social Security Retirement & Pensions Systems Department of Public Welfare Department of Employment Security Veteran’s Administration Payor of Child Support Trust Administrators Other: _________________________________________________________________ I/we hereby give permission to release this information to the Cape Cod Commission or its Designee subject to the condition that it be kept confidential. I/we would appreciate your prompt attention in supplying the information requested on the attached page within five (5) days of receipt of this request. I/we understand that a photocopy of this authorization is as valid as the original. This authorization is valid for a period of one year from the date noted below. Thank your for your assistance and cooperation in this matter. __________________________________________________ __________________ Applicant Signature Date __________________________________________________ __________________ Applicant Signature Date Equal Housing Opportunity Page 10 of 10 Application Certification PLEASE CHECK THE FOLLOWING ITEMS THAT APPLY TO YOU:  Yes I/We certify that the information in this application and in support of this application is true and correct to the best of my/our knowledge and belief under full penalty of perjury. I/We understand that perjury will result in disqualification from further consideration in this program.  Yes I/We understand that the use of this application is for placement on a Ready Renter List to rent an affordable unit in the Barnstable County Region, and does not guarantee an offer.  Yes I/We understand that the Local Program Administrator (the property owner or property manager of a specific unit) makes the final tenant selection determination and NOT the Ready Renter List Administrator. Your signature(s) below gives consent to the Cape Cod Commission or its Designee to verify information provided in this application. No applications will be considered complete unless signed and dated by the Applicant and Co- Applicant (if any). _____________________________________________ ________________________ Applicant Signature Date _____________________________________________ _________________________ Co- Applicant Signature Date