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