Relationship to Daytime Phone Alternate Daytime Head Of
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Aoolicant Questionnaire page! of 3
Applicant Questionnaire
UNITED
APARTMENT
CROUP, INC.
Name (First, Last)
Relationship to Head Of Household
Daytime Phone Number
Alternate Daytime Phone Number
Please answer either question that pertains to your household at time of move-in or recertification. You will be required to provide verifications ofall items answered "YES" in order to complete your application.
1. Is any ADULT member of your household claiming zero income?............ If yes, who?
[ ] Yes [ ] No (Complete a Zero Income Certification TC# 107.)
2. Is any ADULT member ofyour household currently a full-time student, or planning to be one within the next 12 months? ................................. [ ] Yes [ ] No (ifyes, complete TC# 128 & TC# 129, ifno, complete TC#ll9) If yes, who? Name of school: _________ Does the student meet the following criteria? (if yes, complete TC# 127) A. Married and currently filing a joint tax return? .............................. B. Receiving TANF (Temporary Assistance for Needy Families)?.......... C. Enrolled in JTPA (Job Training Partnership Act) or another similar local, county or state program? .............................. D. A single parent with children and neither you nor the children are listed as dependents on anyone else's tax return?......................................
[ ] Yes [ ] No [ ] Yes [ ] No [ ] Yes [ ] No [ ] Yes [ ] No
E. Will someone else who is not a full-time student be living in the household?[ ] Yes [ ] No If yes, who? (if yes, complete TC#ll9) [ ] Yes [ ] No 3. Has any member ofyour household ever owned a home?......................... [ ] Yes [ ] No Do they currently own it?...... If yes, who? (If yes, applicant must provide the most recent mortgage statement and a statement from the county Tax appraiser (can be found online@ no cost). If they currently own the home: A. What is the current market value? $____ ___ B. What is the 1" mortgage payoff? $________ C. What is the 2nd mortgage payoff? $_______ /Mo. (ifyes, complete TC# 122) D. Is it being rented out? [ ] Yes [ ] No $ If they no longer own the home: A. What happened? _______________ TC# 103 03/04
Applicant Questionnaire page3 of 3
Explain:
���������-
Date Completed:
TC# 103 03/04
Aoolicant Questionnaire page! of 3
Applicant Questionnaire
UNITED
APARTMENT
CROUP, INC.
Name (First, Last)
Relationship to Head Of Household
Daytime Phone Number
Alternate Daytime Phone Number
Please answer either question that pertains to your household at time of move-in or recertification. You will be required to provide verifications ofall items answered "YES" in order to complete your application.
1. Is any ADULT member of your household claiming zero income?............ If yes, who?
[ ] Yes [ ] No (Complete a Zero Income Certification TC# 107.)
2. Is any ADULT member ofyour household currently a full-time student, or planning to be one within the next 12 months? ................................. [ ] Yes [ ] No (ifyes, complete TC# 128 & TC# 129, ifno, complete TC#ll9) If yes, who? Name of school: _________ Does the student meet the following criteria? (if yes, complete TC# 127) A. Married and currently filing a joint tax return? .............................. B. Receiving TANF (Temporary Assistance for Needy Families)?.......... C. Enrolled in JTPA (Job Training Partnership Act) or another similar local, county or state program? .............................. D. A single parent with children and neither you nor the children are listed as dependents on anyone else's tax return?......................................
[ ] Yes [ ] No [ ] Yes [ ] No [ ] Yes [ ] No [ ] Yes [ ] No
E. Will someone else who is not a full-time student be living in the household?[ ] Yes [ ] No If yes, who? (if yes, complete TC#ll9) [ ] Yes [ ] No 3. Has any member ofyour household ever owned a home?......................... [ ] Yes [ ] No Do they currently own it?...... If yes, who? (If yes, applicant must provide the most recent mortgage statement and a statement from the county Tax appraiser (can be found online@ no cost). If they currently own the home: A. What is the current market value? $____ ___ B. What is the 1" mortgage payoff? $________ C. What is the 2nd mortgage payoff? $_______ /Mo. (ifyes, complete TC# 122) D. Is it being rented out? [ ] Yes [ ] No $ If they no longer own the home: A. What happened? _______________ TC# 103 03/04
Applicant Questionnaire page3 of 3
Explain:
���������-
Date Completed:
TC# 103 03/04
