Hillside Village Apartments

TTY (800) 659-2656 Hillside Village Apartments 627 Tamarack Dr. PO Box 774542 Steamboat Springs, CO 80477 Phone 970-879-1862 Fax 970-879-7851 E-mail: [email protected]

Hillside Village Apartments is a “based on income” community. It is made up of 36 two-bedroom apartments and 19 one-bedroom apartments. There are minimum rents that a household must be able to pay in order to reside at Hillside Village Apartments. However, rent may increase above the minimum if the household monthly income allows.

Hillside Village Apartments requires that each household have verifiable income sufficient to pay the basic rent and that the head of household is a legal adult. Colorado law states that an adult is a person 18 years or older or a person that has been legally emancipated through the court. Hillside Village Apartments gladly accepts applications from everyone. However, to become a resident, the Head of Household must be of legal adult status under Colorado law. If you are not 18 years old but have been emancipated through the court, please provide a copy of the court document when submitting the application.

Once the attached application has been completed, return it to the on-site office to be processed. A completed application is one in which ALL information pertinent to the applicant has been provided. Mailing addresses of income sources, financial institutes and landlords is necessary to process the application. Each adult family/household member MUST complete their own application showing their name on Line 1 and all other occupants below. If any information is not provided, the application will be returned to the applicant.

You will be notified in writing when your completed application has been accepted. Management then verifies income, social security number, asset values, and landlord references and obtains a credit report and criminal background check for each adult family/household member that will reside in the apartment as a signed Tenant.

If, at any time, a negative verification or reference is received we may remove your application from the Waiting List. You will be notified in writing if this action is taken.

When an apartment becomes available and your application is eligible, you will be notified in writing that we have an apartment available. As we make all contact in writing, be sure to include a valid mailing address. If any information provided on the application changes, please notify us so that we may update your application.

Please attach a $25.00 check or money order (per adult) to the completed application for the credit report fee. If $25.00 is not included with the application, we will be unable to obtain the necessary credit report and the application will be found ineligible.

We hope this introduction letter helps you better understand our application process and complex requirements. Take a moment to check over your application before you return it to the on-site office. Be sure that ALL information requested has been provided, you have attached the $25.00 check or money order and you have provided mailing addresses of income sources, financial institutes and landlords. Don’t forget to provide the three (3) personal references in writing as required on the application. Also please include copies of your drivers license and social security card

Thank You,

Kate Totos

1 Hillside Village Apartments

TTY (800) 659-2656 Time: ______Date: ______Adjusted income level: ______Boxed area for complex use Status: ______VL ______Low ______Mod Apt. Size: ______Credit approved: ______Name: ______

OCCUPANTS: Each Adult Family/Household must complete their own application: Use Line 1 for head of household

Name (First, Middle, Last) Social Security # Birth date Sex Driver’s License/state

1. ______-_____-______2. ______-_____-______3. ______-_____-______4. ______-_____-______5. ______-_____-______6 E-MAIL______Apartment Size/Type Requested: ______1Bedroom ______2 Bedroom Does your household include a pet? ______YES ______NO Note: As of September 2001 we do not allow pets other than Service Pets for the disabled or elderly.

Vehicles: ALL vehicles parked on premises MUST have current registration

1. Make ______Model/Year ______Color ______License Plate # ______2. Make ______Model/Year ______Color ______License Plate # ______

Landlord/Mortgage Company References: (Five year history starting with current information)

1. Your current PHYSICAL Address: ______(Apt.#) ______(City)______(State)______(Zip)______Current MAILING Address:______(City)______(State)______(Zip)______Your Home Telephone #: (______) ______Your Work Telephone #: (______)______

2. Your current LANDLORD/MORTGAGE Company Name: ______Mailing Address:______(City)______,(State)______(Zip)______Their Telephone: (______)______Monthly Mortgage or rent payment: $______Move-in date:______Reason for Leaving:______Do you have to give moving notice to landlord? ____YES ____NO. If YES, how many days notice is required?______Are you being or have you ever been evicted? ______YES ______NO. If YES, explain:______Are you being displaced? ____YES ____NO. Reason:______Are you living in a Government subsidized complex? _____YES _____NO Do you have a Section 8 Certificate? ____YES ____NO Has any member of this household’s rental assistance or tenancy in a subsidized housing program ever been terminated for

TTY (800) 659-2656 fraud, non-payment of rent, or failure to cooperate with the re-certification procedures? ______YES _____NO. If yes, explain the circumstances: ______Residency History: If you have not lived in your current residence for at least 5 years, please continue 1. Previous Physical Address: ______(City)______(State)______county______(Zip)______I lived here from___/___/___ until ___/___/___ Landlord/Mortgage Company Name: ______Landlord/Mortgage Mailing Address: ______(City)______(State)______(Zip)______Their Phone: (______)______Reason for leaving: ______

2. Previous Physical Address: ______(City)______(State)______county______(Zip)______I lived here from___/___/___ until ___/___/___ Landlord/Mortgage Company Name: ______Landlord/Mortgage Mailing Address: ______(City)______(State)______(Zip)______Their Phone: (______)______Reason for leaving: ______

1. Manager’s Verification: Mailed: ____/____/____ Returned: ____/____/____

TTY (800) 659-2656 Personal References: (People who have known me for at least 3 years. Cannot be relatives or supervisors)

Name Telephone Number 1. ______(_____)______

2. ______(_____)______

3. ______(_____)______

Applicant, please provide written references from the individuals indicated as Personal References above Income: Please provide the following information for ALL family/household members for anticipated income for the NEXT 12 months. If you have two or more income sources or seasonal employment, list ALL of these below.

Amount R’cd by which member Name and Mailing Address of Employer

A. Employment Income ______B. Employment Income ______C. Self-Employment ______D. Child Support ______E. Alimony ______F. Monetary Gifts ______G. Pension/Retirement ______H. Social Security ______I. SSI (Supplemental) ______J. Unemployment ______K. Veterans Benefits ______L. Welfare ______M. A.F.D.C ______N. Workers Compensation ______O. Other Income ______P. Misc. Income ______

Manager’s Verification Mailed: ______/______/______returned ______/______/______

Assets: Examples of lump sum payments include inheritances, lottery winnings, insurance settlements, or any additional payments from Social Security, welfare, or disability. Has anyone in your household received any lump sum payments? ______YES ______NO. Do you or anyone in your household expect to receive any lump sum payments? ______YES ______NO.

When are (were) these payments received? ______In what amount $______Source? ______Address: ______

TTY (800) 659-2656 In the last two years have you or any member of your household sold, given away, or otherwise disposed of any assets (such as Real Estate, gems, jewelry, coins, art, or other valuables held for investment purposes) for less than their “fair market value”? ______YES ______NO. Type of asset ______Amount received $______Who acquired this asset?______Address: ______Was this due to a divorce, separation or bankruptcy? ______YES ______NO. Explain:______

Have you or anyone in your household been convicted of a crime and or felony? YES______NO______

Comments or Explanations on any of the provided information: ______

Inventory Of Assets: List all of the assets owned by members of this family/household. Complete all of the blanks for any lines answered with YES. Check for Yes Name on Account Account # Bank name and address A. Checking ______B. Savings ______C. Money Market Acct ______D. Certificate of Dep ______E. Trust Account ______F. Stocks or Bonds ______G. IRA/Keogh/Life Ins ______H. 401 K ______I. Retirement Acct ______J. Real Estate ______K. Other ______

Manager’s verification Mailed: ______/______/______Received: ______/______/______

Income Deductions: The following questions must be answered. The information you provide will be used to assist us in determining the type and amount of deduction you may receive.

Does your family/household include any fulltime students over age 18 year old? ______YES ______NO

Childcare: Complete this section ONLY if your household has children 12 years old or younger or a handicap/disabled child living with you. Does your household anticipate childcare or attendant care expenses so a family/household member may attend school or work? _____YES ____NO. If YES, how much do you pay? $______per month. Provider’s Name: ______Mailing Address: ______City:______State: ______Zip: ______

TTY (800) 659-2656 Handicapped or disabled: Complete ONLY if the Tenant or Co-tenant or his/her spouse is handicap or disabled. Do you request the $400.00 household Handicapped or Disabled Tenant/Co-Tenant deduction? _____YES _____NO. Does this person receive attendant care so family/household members may attend school or work? ______YES ______NO. If YES, please provide the following information: Attendant’s Name: ______Mailing Address: ______City: ______State:______Zip: ______Does any family/household member anticipate any medical expense for the NEXT 12 months that are not paid for by insurance? ______YES ______NO. If YES, explain items: ______

Elderly and Disabled Households: Complete this section ONLY if the tenant or Co-tenant is 62 years or older Does any member of your family/household anticipate having any medical expenses within the next 12 months that are not paid by Insurance? ______YES ______NO. If YES, explain items: ______Primary Insurance Premium: $______Paid to whom: ______Secondary Insurance Premium : $______Paid to whom: ______Dental, Eye Care Insurance Premium: $______Paid to whom: ______This section to be completed by applicants currently living in HUD program housing What is your current HUD housing situation? Have you been INVOLUNTARILY DISPLACED by: _____Natural disaster _____Government Action ______Other action beyond your control. Please describe:______Are you living in SUBSTANDARD HOUSING? Describe the substandard conditions:______Are you paying more than 50% of your GROSS INCOME for rent? ____Yes ____No What are you currently paying for rent? $______Does this include utilities? ____Yes ____No If no who do you pay and how much do you pay for: Gas: $______Paid to:______Electric: $______Paid to:______Water: $______Paid to:______Sewer: $______Paid to:______Trash: $______Paid to:______

TTY (800) 659-2656 TO BE COMPLETED BY ALL APPLICANTS:

I/We certify that the housing I/We will occupy at Hillside Village Apartments will be my/our permanent residence and I/We will not maintain a separate residence or rental unit in a different location. I/We also certify that the information given is accurate and complete. I/We understand that any misrepresentation will disqualify the applicant and this application. I/We authorize the owner to obtain a credit report(s), verify or check any of the information given, including credit references, background checks (including police records and court records), employment, income, and any previous landlords or their representatives. By signing this form, I/We certify the information to be true and correct. I/We also understand that it is our responsibility to keep the management notified of any changes in our application: including but not limited to, any changes in household size or composition, income, assets, and current address.

Tenant Consent The undersigned applicant and co-signer(s) hereby consent to allow Hillside Village Apartments itself, or through its designated agents or employees, to obtain a consumer report on each of us and to obtain and verify each of our credit and employment information for the purpose of determining whether to lease an apartment or house to me/us. We also agree and understand that the owner and its agents and employees may obtain additional consumer reports on each of us in the future to update or review our account. Upon my/our request, owner will tell me/us whether consumer reports were requested and the names and addresses of any consumer-reporting agency that provided such reports.

This application cannot be processed without Signature(s).

Date: ______Applicant’s Signature: ______

Household Composition: “The information regarding race, national origin, and sex designation solicited on this application is requested in order to assure the Federal Government, acting through the Farmers Home Administration USDA RD, that the Federal laws prohibiting discrimination against tenant applicants on the basis of race, color, national origin, religion, sex, familial status, age and handicap are complied with. This information will not be used in evaluating your application or to discriminate against you in any way. However if you choose not to furnish it, the owner is required to note the race/national origin and sex of individual applicants on the basis of visual observation or surname. “

Marital Status of head of household: ______Married ______Separated ______Unmarried ( including single, divorced and widowed) Race (mark one or more) American Indian/Alaska Native____Asian____Black or African American____ Native Hawaiian or Pacific Islander____White____ Gender male ____female____ Ethnicity : Hispanic or Latino____not Hispanic or Latino____

Where did you hear about Hillside Village Apartments? ___ Phone book ___ Friend ___Web site ______Other

Tenant Selection/ Occupancy Policy

All prospective tenants at Hillside Village Apartments are required to fill out the application form completely and accurately to be considered for occupancy. If any of the information provided by the applicant is found to be false, the applicant may be rejected. Management also reserves the right to reject the applicant solely on the basis of any unfavorable responses from the references provided or reported on the basis of a standard credit report. A credit report may be requested on each applicant household, including all adult members who will be residing in the household who will be either the tenant or co-tenant.

All applicants must demonstrate that they have sufficient means to pay their portion of the rent, utilities and living expenses, which may include assets or other resources in addition to documented income. Applicants who are unable to demonstrate this ability will

TTY (800) 659-2656 be rejected. All sources of income will be identified and verified as required by regulations administered by Rural Development USDA.

Applicants determined eligible for occupancy will be selected on a first-come-first-served basis in the chronological order for each unit size identified on the master waiting list. This determination will also consider the households according to the unit size requested and the occupancy standards approved for the project by the Rural Development. Priority will be given first to very low income applicants, then low income applicants, then moderate income applicants, and finally to those not eligible for occupancy under the definition of eligible tenant as prescribed by Rural Development in their Management Handbook provided they meet the income ability determination stated in the following paragraph. (Note: Households selected for occupancy but subsequently failing to meet their rental obligations will have their tenancy terminated as provided in the annual lease each is required to execute as a condition of occupancy.)

All eligible applicants of very low or low income shall have equal opportunity to be selected for admission provided they have sufficient income and they have otherwise met the eligibility considerations established by the Rural Development Management Handbook as interpreted by project management. Should Rental Assistance be made available for new tenants at some time in the future, very low-income applicants eligible shall have priority over all other applicants on the master waiting list. Low-income applicants eligible will be selected when no very low-income applicants remain on the waiting list. No moderate-income applicants will be selected if the number of unassigned RA units equals or exceeds the number of vacant units. Income or occupancy ineligible tenants will only be permitted to occupy the property with the appropriate RD authorization.

When an applicant cannot accept a unit at the time it becomes available and the applicant has been contacted in the order of their priority on the waiting list, the reason for not accepting the unit will be recorded if they cannot take the unit within a reasonable period of time as determined by management (usually 30 calendar days). The applicant’s name will then be removed from the master waiting list. Management, however, may determine that a hardship exits for reasons such as health problems or rent overburden, and allow the applicant’s name to remain on the waiting list in the original chronological order. Any applicant whose name has been removed from the waiting list may re-apply in the same manner as any other potential tenant.

When the waiting list of income and occupancy eligible tenants has been exhausted for a particular size of unit, another applicant may be selected from the waiting list for another size/type of unit according to the date and time of his/her application. Any applicant so selected will be subject to the provisions applicable for an ineligible tenant as specified in the RD Multiple Housing Management Handbook.

The Manager will update waiting lists at least semi-annually. This update shall be accomplished by making telephone or written contact or attempts at the last known telephone number or address as provided by the applicant. Management is not responsible for verifying telephone numbers or addresses for the applicants. It is the applicant’s sole responsibility to keep project management advised of their whereabouts if they desire to remain on the waiting list. As appropriate, the Manager will update the basic information previously provided by the applicant. If the applicant is no longer eligible or no longer interested in renting a unit, his/her name will be removed from the waiting list.

All applicants for occupancy acknowledge that rules and regulations issued by Rural Development may change prior to selection and that actual admission will be based on the then current information. They further acknowledge their receipt of this policy statement as part of the application package by dating and initialing this statement, which will become part of their application file.

Applicant’s Initials______Date: ______