Residency Pre-Application

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Property:
Management Agent:
Trek Development Group
th
900 Penn Ave
130 7
Street
900 Penn Ave
Pittsburgh, PA 15222
Pittsburgh, PA 15222
412.688.7200 Phone Number
800.654.5984 TT Number
412.688.0588 Fax Number
RESIDENCY PRE-APPLICATION
For LIHTC/HOME/Rural Development/Section 8 Properties
Date Received
Time Received
AM/PM
Applicant #:
***Management Use Only***
You must provide all information requested on this pre-application. You will be contacted at a later time
for a complete eligibility interview.
All information you provide will be handled confidentially.
Incomplete applications will not be accepted. The Resident Selection Plan and Screening Criteria which
provides specific detail regarding application processing as well as additional guidance regarding waiting
list preferences, if any, is posted in the rental office. Copies are available upon request.
What size of apartment do you wish to apply for?
APPLICANT FULL LEGAL NAME (Last, First, Middle Initial)
PREVIOUS NAMES, ALIASES OR NICKNAMES USED
SOCIAL SECURITY NUMBER
BIRTHDATE
DRIVERS LICENSE #
FULL TIME STUDENT?
___Yes
___No
E-MAIL
PHONE NUMBER
REQUESTED MOVE-IN DATE
CURRENT ADDRESS
CITY
STATE
ZIP
CURRENT LANDLORD NAME
CURRENT LANDLORD PHONE #
CURRENTLY
RENT
OWN
DATES OF RESIDENCE?
CURRENT MONTLY RENT AMOUNT?
REASON FOR MOVING
LIST ALL PERSONS WHO WISH TO RESIDE IN YOUR UNIT:
PLEASE PRINT FULL LEGAL NAME (Last, First, Middle Initial)
SPOUSE OR CO-HEAD (Last, First, Middle Initial)
SOCIAL SECURITY #
BIRTHDATE
FULL TIME STUDENT?
___Yes
___No
NAME (Last, First, Middle Initial)
SOCIAL SECURITY #
BIRTHDATE
FULL TIME STUDENT?
___Yes
___No
NAME (Last, First, Middle Initial)
SOCIAL SECURITY #
BIRTHDATE
FULL TIME STUDENT?
___Yes
___No
NAME (Last, First, Middle Initial)
SOCIAL SECURITY #
BIRTHDATE
FULL TIME STUDENT?
___Yes
___No
NAME (Last, First, Middle Initial)
SOCIAL SECURITY #
BIRTHDATE
FULL TIME STUDENT?
___Yes
___No
NAME (Last, First, Middle Initial)
SOCIAL SECURITY #
BIRTHDATE
FULL TIME STUDENT?
___Yes
___No
PLEASE LIST ANY SPECIAL HOUSING ACCOMMODATIONS THAT THE HOUSEHOLD WILL REQUIRE (e.g. unit for mobility
impaired, visually impaired, live-in attendant, grab bars, wheel-in showers, no steps, etc.):

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