Affordable Housing Waitlist (Page 3 of 3) in pdf

Affordable Housing Waitlist Page 3

Additional information may be requested at a later date. Your signature below gives consent to Management to

verify the information in this application. Please be advised that it is your responsibility to report any changes in

address, phone number or priority status to the rental office. Failure to maintain current information at the rental

office may jeopardize your waiting list status.

I/We hereby certify that the information contained herein is true and correct:

I/We hereby acknowledge that rents for affordable housing change on an annual basis based on changes in Area

Median Income and Utility Allowances and that the current affordable rents are subject to change while I/We are

on the waiting list. If we are given the opportunity to lease an affordable unit, prior to completing a lease

application we will be notified of the rents that will be in place for our lease term.

Signed under the pains and penalties of perjury:

_________________________________________

_______________________

Signature of Applicant

Date

_________________________________________

_______________________

Signature of Co-Applicant

Date

If you have a disability you have the right to request a reasonable accommodation in connection with your

application for housing. All information is voluntary and will be treated as confidential.

Please remember to maintain all records of income, assets and taxes!!!

Every household must maintain records of all income, assets, and changes in employment as all this

documentation will be required if you are given the opportunity to move forward in this program. So please be

sure to keep a record of all your pay, all your tax documentation and all your bank/asset statements to ensure an

easy and fast eligibility review.

Email application to

or mail to:

The Royal Belmont

c/o Affordable Housing Agent

375 Acorn Park Drive

Belmont, MA 02472

Affordable Housing Waitlist Page 3