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Affordable Housing Programs Application

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* CHECK ALL THE MUNICIPALITIES YOU ARE INTERESTED IN (YOU MAY CHECK MORE THAN ONE)
PLEASE DO NOT SELECT "FOR SALE" PROJECTS IF YOU ARE UNABLE TO PURCHASE.
If you are not familiar with the details of these properties please visit www.triadhousingprograms.com for more information before submitting an application. The properties that are listed are the ONLY properties that we are accepting applications for.

BEACH HAVEN (For Sale)

BRIDGETON NSP (For Sale)

BRIGANTINE (For Sale) - One Bedroom Only

CINNAMINSON MTA (For Sale)

MONROE TOWNSHIP MTA (For Sale)

NEXUS GLASSBORO (For Rent)

OCEAN CITY MTA (For Sale) - 1 Bedroom Only

PISCATAWAY (For Rent) - 1 and 2 bedroom ONLY

UPPER TOWNSHIP MTA (For Sale)

WILLINGBORO NSP (For Sale)

WINSLOW TOWNSHIP Taylor Woods Apartments (For Rent)

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* Contact Information - HEAD OF HOUSEHOLD

Full Name: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

Cell Phone Number:

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* In what county does the head of household currently live?

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* In what county does the head of household work?

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* How Many Individuals are Included in Your Household?

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* Number of Bedrooms Needed

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* Head of Household (HH) Information.

Full Name *

Sex (M or F) *

Date of Birth *

Yearly Income

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* Household Occupant #2

Full Name

Relationship to HH

Sex (M or F)

Date of Birth

Yearly Income

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* Household Occupant #3

Full Name

Relationship to HH

Sex (M or F)

Date of Birth

Yearly Income

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* Household Occupant #4

Full Name

Relationship to HH

Sex (M or F)

Date of Birth

Yearly Income

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* Household Occupant #5

Full Name

Relationship to HH

Sex (M or F)

Date of Birth

Yearly Income

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* What is Your Total Gross (before ANY deductions) Yearly Household Income (monthly x 12)? Include income for anyone 18 years and older from EMPLOYMENT, UNEMPLOYMENT, SOCIAL SECURITY, DISABILITY, PENSION, CHILD SUPPORT, ALIMONY, ANNUITIES, TANF, etc. Please enter only numbers, no dollar signs ($), decimal points (.), or commas (,).

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* Is anyone living in your household currently 55 years or older?

Yes

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* Is a member of your household (those moving with you) a Veteran?

Yes

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* Do You Require a Handicap Unit?

Yes

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* Do You Currently Receive Rental Assistance?

Yes

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* If yes, how much per month?

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* If you own the home in which you live, please provide BOTH the market value and your equity in the home. (Your equity equals the market value less any outstanding mortgage Principal).

Market Value: $

Equity: $

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* What is the estimated credit score of the Head of Household?

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* Does any adult in the household have a bankruptcy, eviction or judgement(s) in the past 3 years?

Yes

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* If yes, please explain.

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* Additional Comments:
(Please limit your response to 140 characters)

I certify that the information submitted in this application is true and complete to the best of my knowledge and belief and that any misrepresentation of income or household size herein shall be cause for program disqualification. In submitting this application I understand that this information is to be used only for determining my eligibility for referral to an affordable housing unit and does not obligate me in any way. Triad Associates shall not release any information gathered during this process to any third party without your consent.

I have read and agree with the terms above.

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* Contact Information - HEAD OF HOUSEHOLD

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* In what county does the head of household currently live?

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* In what county does the head of household work?

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* How Many Individuals are Included in Your Household?

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* Number of Bedrooms Needed

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* Head of Household (HH) Information.

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* Household Occupant #2

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* Household Occupant #3

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* Household Occupant #4

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* Household Occupant #5

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* Is anyone living in your household currently 55 years or older?

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* Is a member of your household (those moving with you) a Veteran?

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* Do You Require a Handicap Unit?

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* Do You Currently Receive Rental Assistance?

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* If yes, how much per month?

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* If you own the home in which you live, please provide BOTH the market value and your equity in the home. (Your equity equals the market value less any outstanding mortgage Principal).

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* What is the estimated credit score of the Head of Household?

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* Does any adult in the household have a bankruptcy, eviction or judgement(s) in the past 3 years?

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* If yes, please explain.

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* Additional Comments:(Please limit your response to 140 characters)

* Additional Comments:
(Please limit your response to 140 characters)