Exit this survey Affordable Housing Programs Application Question Title * 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 (For Sale) CITY OF LAMBERTVILLE - HUNTERDON COUNTY (For Rent) CLAYTON BOROUGH - EMERSON GREEN (For Sale) BRIGANTINE - One Bed Only (For Sale) MANSFIELD (For Sale) MONROE TOWNSHIP - MARKET TO AFFORDABLE (For Sale) UPPER TOWNSHIP - MARKET TO AFFORDABLE (For Sale) OCEAN CITY (For Sale) - MARKET TO AFFORDABLE - 1 Bed Only WINSLOW TOWNSHIP (For Rent) Taylor Woods Apartments Haddon Heights (For Rent) GLASSBORO (For Rent) CINNAMINSON (For Sale) Market to Affordable CINNAMINSON (Resale) - 555 Inman Question Title * Contact Information - HEAD OF HOUSEHOLD Full Name: * Address: * Address 2: City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Email Address: * Phone Number: * Cell Phone Number: Question Title * In what county does the head of household currently live? Question Title * In what county does the head of household work? Question Title * How Many Individuals are Included in Your Household? 1 2 3 4 5 Question Title * Number of Bedrooms Needed 1 2 3 4 Question Title * Head of Household (HH) Information. Full Name * Sex (M or F) * Date of Birth * Yearly Income Question Title * Household Occupant #2 Full Name Relationship to HH Sex (M or F) Date of Birth Yearly Income Question Title * Household Occupant #3 Full Name Relationship to HH Sex (M or F) Date of Birth Yearly Income Question Title * Household Occupant #4 Full Name Relationship to HH Sex (M or F) Date of Birth Yearly Income Question Title * Household Occupant #5 Full Name Relationship to HH Sex (M or F) Date of Birth Yearly Income Question Title * 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 (,). Question Title * Do You Require a Handicap Unit? No Yes Question Title * Do You Currently Receive Rental Assistance? No Yes Question Title * If yes, how much per month? Question Title * 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: $ Question Title * What is the estimated credit score of the head of household? Above 600 Below 600 Question Title * Does any adult in the household have a bankruptcy, eviction or judgement(s) in the past 3 years? Yes No Question Title * Is a member of your household (those moving with you) a Veteran? No Yes Question Title * 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. Submit Application