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* CHECK ALL THE MUNICIPALITIES YOU ARE INTERESTED IN (You may check more than one.)

Please DO NOT select "FOR SALE" if you are unable to purchase
"For Sale" properties require a mortgage pre-qualification letter from a lender.

**Applications take up to 3 days for processing. You will receive a confirmation email once your application is processed.

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.

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* HEAD OF HOUSEHOLD

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

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* In what municipality does the head of household work?

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* Number of Adults (18 and older)

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* Number of Minors (under 18)

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* Number of Bedrooms Needed (Per COAH guidelines, 1 person must occupy each bedroom. A 1-person household can not request a 2+ bedroom unit).

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* What is the Total Gross (before deductions) Yearly Household Income (monthly income x 12)?
Include income for all household members 18 years and older from EMPLOYMENT, UNEMPLOYMENT, SOCIAL SECURITY, DISABILITY, PENSION, CHILD SUPPORT, ALIMONY, ANNUITIES, TANF, Rental income, etc

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

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* Is a member of your household (those moving with you) currently 55 years or older?

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* Do You Require a Handicap Unit?

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

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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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* 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)

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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