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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.

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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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* Contact Information

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* How Many Individuals are Included in Your Household?

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* Number of Bedrooms Needed

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* Do You Require a Handicap Unit?

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* Do You Currently Receive Rental Assistance?

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

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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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* 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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* 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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