Your Future Awaits

PRE-APPLICATION

APPLICANT NAME

First Name

Last Name

APPLICANT PHONE

(###)

###

####

APPLICANT EMAIL

APPLICANT CURRENT ADDRESS

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

ESTIMATED YEARLY GROSS INCOME?

CO-APPLICANT NAME

First Name

Last Name

CO-APPLICANT ADDRESS

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

NUMBER OF PERSONS IN HOUSEHOLD?

NUMBER OF FULL-TIME STUDENTS IN HOUSEHOLD?

NUMBER OF BEDROOMS DESIRED?

SUBSIDIZED HOUSING

Are you now or have you ever lived in government subsidized housing (income-based) housing? Yes or No? If yes, When? Development Name and Address: * Per HUD guidelines, Southgate Village Apts will use EIV system to verify if an applicant or any other household member(s) are currently being assisted at another Multifamily Housing or Public and Indian Housing location.

SUBSIDIZED HOUSING CONT.

Has your housing assistance ever been terminated for fraud, non-payment, or any other reason? Yes or No? If yes, please explain circumstances.

By checking this box, I authorize the owner to verify all information provided on this application and understand that additional information will be required with a full application.

Yes

No

CRMINAL HISTORY

HOW DID YOU HEAR ABOUT SOUTHWIND ACRES?

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