As of October 1997, we have three waiting lists:
The first is for persons 62 or older or on a social security disability.
The second is near elderly which is persons 50 - 61 years old.
The third for single persons 18 and older.

You must also meet the income guidelines set by HUD.  This year they are $24,200 for a single person and $27,650 for a couple.  Rent is also based on the annual income received from social security, SSI, pensions, or work and the interest earned on your assets, such as savings accounts, CD's, life insurance, real estate.  Medical credits are given before determining the monthly rent.  A medical credit can be supplemental insurance, prescription expenses, eyeglasses or hearing aids, and any expense not covered by Medicare.

Once credits are given the rent is 30% of the net income, or a minimum rent of $50.00 and a flat rent of $335.00.
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INSTRUCTIONS:
1 Please read all material on this page.
2 Please answer all questions.  Incomplete answers will not be accepted.
3 You must notify this office in writing of any changes in address or family status.
4 Applications are computerized by the Social Security number of the Head of Household.  Please be accurate.
Name
Phone #
Address
Landlord
Landlord's Address/Phone#
Reason for Leaving Present Address/Explain
Previous Address
How Long?
Address Previous To The Above
Landlord's Address/Phone#
How Long?
If you have not rented in the past, please fill out the personal references below.
Personal Reference 1
Name
Address/Phone #
Personal Reference 2
Name
Address/Phone #
Personal Reference 3
Name
Address/Phone #
Household Composition (Please list Head of Household first)
Name Sex Birthdate Social Security #
1
M F
2
M F
Place of Birth
Are you a Veteran of the United States Service?
Yes No
Is anyone in the household disabled?
Yes No
If so, please indicate the family member and the nature of the disability
Income
Please list all income received by any family member.  This includes Social Security, Supplemental Security Income (SSI), Social Security Disability (SSDI), V.A. Benefits, Railroad Retirement, Pensions, Wages, Unemployment Benefits, Workers Comp, etc.
Income Source Amount
1 $
2 $
3 $
4 $
5 $
Assets
List any of the following assets:
Real Estate Assessed Value (SEV) $
Savings Account (s) $
Checking Account (s) $
Certificates of Deposit $
Life Insurance (cash in value) $
Stocks, Bonds, Annuities $
Other Assets $
Have you ever lived in Subsidized Housing before?
Yes No
Where?
When?
Have you ever been evicted from Housing?
Yes No
Explain:
Have you ever been housed by a Housing Authority?
Yes No
If so, which one?
When would you be interested in an apartment?
Since we have 18 floors, how high are you willing to go?  UP TO FLOOR
This information is for statistical purposes only.
Please check the group to which you belong:
White American Indian/Native Alaskan Hispanic
Black Asian/Pacific Islander Non-Hispanic
I certify that the above information is correct and complete to the best of my knowledge and that inquiries may be made to verify the statements made herein.  Any intentional or willful misrepresentation of the facts included on this application may result in denial of housing.  I understand that this is not a contract and is not binding on either party.
Name of Head of Household
Date
Name of other adult