LAREDO MUNICIPAL HOUSING CORPORATION

1 APPLICATION DATE: _____ 559-B Poplar Fax LAREDO , Texas 78041 LAREDO MUNICIPAL HOUSING PRELIMINARY APPLICATION FOR OCCUPANCY (FILL OUT PAGES 1 AND 2 ONLY) APPLICANT NAME: _____ PRESENT ADDRESS: _____PHONE NO. _____ PREVIOUS ADDRESS:_____ PREVIOUS ADDRESS:_____ HEAD OF HOUSEHOLD: _____ EMPLOYED BY: _____ OCCUPATION _____ TDL OR ID_____MONTHLY INCOME: _____ PHONE:_____ SPOUSE: _____ EMPLOYED BY: _____ OCCUPATION _____ TDL OR ID _____MONTHLY INCOME:_____ PHONE:_____ HOUSEHOLD COMPOSITION AND CHARACTERISTICS: EMAIL ADDRESS: FAMILY MEMBER NAME RELATION- SHIP TO FAMILY HEAD BIRTH DATE AGE SEX SOCIAL SECURITY NO.

2 1 SELF 2 3 4 5 6 7 8 DOES ANYONE LIVE WITH YOU NOW WHO IS NOT LISTED ABOVE? _____YES _____NO. IF YES, PLEASE EXPLAIN. _____ DO YOU PLAN TO HAVE ANYONE LIVING WITH YOU IN THE FUTURE WHO IS NOT LISTED ABOVE:_____ YES _____ NO. IF YES, PLEASE EXPLAIN _____ CURRENT HOUSING STATUS: LANDLORD & ADDRESS: _____ PHONE: _____RENT AMT: $_____ ARE YOU RENTING THIS UNIT OR ARE YOU LIVING WITH A FRIEND OR RELATIVE?

3 _____ HOW MANY PEOPLE LIVE IN YOUR UNIT NOW? _____ HOW MANY BEDROOMS DOES YOUR UNIT HAVE? _____ DO YOU PAY YOUR OWN UTILITIES? _____ WHY DO YOU WISH TO MOVE?_____ARE YOU BEING EVICTED? _____YES _____ NO. IF YES, PLEASE EXPLAIN. _____ ARE YOU BEING DISPLACED FROM YOUR PRESENT UNIT? _____ YES _____NO. IF YES, PLEASE HAVE YOU EVER PARTICIPATED IN THE SECTION 8 EXISTING PROGRAMS? _____ YES _____NO IF YES, PLEASE ENTER THE DATES OF OCCUPANCY AND ADDRESS:_____ HAVE YOU EVER RENTED A UNIT WITH LAREDO MUNICIPAL HOUSING ?

4 _____ YES _____ NO. (IF YES) DO YOU HAVE ANY OUTSTANDING BALANCES TO LAREDO MUNICIPAL HOUSING ? _____ YES ____ NO. HAVE YOU EVER BEEN EVICTED OR HAD YOUR DWELLING LEASE TERMINATED BY LAREDO MUNICIPAL HOUSING ? _____ YES _____ NO. PERSONAL REFERENCES: (RELATIVES ) NAME ADDRESS RELATIONSHIP PHONE 1. 2. 3. I CERTIFY THAT THE ABOVE INFORMATION GIVEN IS CORRECT AND MAY BE VERIFIED.

5 IF ANY INFORMATION IS NOT CORRECT UPON VERIFICATION, THESE MAY CONSITITUE GROUNDS FOR TERMINATION OF PRELIMINARY APPLICATION FOR HOUSING . THIS APPLICATION IS VALID FOR ONE YEAR FROM DATE OF APPLICATION. APPLICANT S SIGNATURE: _____DATE:_____ LMH STAFF: _____DATE RECEIVED:_____ APPLIATION DATE:_____ 2 TYPE OF INCOME THAT EACH MEMBER OF THE HOUSEHOLD RECEIVES. LIST THE TYPE OF INCOME THAT CAN BE EXPECTED DURING THE NEXT 12 MONTHS.

6 FAMILY MEMBER TYPE OF INCOME AMOUNT TOTAL TOTAL AMOUNT OF INCOME _____X 30%_____(FOR OFFICE USE ONLY) AUTOMOBILE INFORMATION: HOW MANY VEHICLES: _____ MODEL_____ MAKE_____ YEAR_____ LICENSE MODEL_____ MAKE_____ YEAR_____ LICENSE MODEL_____ MAKE_____ YEAR_____ LICENSE AUTHORIZATION TO RELEASE CREDIT INFORMATION NAMES_____ ADDRESS_____ CITY, STATE_____ I (We) have authorized LAREDO MUNICIPAL HOUSING to request such credit information as needed to complete my (our) rental application.

7 Such information includes, but is not limited to, employment history and income, bank account balances, credit history on current and previous accounts, current and previous rental history. In the event that I(we) am/are approved for a rental unit and if I(we) default on the account, all monies owed to the LAREDO MUNICIPAL HOUSING will be reported to the credit bureau and will be transferred to a collection agency. Signature(s) _____ _____ Date_____ NOTE: PLEASE KEEP US INFORMED OF YOUR CURRENT PHONE NUMBER(S).

8 IF WE CANNOT CONTACT YOU, YOUR APPLICATION WILL BE REMOVED FROM THE WAITING LIST. APPLIATION DATE:_____ 3 APPLICANT: DO NOT FILL OUT THIS SECTION (FOR LMH USE ONLY) APPLICANT NAME:_____ RENTAL REFERENCES: DATE: _____ _____ _____ PERSON CONTACTED HOW IS THEIR HOUSEKEEPING?

9 _____ _____ IS RENT PAID PROMPTLY EVERY MONTH? ANY TENANT DISTURBANCES? _____ _____ IF NO, WHAT IS THEIR PAYING PATTERN? ANY DAMAGES TO APARTMENT? _____ _____ AMOUNT OF RENT? ADDITIONAL COMMENTS _____ WOULD YOU RENT TO THEM AGAIN? EMPLOYMENT VERIFICATION HEAD OF HOUSEHOLD: _____ _____ _____ _____ PERSON CONTACTED YEARS EMPLOYED SALARY SPOUSE OR ROOMATE : _____ _____ _____ _____ PERSON CONTACTED YEARS EMPLOYED SALARY GENERAL COMMENTS: _____ _____ _____ _____ Applicant Name:_____ APPLIATION DATE.

10 _____ 4 RECORD OF CONTACT DATE RECRUITING FOR APT. # PERSON CONTACTED CONCLUSION APPLIATION DATE:_____ 5 LIST OF REQUIREMENTS 1. SOCIAL SECURITY CARDS FOR BOTH HEAD APPLICANTS ONLY 2.