Piazza and Associates Preliminary Application for Region 1

Please read Affordable Housing Policies and Requirements before proceeding. Click on the button below.

Affordable Housing Policies and Requirements

* Policies Agreement

I have read and agree to all of the Policies and Requirements

One application per household (no one person may be on more than one application per property.)

Head of Household Completing this form

* First Name

0/50

* Last Name

0/50

* Last 4 digits of your social security number

0/50

Additional Household Members (Please list all household members that will reside in the unit)

0/250

* Street Address/ P.O.BOX

0/50

APT#

0/50

* City

0/50

* State

0/50

* Zip Code

0/50

* County

0/50

* Phone number

0/50

* Email

0/50

* Email Consent

I have checked to ensure my email address is correct and agree to receive notices via email.

* Do you own a home?

Yes (if "Yes" answer the next question)

Do you have a mortgage?

Yes

Value of your home

0/50

Click the link below before proceeding

Click Here to determine your eligibility

(How to use the table: Your GROSS ANNUAL INCOME must be below the Maximum Income by household size.)

* Household Size (Select One)

1 Person

2 Person

3 Person

4 Person

5 Person

6 or more Person

* Which Income Category do you fall under? (Select One)

Low

Moderate

None of the above

* Number of Bedrooms (Select One)

1 Bedroom

2 Bedrooms

3 Bedrooms

The number of bedrooms you qualify for will be based on your household size. Guidelines: 1 to 2 person per bedroom.

* Do you receive Section 8 or Rental Assistance

Yes

* Do you live or work in the region?

Yes

N/A

* Disclaimer

I(We) understand that this is a preliminary application and other restrictions apply. I(We) hereby authorize the municipality, owners/landlords, managers, and or Piazza & Associates, Inc., their agents and/or employees to obtain information regarding the status of my(our) credit, and to check the accuracy of any and all statements and representations made in this application. I(We) certify that all information in this application is accurate, complete and true. I(We) understand that if any statements made are willingly false, the application is null and void, and I(we) may be subject to penalties imposed by law.

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