149 West Susquehanna Avenue, Philadelphia, PA 19122 (215) 426-8723



Documentos relacionados
This application expires 6 months after submitted. Esta aplicación vence 6 meses después de sometida.

El Abecedario Financiero

Down Payment Assistance Application Packet

Residential Rental Application

Welcome to the CU at School Savings Program!

Rehabilitation & Reconstruction Application Aplicación De Reparación y Reconstrucción

TITLE VI COMPLAINT FORM


Lump Sum Final Check Contribution to Deferred Compensation

RENT CONTROL BOARD OF THE TOWN OF WEST NEW YORK, N.J TH STREET WEST NEW YORK, N.J (201) /91/92

Financial Affidavit for Child Support, DC 6:5(2) Declaración Jurada de Finanzas para Manutención de Menores, DC 6:5(2).

ANTES DE ENTREGAR SU SOLICITUD! ASISTENCIA. STONEBRIAR COMMUNITY CHURCH (SCC) NO OFRECE AYUDA INMEDIATA. AYUDA. APROPIADOS.

Eligibility Screening Sheet Hoja de Evaluación de Egibilidad

Chattanooga Motors - Solicitud de Credito

El Estado de Nevada le prestará ayuda con el costo de medicamentos recetados si califica:

Employee s Injury Report / Informe de lesión de empleado

PRINTING INSTRUCTIONS

Required Documentation for Charity Care

OJO: Todos los formularios deberán llenarse en inglés. De lo contrario, no se le permitirá presentar sus documentos ante la Secretaría del Tribunal.

Student Eligibility Verification Advanced Placement/International Baccalaureate Test Fee Program

TITLE VI COMPLAINT FORM

Puede pagar facturas y gastos periódicos como el alquiler, el gas, la electricidad, el agua y el teléfono y también otros gastos del hogar.

Child Care Assistance Program Búsqueda de Trabajo

Voter Information Guide and Sample Ballot

Guide to Health Insurance Part II: How to access your benefits and services.

Registro de Semilla y Material de Plantación

Expectant Mom s Program

Solicitud para el Programa de Child Care Subsidies and Referrals (CCSR)

Peru Tourist visa Application for citizens of Costa Rica living in Ontario - Ottawa, Gatineau

INFORMACIÓN PARA ABRIR UNA GUARDERÍA DE NIÑOS PARA FAMILIAS O GRUPOS EN LA CIUDAD DE ALLENTOWN

APPLICATION FORM FOR INTERNATIONAL STUDENTS. 3. Número de Pasaporte / Passport Number: 4. Dirección de Residencia / Present Address:

Affordable Care Act Informative Sessions and Open Enrollment Event

Supplemental Identification List

HUNTERDON MEDICAL CENTER Programa De Ayuda De Pago INSTRUCCIONES PARA APLICAR

Low-Income Telephone and Electric Discount Programs Enrollment Form (LITE-UP) For Questions, Call LITE-UP Texas toll-free at

For Parents and Caregivers

MANUAL EASYCHAIR. A) Ingresar su nombre de usuario y password, si ya tiene una cuenta registrada Ó

LOS ANGELES UNIFIED SCHOOL DISTRICT OFFICE OF PERMITS AND STUDENT TRANSERS

INSTRUCTIONS FOR COMPLETING THE UA_SGE_FT_03_FI_IE FORM REGARDING NATURAL PERSONS DATA FOR THE UA SUPPLIERS DATABASE

Facade Improvement Fund

Si tiene cualquier pregunta llame a su trabajadora de CCAP al número de teléfono indicado abajo. Boulder County Child Care Assistance Program

Student Eligibility Verification Advanced Placement/International Baccalaureate Test Fee Program

Solicitud para Licencia de matrimonio (Marriage License Request)

Solicitud de Licencia de matrimonio (Marriage License Request)

HABERSHAM COUNTY SCHOOLS LAS ESCUELAS DEL CONDADO DE HABERSHAM ENROLLMENT/STUDENT INFORMATION FORM FORMA DE MATRICULACION

Hola. A continuación encontrará algunas preguntas que debo hacerle acerca de su hogar y propiedad después del desastre.

As the school year comes to a close, Camden City School District is excited to get summer programming underway!

Solicitud para Certificado de soltería (Certificate of Non-Impediment Request)

Creating your Single Sign-On Account for the PowerSchool Parent Portal

IMMIGRATION Canada. Temporary Resident Visa. Mexico City Visa Office Instructions. Table of Contents IMM 5878 E ( )

Student Violence, Bullying, Intimidation, Harassment

Pre-Application for the Housing Choice Voucher/Section 8 Program Tenant Based Equal Housing Opportunity

SFGH FHC Healthy Children Vaccination Program Frequently Asked Questions

ANNUAL REPORT OF GUARDIAN ON CONDITION OF WARD/INCAPACITATED PERSON INFORME ANUAL DEL TUTOR SOBRE LA CONDICIÓN DEL PUPILO/PERSONA INCAPACITADA/INHÁBIL

Peru Business visa Application

UNIVERSIDAD GABRIELA MISTRAL Departamento de Relaciones Internacionales. Formulario de Postulación (Aplication For Admission/Exchange Student)

Identity and Statement of Educational Purpose (To Be Signed in the Presence of a Notary)

HEAD START MEDICATION ADMINISTRATION

Aplicación para el empleo An Affirmative Action/Equal Opportunity Employer

Daylight Studios Prudencio Alvaro, Madrid t: e: TÉRMINOS Y CONDICIONES DE ALQUILER


OJO: Todos los formularios deberán completarse en inglés. De lo contrario, no se le permitirá presentar sus documentos en la Secretaría del Tribunal.

AVISO IMPORTANTE REFERENTE A SU CASO DE ASISTENCIA GENERAL

Formulario de Postulación Estudiante de Intercambio Application Form / Exchange Student

8 Prospect St PO Box 2014 NASHUA NH (603) (603) (603) Fax. Date: Fecha:

This grant only covers deliveries to the building, up to the grant award.

Are you interested in helping to GOVERN the Authority, DEVELOP current and future programs, and APPROVE contracts?

Objetivo: You will be able to You will be able to

El límite mínimo para las cuentas comerciales grandes es de $2,000/mes por el uso del servicio.

OAK PARK 1 HOUSING APPLICATION

EMPLOYER & EMPLOYEE RETIREMENT PLAN TAX CREDITS

Escuela Alvarado. Paquete para Aplicación de AVID

Vermont Mini-Lessons: Leaving A Voic

SOLICITUD DE FAMILIA

SOLICITUD DE ARRENDAMIENTO DE VIVIENDA

La Compensación por Desempleo Instrucciones para Solicitar los Documentos de la Proposición de Pruebas

DEPARTAMENTO ESTATAL DE SERVICIOS DE SALUD DE TEXAS

MISSISSIPPI EMPLOYEES

Applicants who wish to apply to either program MUST meet all of the following criteria:

Employment Application FOR PART-TIME OR NON ACADEMIC STUDENT POSITIONS UP TO 25 HOURS PER WEEK OR LESS THAN 4 ½ MONTHS IN LENGTH

Portal para Padres CPS - Parent Portal. Walter L. Newberry Math & Science Academy Linda Foley-Acevedo, Principal Ed Collins, Asst.

BANKRUPTCY FINANCIAL AFFIDAVIT/ DECLARACIÓN FINANCIERA DE BANCARROTA. Social Security number/ Nύmero de Seguro Social. Home/Casa Cellular/Celular

INSTRUCTIONS FOR COMPLETING THE UA-SGE-FT-05-FI-IE FORM REGARDING NATURAL PERSONS DATA FOR THE UA SUPPLIERS DATABASE

RECIBIRÁS EN TU CUENTA INSTITUCIONAL, UNA CARTA DE PREADJUDICACIÓN CON LOS DATOS DE TU MOVILIDAD. SI NO SON CORRECTOS, COMUNÍCALO A erasmus@upm.

Daly Elementary. Family Back to School Questionnaire

We appreciate your time and patience as we work towards resolving this problem.

Name: Credit Requested: $ Address: City/Zip Code: Credit Manager: Address: Fleet Manager: Address:

fi nancial help for your health asistencia fi nanciera para su salud Date: Fecha:

IMMIGRATION Canada. Temporary Resident Visa. Guatemala Visa Office Instructions. Table of Contents IMM 5867 E ( )

I understand that I must request that this waiver be reconsidered annually, each school year. Parent/Guardian Signature: Date:

Carolinas HealthCare System

FONDO PANAMERICANO LEO S. ROWE / DEPARTAMENTO DE DESARROLLO HUMANO

Learning Masters. Early: Force and Motion

IMMIGRATION Canada. Study Permit. Buenos Aires Visa Office Instructions. Table of Contents. For the following countries:

Anticipamos las gracias por su pronta atención a la presente, ya que es de mutuo interés.

Back to S chool. Information Sheets (K-6) Ashley Sanderson Flying High in First Grade

SOLICITUD PARA LA OBTENCIÓN DE ALIMENTOS EN EL EXTRANJEROCONFORME A LA CONVENCIÓN ONU DE 1956

Robert T. Kiyosaki. Click here if your download doesn"t start automatically

Cal Grant GPA Electronic Submission and Opt-out Notification As of

Setting Up an Apple ID for your Student

Transcripción:

Our Apartments and Townhouses are located in the Norris Square Neighborhood. They include a refrigerator and stove. The renter of an apartment is responsible for rent and all utilities except water. The renter (of a house is responsible for all utilities Nuestros-Apartamentos y cases estan localizados en la vecindario de Norris Square. Los apartamentos incluyen una nevera y Ica estufa. El inquilino de un aparlamento es responsable del alquiler, del gas, y de,'as cuentas electricas. El isquilino de una casa es responsable del alquiler, del gas,del agua, y de las cuentas electricas. What are you applying for?/ Cual unidad solicita usted? You Must provide all the documents mentioned below from all the family members that will be living in the unit. Usted debe proporcionar todos los documentos mencionaolos abajo de todos los miembros de la familia que estartin viviendo en to unidad. Date received -- front desk will stamp the application La fecha recibida la recepcionista pondrei la fecha recibida en la aplicacion Copies of Social Security Cards for all household members. Las copias de Tarjetas Sociales de Seguridad para todos miembros de la casa Copies of Birth Certificates for all household members Las copias de Certificados de Nacimiento para todos inietnbros de la case Picture Identification far all applicants ages 18 & older Example: Driver s License, State issued Non-Driver s License, Passport Retratos de identvicacion de todos solicitantes 18 anos de edad y mas mayor For ejemplo: Su Licencia, o el Pasaporte Proof of Income of all household members (for the past month) Example: Pay Stubs, copy of award letter, Social Security Letter La prueba de ingresos de todos miembros de la casa,(por el mes pasado) Por ejemplo: Talonarlos de Paga, la copia de carta de premio, Carta de Social de Seguridad Proof of tenacy (lease) if applicable If you don't have a lease please bring a letter from your landlord including landlord's name, address and phone number Prueba de Arrendamiento (contrato de arrendamiento) de donde vives ahora Si no tienes contrato de arrendamiento favor de traer una carta firmada. por el dueno- de la costa, Favor de incluir el nombre. direccion y el telefono del dueno de la casa Make sure application is completely filled and signed by applicants ages 18 & older Cerciorese que la aplicacion se Ilena completamente y es firmada por los,solicitantes do 18 anos y mas mayor, Please bring all the required information with you when you return the application packet. If your application is missing anything it will be dented. Traiga por favor toda Ia inforrnacion requerida con usted cuando usted vuelve paquete de la aplicacion. Si su aplicacion no tiene toda la informacion requerida su applicacion no sera procesada

Applicants Full Name Nombre De Aplicante Social Security # # De Seguro Social Co-Applicant s Full Name Nombre de Co-Applicante Social Security # # De Seguro Social Current Address Direccion Presente City Cuidad State Estado Zip Code Codigo Telephone Numero De Telefono List the head of household and other members who will be living in the unit. the relationship of each member to the head Pon so nombre y los nombres de todas las personas que van a vivir con usted en la unidad. tambien pon el relacion de ellos a usted # of Member Full Name Nombre Relationship Relacion Date Of Birth Fecha De Nacimiento Age Edad Sex Sexo Social Security Seguro Social Race of Head of Household Raza De Applicante For Statistical Purposes Only / Para Propocito Estadistico Solamente White Black American Indian Asian Ethnicity of Head of Household Etnia de Applicante Hispanic Non-Hispanic Are all the members of your household full-time students? Son todos los miembros de la casa estudiantes de jornada complete? Does anyone live with you now that is not listed below? Hay alguien que vive con usted ahora que no esta listo arriba? If please explain Si si, explica por favor Do you plan to have anyone living with you in the future who is not listed above? Planea usted tener otra persona viviendo con usted en el future que no se lista arriba? If please explain Si si, explica por favor

Is there a member in the household who needs a mobility impaired unit? Hay un miembro en la casa que necesita una unidad que sea para alquien que tenga una debilidad? How long have you lived at your address? Tiempo vivido en su hogar? Rent? Cantidad del alquiler Who was your landlord? Nombre de Arrendador Where were they located? Direccion del Arrendador Where did you previously live? Direccion Anterior How long did you live at the address? Tiempo Vivido en su hogar Rent? Cantidad del alquiler Who was your landlord? Nombre de Arrendador Where were they located? Direccion del Arrendador How many people live with you now? Cuantas personas viven con usted ahora How many bedrooms do you have? Cuantos curators de dormitorio Do you wish to move? Quiere usted mover? If, Why? Si, si entonces por que? Are you being evicted? Te estan expulsando de la casa? If please explain Si si, explica por favor What utilities do you pay? Que utilidades paga usted? Are you now living in a government subsidized unit (Public Housing, Section8) Vive usted en un unidad subvencionada por el gobierno? Are you now living in a government section 8 assistance? Esta uste o va usted recibir assistencia de Seccion 8? Please give references who are not family members / Por favor escribe tres personas de referencia: Name / Nombre Address / Direccion Telephone / Telefono

Telephone Telefono Position Posicion Co-Applicants Current Employer Empleo Presente del Co-Applicante Salary Salario How long have you been working here? Tiempo que lleva de trabajo Hourly/Weekly/Bi-Weekly Por hora/semana/quincinal Address Direccion State Estado Zip Code Codigo Telephone Telefono Position Posicion Salary Salario How long have you been working here? Tiempo que lleva de trabajo Hourly/Weekly/Bi-Weekly Por hora/semana/quincinal Please answer each of the following questions. For each answer provide details in the chart below. Conteste por favor las preguntas siguientes. Paracada si repuesta proporciona detailes en el mapa abajo 1 2 3 4 5 6 7 8 9 10 11 12 Is any member of your household employed, full time, part time, seasonally? Es empleado cualquier meimbro de su casa, tiempo replete, por horas, estacionamente? Does any member expect to work for any period during the next twelve months? Espera cualquier meimbro para trabajar para cualquier period durante el luego doce meses? Does any member work for someone who pays cash? Trabaja cualquier miembro para alguien que paga ellos cambia? Any member on leave of absence due to lay-off, medical, maternity, or military leave? Cualquier miembro en el licenia debido si paro involuntario, medico, la maternidad o la hoja del ejercito? Does any member of your household now receive, or expect to receive unemployment benefits? Ahora recibe cualquier miembro de su casa, o espera recibir los beneficios del desempleo? Does any member of your household now receive, or expect to receive child support? Ahora recibe cualquier meimbro de su familia, o espera recibir apoyo de nino? Is any member of your household receiving alimony payments? Recibe cualquier miembro de su casa los pagos de pension? Does any member of your household receive welfare assistance? Recibe cualquier miembro de su casa ayuda de bienestar? Does any member of your household receive Social Security? Recibe cualquier miembro de su casa la Seguridad Social? Does any member of your household receive income from pension or annuity? Recibe cualquier miembro de su casa los ingresos de pension o la anualidad? Does any member of your household receive regular cash contributions from individuals not living in unit? Recibe cualquier miembro de su casa contribuciones reulares de cambio de individuos que no viven en la unidad? Does any member from your household receive income from assets including interest on checking or savings accounts, or the rental of properties? Recibe cualquier miembro de su casa los ingresos de ventajas inclusive el interes a cuentas de verificar o ohorros, o a la renta de propiedades?

For each type of income that your household receives, give the source of the income and the amount of income that can be expected from that source during the next 12 months Para cada tipo de ingresos que su casa recibe, de la fuente de los ingresos y la cantidad de ingresos que se pueden esperar de esa fuente durante los proximos 12 meses. Family Members Name Los Miembros de la familia Source of Income or Type of income Source de ingresos o tipo de ingresos Monthly Income Ingresos Mensuales Annual Income Ingresos Anuales Waiver of Privacy / Credit I, SS# Hereby waive the right of privacy between myself and Norris Square Civic Association (NSCA), Norris Square Limited Partnership (NSLP) and/or Borinquen Federal Credit Union on order to give the above parties the opportunity to discuss with relevant parties, information regarding my credit report and the landlord history. I therefore, authorize NSCA/NSLP to request a credit report on my behalf to discuss the information with the property Manager of NSCA/NSLP. Yo, SS# Por este medio cedo mis derechos de privacidad entre yo y La Associacion Civica de Norris Square (NSCA), Norris Square Limited Partnership (NSLP) y/o Boriquen Federal Credit Union para de esta manera darle a NSCA/NSLP la opportunidad de discutir informacion de mi historial de credito y referencias de aarendamiento. Con mi firma autorizo a NSCA/NSLP que haga una investigacion de mi credito Applicant Signature / Firma de Solicitante Co-Applicant Signature / Co-Firma de Solicitante

Monthly Household Budget Monthly Income Net Income $ Spouse Net Income $ Other Household Income $ Total Household Income $ Monthly Living Expenses Amount Paid Monthly Rent/Mortgage $ Second Mortgage $ Taxes $ Homeowner s/renter s Insurance $ Fee-Association/Condo/Alarm $ Loans / Credit Cards $ Student Loans $ Electric $ Gas $ Water $ Cable / Movies / Videos $ Phone $ Cellular Phone / Beeper $ Food / Groceries $ Lunch / Breaks $ Personal Items / Toiletries $ Grooming / Hair / Nail $ Laundry /Dry Cleaning $ New Clothing Purchases $ Infant Supplies $ Day Care / Baby Sitter $ Tuition / School Supplies $ Support / Alimony $ Allowances / Dependents $ Car Payment $ Car Insurance $ Gas $ Public Transportation $ Tolls / Parking $ Doctors $ /Dental/Therapy/Vision/Prescription Dinners / Fast Food $ Cigarettes / Tobacco $ Alcohol $ Lottery $ Pet Food/Supplies/News Paper $ Donations / Religious / Other $ Gifts / Holidays / Birthday s $ Dues / Clubs / Hobbies / On-line $ Vacation / Time Share $ Savings $ Total Monthly Expenses $ Total Monthly Income $ Residual Income $ Savings Available $ Client Signature Counselor s Signature Date

Applicant Name First, Middle, Last Social Security Number (XXX-XX-XXXX) Current Address City, State, Zip Code Previous Address City, State, Zip Code Birth Date MM/DD/YYYY Work Number Extension Home Phone Number I Hereby grant the above apartment/landlord/realtor, whichever is applicable and its designee, Landlord Protect, a credit reporting agency, the right to process this credit application for the purpose of obtaining a rental lease. In compliance with FAIR CREDIT REPORTING ACT, this notice is to inform you that the processing of this application includes but is not limited to making inquiries deemed necessary to verify the accuracy of the information herein, including procuring consumer reports from consumer reporting agencies, obtaining credit information from other credit institutions and criminal background checks from appropriate law enforcement agencies. You have the right to make a written request within a reasonable period of time to receive additional information about the nature of this investigation. The undersigned agrees that this application shall remain the property of the apartment complex, landlord or realtor regardless if rental lease is granted. Applicant Signature Below must be completed by authorized personnel for this application to be processed Please add any additional comments you wish to know concerning this application 4636284 RRIS SQUARE 7 Digit Account Number Company Name Processor s Name P.O BOX 521 ABSECON, NJ 08201 PHONE (800) 221-9370 FAX (800) 345-9379 Thank you for choosing Landlord Protect!