Tamhouse Application For Occupancy

Applicant's Information
Date

Month Day Year
Date
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Birth Date *
E-mail
Primary Phone

Area Code Phone Number
Secondary Phone

Area Code Phone Number
How long at this address?
Monthly Rent
Was the rent subsidized?

Yes No
Current Landlord Name

First Name Last Name
Current Landlord Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Current Landlord Phone Number

Area Code Phone Number
Current Landlord Email
example@example.com
Please give any additional addresses and landlord contact information for the places you have lived over the last 5 years.
Income - Employment Sources

List all CURRENT Full or Part Time Employment Income (If you need more room put the information in the "Comments Sections" at the end of the Application.)
Full Company Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Occupation
Length of Employment
Monthly Wages or Salary
Full Company Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Occupation
Length of Employment
Monthly Wages or Salary
If you have other employment income, please list it in the "Comments Section" at the end of this application!
TOTAL EMPLOYMENT INCOME PER MONTH
Income - Other Sources

List ALL Social Security, SSI, Pension, Retirement, Disability Compensation, Unemployment Compensation, Interest Income, Annuities, Dividends, Regular Contributions, etc. (If you need more room put the information in the "Comments Sections" at the end of the Application.)
Type of Income
Monthly Amount
Type of Income
Monthly Amount
Type of Income
Monthly Amount
Type of Income
Monthly Amount
GRAND TOTAL INCOME
(Add Total Employment Income and Total Income from Other Sources)
Assets

Complete each category as applicable (If you need more room put the information in the "Comments Sections" at the end of the Application.)
Checking Account
Name of Bank
Balance
Date

Month Day Year
Date
401K - IRA
Balance
Date

Month Day Year
Date
Savings Account
Name of Bank
Balance
Date

Month Day Year
Date
Value of Stocks and Bonds
Do you own real estate?

Yes No
Current Value of Real Estate
General Information
Have you ever been evicted?

Yes No
If so, when?
Please explain:
Have you ever been convicted of a drug or violent crime?

Yes No
If so, when?
Please explain:
Do you have any current outstanding debts over 90 days delinquent?

Yes No
Please explain:
Do you hold a Section 8 Voucher?

Yes No
If so, from which county?
Do you require a unit with accessible features for persons with disabilities?

Yes No
If yes, what features?
FURTHER COMMENTS AND INFORMATION
I UNDERSTAND THAT BY SUBMITTING THIS APPLICATION ELECTRONICALLY, OR WITH MY SIGNATURE, THAT I DECLARE THAT THE STATEMENTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. WARNING: MISLEADING, WILLFUL FALSE STATEMENTS, MISREPRESENTATIONS OR INCOMPLETE INFORMATION IN THIS APPLICATION WILL BE GROUNDS FOR REJECTION OF THIS APPLICATION. I AUTHORIZE R.V.E.H.A. TO CONTACT PREVIOUS LANDLORD REFERENCES, OBTAIN A CREDIT REPORT AND COMPLETE A CRIMINAL BACKGROUND CHECK.
I AGREE TO THE STATEMENT ABOVE *

I agree
You will be asked to provide the following information should you be invited for an interview:

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Social Security # _______________________________________________________

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Driver’s License # _______________________________________________________

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Signature _______________________________________________________________

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Date ____________________
Should be Empty:

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Applicant's Information

Income - Employment Sources

Income - Other Sources

Assets

General Information