Pre- Application - LIHTC - UPA

Preliminary Application for Urban Preservation & Associates (UPA)

Income Qualification & Waitlist Registration
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Total Number of Adults, 18 and over:
Enter # of adults in household
Number of Children under 18:
Enter # of minors in household
When are you looking to move?

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Bedroom Size Requested:
Are you Elderly?
Do you own pets?
Total estimated yearly income for everyone in your household before taxes, when combined:
Will this be your only place of residence?
Will you take an apartment when one is available?
Do you currently receive any rental assistance - (RAP or Section 8, etc.)?
If yes, please explain:
Student Status:
Please provide any additional information about your application and interest in applying for housing:
Certification and Authorization

I understand that this pre-application is not an offer of housing. I certify that my household appears to be income eligible under current program limits and that the information provided is true and complete to the best of my knowledge. I authorize management to make inquiries to verify this information and understand that failure to report changes in address or household composition may result in removal from the waitlist.
Applicant Signature
Please verify that you are human
Should be Empty:

Preliminary Application for Urban Preservation & Associates (UPA)