Homesteads on Grand Apartments Application

The SEPP Group
Application for Apartment

Thank you for your interest in our properties.

Before submitting your application, please be sure that all blanks are filled in as accurately as possible and all boxes are checked. If an incomplete application is received by management, it will be sent back to the applicant and delay the process.

All applications received are dated and placed on the appropriate waiting list according to eligibility criteria. Should you have any questions regarding any of the enclosed material, please feel free to contact the building manager(s). The phone number for each property may be found on the application as well.

Sincerely,
The SEPP Group

Applicant

Title:
Mr. Ms. Mrs.

Applicant Last Name:

Applicant First Name:

Applicant Middle Initial:

Gender:
Male: Female: Prefer not to disclose:

Birth Date:

Social Security Number (digits only):

Current Street Address:

City:

State:

Zip Code:

Home Phone Number:

Cell Phone Number:

Work Phone Number:

Email Address:

Please fill in your previous address here (if at current address for less than 2 years)

City:

State:

Zip Code:

Employment Information

Employer

How Long Employed?

Employer/ Company Address

Supervisor's Name

Income

Income Type

Income Amount

Other Sources of Income

Gross Income Last Year

Expected Gross Income This Year

Will there be a Co-Applicant?

Yes No

Employment Information

Employer

How Long Employed?

Employer/ Company Address

Supervisor's Name

Income

Income Type

Income Amount

Other Sources of Income

Gross Income Last Year

Expected Gross Income This Year

Additional Occupants to be living in the apartment

First Name:

Last Name:

Age:

Relation to Applicant:

First Name:

Last Name:

Age:

Relation to Applicant:

First Name:

Last Name:

Age:

Relation to Applicant:

Rental History

Current Landlord:

Street Address:

City:

State:

Zip Code:

Contact Name (if known):

Phone Number:

How long did you live there?

What was your monthly rent?

Previous Landlord:

Street Address:

City:

State:

Zip Code:

Contact Name (if known):

Phone Number:

How long did you live there?

What was your monthly rent?

RENTAL SOURCES

Will any of your rent money come from sources other than the employment listed above?
Yes No

If yes, please list other sources of income or rent payments:

Source of Income

Social Security

Description

Monthly Amount

Pension

Description

Monthly Amount

Other

Description

Monthly Amount

Other

Description

Monthly Amount

Unit Size

Select how many bedrooms are you looking for:
1 2 3

Race / Ethnic / Language Background of Applicant [OPTIONAL]

The following information is required for statistical purposes by the United States Department of Housing and Urban Development to insure non-discriminatory practices in the program. Providing this information is wholly voluntary and will not affect qualification in any way.

Race:
Black/African American
White
Asian
Native Hawaiian/Other Pacific Islander
American Indian/Alaskan Native

Other (name)

What Primary Language Spoken by Head of Household?
English
Spanish
Portuguese
French Creole
Italian
Nigerian

Other (name)

How did you hear about us?

APPLICANT CERTIFICATION

By signing this document, I certify that if selected to receive assistance, the unit I/we occupy will by my/our only residence. I/we understand that the above information is being collected to determine my/our eligibility. I/we authorize the owner/manager/PHA to verify all information provided on this application and to contact previous or current landlords or other sources of credit and verification information which may be released to appropriate Federal, State, or local agencies. I/we certify that the statements made in the application are true and complete. I/we understand that providing false statements or information is punishable under Federal Law.

I agree to authorize Sepp Management Co., Inc., Regan Development Corporation and/or 333 Grande Avenue LLC or their agents to use this copy of my signature as an approval to verify my credit, employment, assets and former tenancies, in connection with my application or future tenancy in an apartment. All verifications will be sent directly back to those authorized and will be used only for purposes connected with the apartment.

By the applicant entering their name in the box below, they are electronically signing this application and it carries the same legal value as if it were signed by the applicant in person.

Applicant Name / Electronic Signature*:

Date of Application:

The SEPP Group Application for Apartment

Applicant

Employment Information

Income

Will there be a Co-Applicant?

Co-Applicant

Employment Information

Income

Additional Occupants to be living in the apartment

Rental History

RENTAL SOURCES

Source of Income

Unit Size

Race / Ethnic / Language Background of Applicant [OPTIONAL]

APPLICANT CERTIFICATION

Complete CAPTCHA requirements just before submitting application or your form data may be lost.

The SEPP Group
Application for Apartment