WaitList – Dunbar Place

I / we hereby acknowledge and confirm that I / we have downloaded and read the required document titled “Resident Selection Criteria – Tax Credit” and have read it in its entirety, all eight (8) pages, and have full understanding of the terms and conditions of the Criteria as set forth therein. By completing the online pre-application, I / we hereby understand that it is my / our responsibility to abide by all terms and conditions of the “Resident Selection Criteria – Tax Credit” during the application process and during my / our residency at Dunbar Place if said application is approved.

Applicant Name

Applicant Birth Date

Are you a Student?

No Part Time Full Time

Phone Number

Work Phone

Do you have pets?

Yes No

Has anyone in your household been convicted of any drug offense or felony?

No Yes

If yes, who?

Explain

Income Source (employer, child support, soc sec, etc)

Gross Income

Income Source (employer, child support, soc sec, etc)

Gross Income

Income Source (employer, child support, soc sec, etc)

Gross Income

Income Source (employer, child support, soc sec, etc)

Gross Income

Current Address

City

State

Zip Code

Do You:

Month and Year moved in

Have you ever been evicted?

No Yes

If Yes, why and when?

I / we hereby apply to lease an apartment at the above named community on the terms set forth herein. I/we attest to Ambling Management Company, Agent for the Owner of the property, that all statements contained herein are true and correct. I/we have been advised, understand, and agree that residency at this community entails certain income restrictions and that residency is subject to rental qualifications. I/we understand and agree that deliberately submitting false information or withholding information constitutes fraud. If application is falsified, Federal Law specifies fines up to $5,000 and imprisonment for terms of up to five years and is grounds for eviction. I / we understand and agree that, in addition to execution of a lease agreement and necessary addenda, I / we will execute a Resident Certification attesting to the information contained herein, which will be made under the penalty of perjury. As long as your application is on file with us, it is your responsibility to contact us whenever your address, telephone number, or income situation changes, or whenever you need to add or remove a household member from your application.

I / we have received a copy of the qualifying criteria, and I / we hereby agree to pay $ 35.00 as a non-refundable application fee. If I / we do not meet any of the Qualifying Criteria, my / our application will be rejected and my / our application fee WILL NOT be refunded under ANY circumstances. Reports and checks determining my/our qualifications may be made by a separate party.

/ we agree that if this application is denied for any reason, I / we are unable to re-apply at this community or any other community managed by Ambling Management Company for a period of forty-five days.

WAITLIST PRE-APPLICATION