Newtown Village Application & Information

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Executive Summary

This document outlines the application process for affordable housing at Newtown Village, a mobile home park now owned by Robbinsville Township. The program aims to provide housing opportunities with monthly pad rental fees determined by unit size and applicant income levels, categorized as Very Low, Low, or Moderate income. Applicants must complete a detailed application, provide a FICA credit score no older than 30 days, and submit extensive financial documentation, including tax returns, bank statements, and comprehensive income and asset verifications for all household members. The application process is managed by the Office of Affordable Housing within Robbinsville Township. Prospective tenants are required to ensure all submitted information is accurate and complete, as misrepresentation may lead to disqualification. Contact information is provided for any questions or requests for further instructions regarding the application.

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--- Document: Newtown Village Application & Information Document ---
Robbinsville
TOWNSHIP
BE AT THE CENTER OF IT ALL
Application
Information
For
Newtown Village
Robbinsville now owns the mobile home park located at 1096 Route 130.
To apply:
Complete the attached application and submit to have a background check completed.
You will need to submit your FICA credit score from one of the three credit agencies.
The Score cannot be more than 30 days old. You can get this on-line. You do not pay for it.
You are on the wrong site if you are asked to pay. You may obtain one free credit report per year
from each of the national credit reporting agencies.
The application for income certification is also attached. That will need to be completed.
The original application should be submitted with copies of the support information. You should make a
copy for your record.
Please note, that once a unit is purchased, there is a monthly pad rental fee that includes water and sewer
taxes etc.
The rent will be determined by the number of bedrooms and whether the unit has been designated for
Very Low, Low, or Moderate income applicants.
Please submit to: Office of Affordable Housing, Robbinsville Township
2298 Route 33, Robbinsville, New Jersey 08691
If you have any questions, or are in need of further information, please call us: (609) 259-3600 X 1134, or contact us by
e-mail at gailp@robbinsville.net.
Application services are provided by the Township of Robbinsville, Office of Affordable Housing. This is an Equal Housing
Opportunity. All housing is subject to applicable affordable housing regulations and availability. The terms and conditions of this
affordable housing opportunity are subject to change without notice. We cannot guarantee that an affordable home will be available to
you. All homes meet certain criteria for "affordable housing," but the sales prices and rental rates are not adjusted to meet any specific
household income or financial situation. Therefore, we cannot and do not represent that these
homes will be affordable to any individual applicant.
NEWTOWN VILLAGE RENTAL APPLICATION
PLEASE PRINT AND ANSWER ALL QUESTIONS
Date of Application:
APPLICANT INFORMATION
PRINT NAME:
HOME PHONE:
SOCIAL SECURITY# OR ITIN#:
DATE OF BIRTH:
EMAIL:
CURRENT ADDRESS:
CITY:
STATE:
ZIP:
OTHER OCCUPANTS- LIST BELOW THE NAMES OF ALL OTHER PERSONS (IN ADDITION TO APPLICANT LISTED
ABOVE) TO OCCUPY PREMISES REGULARLY OCCUPANCY IS RESTRICTED TO INDIVIDUALS LISTED
FULL NAME
RELATIONSHIP
AGE
DATE OF BIRTH
REMARKS
AUTOMOBILES
HOW MANY AUTOS?
DRIVER'S LIC#
MAKE
MODEL/YEAR COLOR
STATE LIC. PLATE#
PETS
Do you have any pets that will be living with you? (If permitted) Yes No If yes, how many?
TYPE
BREED
AGE
HEIGHT
WEIGHT
I/we hereby authorize Robbinsville Township its affiliates and subsidiaries to obtain a consumer report and any other information it deems
necessary, for the purpose of evaluating my application. I understand that such information may include, but is not limited to credit history,
civil and criminal information, records of arrest, rental history, employment/salary details, vehicle records, licensing records, and/or any
other necessary information. I hereby expressly release Robbinsville Township its affiliates and subsidiaries, and any procurer or
furnisher of such information from any liability whatsoever in the use, procurement or furnishing of such information, and understand that
my application information may be provided to various local, state and/or federal government agencies, including, without limitation, various
law enforcement agencies.
As an applicant, I represent that the above statements are correct and completeand that I intend that Robbinsville Township its affiliates and
subsidiaries rely on these representations in determining whether to lease to me a home and/or homesite in the community. I agree that
I have no right to occupy a home or homesite in the community until and unless this application is approved, a lease is signed and I
have made any necessary initial payments. I understand that any misrepresentation on this application may be cause for lease termination
and/or non-acceptance of this application.
Print Name
Signature
Date
Print Name
Signature
Date
Print Name
Signature
Date
PROPERTY/DEVELOPMENT NAME:
PROPERTY ADDRESS:
NAME OF APPLICANT:
AFFORDABLE HOUSING APPLICATION
Complete, sign and return this application AND the required documentation to: Township of
Robbinsville, Office of Affordable Housing, 2298 Route 33, Robbinsville, NJ 08691
READ THIS APPLICATION CAREFULLY AND RETURN IT WITH THE REQUIRED
DOCUMENTATION. WE RESERVE THE RIGHT TO DISQUALIFY APPLICANTS WHO
DO NOT SUBMIT ALL OF THE DOCUMENTATION REQUESTED BELOW.
Equal Housing
Opportunity
It is unlawful to discriminate against any person making application for housing with regard to race, color, religion,
sex, national origin, handicapped status, familial origin or sexual orientation. The affordable housing must be the
intended primary residence of the applicant. All household members who intend to reside at the affordable home
must be listed in the application. If changes in household composition occur during the application process,
the applicant is required to notify the Township of Robbinsville's Office of Affordable Housing immediately.
Applications may be withdrawn if the household composition or sources of income changes after the submission
of this application. Applications must be truthful, complete and accurate. Any false statement makes the
application null and void, and subjects the applicant to penalties imposed by law. Income Verification: The
affordable homes are provided as a service to low- and moderate- income households. Occupancy is regulated by
certain municipal and state statutes that require us to verify the income of every applicant. Your cooperation is
appreciated.
Identification: Please include a photocopy of identification for every person who will reside in the affordable
home. Typically, a birth certificate, driver's license or passport will be sufficient. Verification of Income: Every
applicant must submit a copy of each of the most recent three (3) years of signed state and federal tax returns
(1040). Please include all accompanying documents such as W2 form(s), 1099's etc. If the applicant has not filed a
return in any of the three (3) previous years, he / she must submit a notarized letter of explanation. Every applicant
must submit the six (6) most recent statements from every Checking account and three (3) statements from every
other bank and financial account (including Savings, CD's, Money Market Accounts, etc.) to which the applicant is
a depositor or signatory. All sources of income must be verified. Acceptable forms of verification include:
Salary: Six (6) most recent pay statements (stubs). Social Security: A letter from the Social Security
Administration. Public Assistance: A letter from the appropriate agency which details the amount and frequency
of the benefit. Alimony and Child Support: The separation or divorce agreement which details the amount and
frequency of child support or alimony received by the applicant. Pension Plan, IRA, Annuity and/or other
retirement account, plan or service under which the applicant receives an income or financial distribution: The
most recent statement for each which clearly indicates the amount and frequency of the distribution. In lieu of a
statement, a letter of verification from the appropriate authority will be considered. Savings Bonds: A copy of all
bonds held by the applicant(s). Stocks, Bonds, Treasury Bills and Notes or other financial instruments which
are owned in whole or in part by the applicant: The most recent statement which verifies the value of the assets
and current dividends (if any). If these are not available, a notarized letter from a Certified Public Accountant or
attorney who has access to these records will be considered. Real Estate: If the real estate is the current residence
of the applicant, and if the applicant intends to sell the real estate, submit one of the following: a certified
appraisal, a contract with a real estate broker which sets forth the price of the property, or a signed contract for the
sale of the property. If there is a mortgage, a statement from the Mortgage Company or bank which clearly
indicates the principal balance of the mortgage(s) must be submitted. If other real estate is owned, in whole or in
part by the applicant, and that parcel or parcels of real estate generate(s) income, verification of income must be
supplied. In addition, verification of mortgage payments, property taxes and insurance should be submitted.
Business Income: Equals the sum of gross revenue less expenses (prior to taxes). Important: Answer all
questions. Please answer "none" in the sections which ask for information about income that you have not have.
Enter "n/a" if a question does not apply to you. If you have any questions, or are in need of further information,
please call us: (609) 259-3600 X 1134, or contact us by e-mail at gailp@robbinsville.net.
Application services are provided by the Township of Robbinsville, Office of Affordable Housing. This is an Equal Housing
Opportunity. All housing is subject to applicable affordable housing regulations and availability. The terms and conditions of this
affordable housing opportunity are subject to change without notice. We cannot guarantee that an affordable home will be
available to you. All homes meet certain criteria for "affordable housing," but the sales prices and rental rates are not adjusted to
meet any specific household income or financial situation. Therefore, we cannot and do not represent that these
homes will be affordable to any individual applicant.
APPLICATION FOR AFFORDABLE HOUSING
PLEASE CALL US IF YOU NEED CLARIFICATION OR FURTHER INSTRUCTIONS: (609) 259-3600 X 1134
A. Head of Household Information (Please verify the information below and make corrections if necessary.)
APPLICANT NAME:
CURRENT ADDRESS:
COUNTY:
HOME PHONE:
EMAIL (if applicable):
WORK PHONE:
OTHER:
B. HOUSEHOLD COMPOSITION AND CHARACTERISTICS
1. List the Head of Household and all other members who will be living in the unit. Give the relationship of each
family member to the head.
#
1
2
3
4
5
6
7
8
9
MEMBERS FULL NAME
RELATION
BIRTH DATE
SEX
SOCIAL
SECURITY #
Applicant
2. Does anyone live with you now who is not listed above?
3. Do you expect a change in your household composition?
Yes
No
Yes
No
Explain if you answered yes to either question:
4. Applicants Marital Status: Single
Married
Widowed Divorced
Cohabitating
5. Please identify any special housing needs.
6. Number of bedrooms requested on family composition:
Application for Affordable Housing
Page 2
C. Current Situation
1. Do you currently:
Rent Own Other
4. What is your monthly rent or mortgage payment?
$
2. How long at the address above?
Years
3. What was your previous address?
5. If you currently own your home, what is the
value of this home?
City:
6. What is the Principal Balance of your mortgage?
State:
Zip Code:
$
7. Approximately How Much Do You Have for a
Down payment? $
D. References
If you rent, please check "Landlord" and list the name and address of your landlord below. If you own your home,
please check "Mortgage Co." and list the name and address of the mortgage company and account number below.
1. Name and address of your Present Landlord or Mortgage Company:
2. Address:
3. City, State and Zip Code:
4. Telephone Number:
5. How long have you lived here?
6. Reason for leaving?
7. Mortgage Account No.:
If you own your home, please attach documentation verifying the value of the home and mortgage principal
amount.
Name and address of your Former Landlord or Previous Address:
Telephone:
How long did you live there?
Reason for leaving?
Application for Affordable Housing
Page3
E. Salary (Please list GROSS salary for every person over 18 years of age who will reside at the affordable home.
Attach the 3 most recent pay statements (stubs) to this application. Please include overtime in calculation.)
Name (First and Last)
Repeat Employee's Name if applicant has more than one
employer. Use additional pages for additional jobs.
Name of Employee:
Name of Employer:
Immediate Supervisor:
Address:
Telephone:
Name of Employee:
Name of Employer:
Immediate Supervisor
Address:
Telephone:
Name of Employee:
Name of Employer:
Immediate Supervisor:
Address:
Telephone:
Occupation Gross Salary Pay Period Annual
per Pay (Bi-Weekly, Gross
Period Weekly, etc.) Salary
$
$
$
$
$
$
F. Benefits Income: Social Security, Pension, Disability, Welfare, Public Assist, IRA's, Annuities, Child Support,
Alimony, Retirement, etc. (Include all sources which currently provide direct income. Provide documentation.)
Type of Income
(From List Above)
Source (Specify name of Bank,
Fund, Agency, etc.)
Client / Account Gross Monthly Gross Annual
Number
Benefit
Benefit
$
$
$
$
$
$
$
$
$
$
$
S
$
$
Application for Affordable Housing
Page 4
G. Assets: Financial Institutions (Checking Account, Savings Accounts, Certificates of Deposit, Money Market Funds,
Mutual Funds or other assets held by financial institutions. Provide documentation. Refer to Instructions.)
Type of Asset
or Account
Financial Institution
Account Number
Current
Market Value
of Asset
Interest
Annual
Rate
Income
S
% $
$
% $
$
% $
S
% $
S
% $
S
% $
S
% $
H. Assets: Directly Held (Stocks, Bonds, Income-Producing Real Estate, Business or other directly held assets. Provide
documentation. To determine the Annual Income from Real Estate or Business, refer to the Instructions.)
Type of Asset
Name of Asset
Number of Shares
Current
Annual
Market Value
Income
$
$
S
$
S
$
$
$
$
S
S
$
I. Additional Information (Please include any information which will assist us in serving us such as special needs,
accessibility requirements, etc.).
Applicant's Certification and Authorization:
The undersigned hereby states that all the information provided in connection with this Affordable Housing Application is
true and complete. I/We am/are aware that, if any statements made by me/us are willingly false, the application is null and
void, and I/we may be subject to penalties imposed by law. The Township of Robbinsville, its employees or its agents
are hereby authorized to contact references to verify the information provided in these applications, and to make other
inquiries regarding income, assets, credit status, employment, and residency history for the purpose of determining
my/our eligibility for this affordable housing program. Further, I/we understand that there is no obligation at this time on
my/our part to enter into a sales or rental agreement if the application is approved. Void if not signed by all Applicants
18 years of age and over.
Signed:
Date
Signed:
Date
APPLICANT QUESTIONNAIRE
This questionnaire must be filled out and signed by all applicants 18 and over.
Applicant/Tenant Name:
&
DOCUMENT CHECKLIST
Rev. 11/24/06
IMPORTANT
If you answer yes, you must submit
a COPY of all of the required documents!
Yes No
Applicant/Tenant: Please check "yes" or "no" for each line
Check "Yes" if the answer applies to one or more applicants.
I am entitled to file a tax return
(V) Place check mark if enclosed!
3 most recent federal & state tax returns
I am currently a student - (please circle below):
(a) Full Time (b) Part Time
with all attachments (w-2 forms, etc.)
Current transcript or letter from school
I am presently employed and receive wages/tips/commissions..
6 most recent pay statements...
I am presently employed at more than one job (NOT self-employed)
For every job held by everyone over 17.
I am self-employed.
Schedule "C" and tax returns
I own a business.
Current Profit and Loss statements
I currently am on leave of absence from work
Letter from employer to verify status
I currently receive unemployment benefits.
6 most recent statements from agency
I have a savings account...
3 most recent statements from each acct
I have a checking account...
6 most recent statements from each acct
I have a money market account
3 most recent statements from each acct
I own a certificate of deposit (CD).
3 most recent statements from each acct
I own stocks/bonds. (NOT held in a retirement plan)..
3 most recent statements from each acct
I own real estate or I am in the process of selling real estate..
Market value and mortgage statements
I have sold or gifted property or other assets in the past 2 years.
What was sold, the value and sale price
I have an IRA. (NOT yet receiving income)
3 most recent statements from each acct
I have a pension plan at work (NOT yet receiving income).
3 most recent statements from each acct
I receive Social Security Income....
Most recent benefit letter from SS Admin
I receive income from a pension/annuity/retirement fund.
3 most recent statements from each acct
I am entitled to receive child support.
3 most recent statements from source
I am currently paying child support
Proof of last 6 payments
I am entitled to receive alimony..
3 most recent statements from source
I am currently paying alimony....
Proof of last 6 payments
I receive AFDC/TANF.
Most recent benefits letter
I receive assistance from a Public Housing Authority.
Most recent benefits letter
I receive Supplemental Social Security (SSI)....
Most recent benefits letter
I receive Workman's Compensation
3 most recent statements from source
I have a Trust Fund
3 most recent statements from source
Valid form of ID for every household member is required!..
birth cert., driver's license or passport
Signature
Date: Signature
Date:
The following documentation (if it applies) must be provided so we can verify your income
and household size.
Personal identification (Driver's License, passport, birth certificate, social security card, etc.)
Checking - 6 months of statements
Savings Account (CD's, IRA's, etc.) statements and current interest rates
Bonds
Stocks
Real Estate (total value minus any outstanding mortgage balance, closing costs, broker's fees,
etc.) and income from real estate or businesses.
(6) most recent consecutive pay stubs for all employed household members
Social Security: S.S. Computer Printout or Award Letter
Pension Letter received from pension fund
Verification of Temporary Assistance for Needy Families (TANF)
Verification of Support (Child Support and/or Alimony)
Verification of Military Pay
Workers' Compensation - Letter from Workmen's Compensation.
Verification of Unemployment Benefits
1040 Federal Tax Return (Both front and back) (last 3 years)
State Tax Return (last 3 years)