Rental Application

Maple Hill Apartments operates under the rules and regulations of the Private Housing Finance Law of the State of New York, and Sections 236 and 101 of federal law governing the U. S. Department of Housing and Urban Development. As such, we are authorized to gather the infomation asked for below from individuals applying for housing under those programs for which family size and income are among the criteria for eligibility.

Maple Hill is Equal Opportunity Housing under all applicable federal, state, and local law.

Number of bedrooms desired
Important: Apartment size (no. of bedrooms) is determined under federal guidelines by family size and composition. Your preference may be modified in accordance with those guidelines.

Applicant Information

Applicant Full Name
Spouse Full Name
Street Address
Box No.
City	State Zip
Current Phone No.
Email Address

Others to reside in Apartment: (Please include last name if different than applicant.)
Name	Relationship	Age	Sex


Estimated total family annual income at time of occupancy:

Applicant Income	$
Spouse Income	$	Explain other income sources below
Other 1	$
Other 2	$
Total Income	$
NOTE: Since the total household income is an important criterion for eligibility in federal housing programs, Maple Hill Apartments reserves the right to ask for such proof as needed to establish same, both at the time of initial application and at any time during the period of tenancy.

Other Information:


Name and Address of current landlord:
Name
Address
Phone No.
How long resided at current address?

Name and Address of previous landlord:
Name
Address
Phone No.
How long resided at previous address?

Important:
The information asked for in this pre-application is to be used by the management of Maple Hill Apartments for the sole purpose of determining eligibility for tenancy under applicable federal housing programs. The information furnished will remain strictly confidential. Information other than asked for in this pre-application may be asked of you at time of occupancy to complete our records.
Unfortunately, the keeping of dogs and cats is prohibited under the lease.

Thank you for applying.. Abbott Associates 301 Maple Ave. #F5 Ithaca, NY USA 14850 Tel. 607-319-0692 Email rental@abbottassociates.com