AFFORDABLE HOUSING APPLICATION

CURRENT RESIDENTIAL INFORMATION
Beginning with current address, please provide a minimum of five (2) years or two (2) landlords residential history. You may go back further than 2 years, but you must give an address for all the time during that period. If you were not on a lease, indicate who allowed you to reside at the address in the LANDLORD NAME column. This must be completed for all household members over the age of 18.
Please describe your current housing (ex., number of bedrooms/bathrooms, location, length of residency, whether a lease is in effect, when lease will terminate, whether you are at risk of being displaced, etc.)