I have read and agree to the Application Agreement. Click Here to read Application Agreement.
Application Fees are $50.00 per person over the age of 18 in the household. Applications will not be processed until application fees are paid and all required documents are received.

Once the application is reviewed, all required documents are received, and the application is determined by the Intake Specialist as a completed application, you will receive an email with a payment link to pay the application fee online.

Property Information
Property Address:(if undecided, please note Open or desired bedroom size)
Select your preferred move-in date.
Click Here
Please note: This date does not guarantee the move-in date. The move-in date may be sooner or later then the date you select.
Date Submitted

12-06-2021


Applicant type: Individual   Co-Applicant (This option is not used for a co-signer or guarantor.)
Applicant Information
First:
Middle Initial:
Last:
Date of Birth:
Click Here
SSN:
Home Number:
Cell Number:
Email:
Driver License #:

State:
Expires: Click Here
Demographic Information
*This section is optional and has no bearing on rental decisions.




Automobile Information
Do you have a vehicle?
Yes   No

Make:
Model:
Year: Color:
License plate#: State:

Make:
Model:
Year: Color:
License plate#: State:


Any other name(s) used (including maiden name): 
Residential History
Current Address
Street1:
Street2:
City:
State: Zip:
Residency: Rent   Own Live with Family
Previous Address
Street1:
Street2:
City:
State:
Zip:
Residency:
Rent   Own Live with Family


Have you rented with CHAD in the past?
Yes   No


Employment Information
Employment Status
Full-Time   Part-Time   Retired   Student   Student and employed   Self-Employed   Unemployed  
If retired, student, self employed, or unemployed, please provide the source of income, monthly/weekly amount, and frequency of income.
Current Employer
Employer:
Address:
City:
State:
Zip:
Phone Number:
  Ext:
Supervisor Name:

Supervisor Number:
  Ext:

Your Title/Position:

Hourly Rate:
Start Date:
Click Here
Do you have direct deposit?
Yes   No

Second Employer (If Applicable)
Employer:
Address:
City:
State:
Zip:
Phone Number:
  Ext:
Supervisor Name:

Supervisor Number:
  Ext:

Your Title/Position:

Hourly Rate:
Start Date:
Click Here
Previous Employer
Employer:
Address:
City:
State:
  Zip: 
Phone Number:
  Ext:
Supervisor Name:

Supervisor Number:
  Ext:

Your Title/Position:

Hourly Rate:
Start Date:
Click Here
End Date:
Click Here
Are you married and currently filing a joint tax return?
Yes   No

Are you receiving AFDC (Aid to Families with Dependent Children)?
Yes   No

Are you enrolled in the Job Training Partnership Act (JTPA) or another similar local, county or state program?
Yes   No


Are you a single parent with minor child(ren) and neither you nor the minor child(ren) are dependent on anyone else’s tax return?
Yes   No

Applicant Questions
Does anyone live with you now who is not listed above?
Yes   No

Do you expect any additions to the household within the next 12 months? ?
Yes   No

Have you ever been asked to move out of a residence?
Yes   No

Have any leaseholders ever been evicted from tenancy for any reason?
Yes   No
Are you a registered sex offender?
Yes   No
Have any leaseholders and/or occupant ever been convicted of a felony?
Yes   No


Do you confirm that you & all your occupants have NOT in the last 5 years been convicted of a felony crime involving violence, major drugs, or sexual offenses?
Yes   No


Do you have full custody of your children?
Yes   No
Do you currently live with a relative or friend?
Yes   No
Is your name on the lease where you currently live?
Yes   No
Do you have liquid furniture? (i.e. waterbed)
Yes   No


Do you have renter insurance?
Yes   No

Do you confirm that all leaseholders have NOT filed bankruptcy or the bankruptcy was discharged?
Yes   No

Do you confirm that all leaseholders have no more than between $0-$10,000 in collections?
Yes   No

Have you ever had any collections?
Yes   No

Are you receiving Rental Assistance?
Yes   No

Has your Rental Assistance ever been terminated for fraud, non-payment of rent, or failure to certify?
Yes   No

Do you or anyone in your household 18 years of age or older have a zero income? This question should only be answered Yes if you or someone in your household 18 years old or older has a zero income and does not receive any financial assistance from any sources. Note: By answering Yes and signing this rental application, you are certifying that this information is true and correct.
Yes   No
Pets
CHAD allows up to 1 pet per household with a maximum maturity weight of 30 LBS.

Do you have a Pet?
Yes   No
Other Occupants (The maximum is six.)
Please list all people who will reside in the residence. Please also include all other adult occupants not listed as an Applicant or Co-Applicant: 

Emergency Contacts
Emergency Contact 1

*Must be someone not residing with you

First:
Middle:
Last:
Home Phone:
Cell Phone:
Street1:
Street2:
City:
State: Zip:
Relation to leaseholder:
Emergency Contact 2

*Must be someone not residing with you and not the same as Emergency contact 1.

First:
Middle:
Last:
Home Phone:
Cell Phone:
Street1:
Street2:
City:
State: Zip:
Relation to leaseholder:

Financial Information
Do YOU receive OR expect to receive income/assistance from:If yes, monthly Income
Veteran’s pension
Social Security and/or SSI
Alimony
Child Support
Public Assistance, General Relief or Aid to Families with Dependent Children, Housing Choice Voucher (formerly Section 8), Rental Housing Support
Unemployment Benefits or Workman's compensation
Severance payments or Settlements
Disability, death benefits or life insurance dividends
Self Employed (If you are self employed, you are required to provide proper documentation of your income when submitting your application documents)
Regular gifts or payments from anyone outside of the household? (This includes anyone supplementing your income or paying any of your bills)
Educational grants, scholarships or other student benefits
Lottery winnings or inheritances
Payments from rental property, land contracts or other forms of real estate
Are you participating in a program that will be paying your rent
Other (Please Specify)
Do you own a home or other real estate? Yes   No



Do you have a bank, pay card, and/or mobile pay app accounts?
Yes   No
Additional Comments or Notes
Application Completion

DISCLOSURE AND AUTHORIZATION

The undersigned declares that the information on this rental application is true and correct, and understands that false statements may result in rejection of this and any future applications for housing we manage.  The undersigned does further understand that all persons or firms associated with Community Housing Advocacy and Development may freely give any requested information concerning me.

I also hereby authorize Community Housing Advocacy and Development to verify my past and present employment earnings records, bank statements, previous residences and/or any information given for the purposes of renting and/or leasing through Community Housing Advocacy and Development including but not limited to a credit check.  I further understand and agree that Community Housing Advocacy and Development will rely upon this rental application as an inducement for entering into a rental agreement or lease and I warrant that the facts contained in this application are true.  If any facts prove to be untrue, Community Housing Advocacy and Development may terminate my tenancy immediately and collect from me any damages incurred including reasonable attorney fees resulting there from.  Community Housing Advocacy and Development welcomes all applicants and supports fair housing.  We do not refuse to lease or rent any housing accommodations or property nor in any other way discriminate against a person because of sex, marital status, race, creed, religion, age, familial status, physical or mental handicap, color or national origin.

Investigational Background Search Disclosure

Community Housing Advocacy and Development conducts applicant screening on persons applying to live in our managed properties, such screenings may include criminal background investigations.  Prior to acceptance of an applicant, we may use an independent consumer reporting agency to search public records which may contain criminal background information regarding the applicant.  Community Housing Advocacy and Development will determine if the criminal background information pertains to the applicant and if the report indicates that one or more such felony and or misdemeanor records were found.  We will then compare the records to our established acceptance policies to determine whether or not the applicant may be accepted.  If your application is declined based on the discovery of public records that indicate an unacceptable criminal background, you will be given the name, address, and telephone number of the consumer reporting agency that provided the criminal background report.  An applicant who is declined based on a criminal background may obtain a free copy of the report and may initiate a reinvestigation to have any erroneous information contained in the report corrected.  The consumer reporting agency will advise you of the procedures that you should follow in order to do so.

Valid Photo Identification must be presented prior to final approval of this application.

I, the undersigned Applicant, agree to the above terms and do hereby swear (or affirm) that the information supplied herein is true and complete, to the best of my knowledge and belief.  By clicking "Apply Now" you agree to the terms stated above.  Please enter your full name to signify your digital signature, thereby confirming that you have read and agree with all the above statements and have provided complete and accurate information.  Applicant authorizes verification of references given and declares that the statements made in this application are true and correct and agrees that the landlord may terminate the contract entered into in reliance on any misstatement made in this application. The applicant signing this application is signing on behalf of every adult occupant 18 years of age listed on the rental application.


APPLICANT SIGNATURE: 





   
Database Info:  COMMHAD_101610  CHAD