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Senior Rental Housing-Felicia Elliot Affordable Senior Housing

Senior Rental Housing-Felicia Elliot Affordable Senior Housing
Greenville, South Carolina

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Great house in Simpsonville at a great price!

Great house in Simpsonville at a great price!
Simpsonville, South Carolina

$102,450
Program Application
NOTE: Please complete as much information as possible. Fields noted with * are required before the form can be submitted.

Personal Information
Head of Household/ Applicant Name *
Email Address
Home Phone
Work Phone
Cell Phone
Social Security #
Date of Birth
Marital Status *
Race
Ethnicity
Are you a legal resident of the United States?
Sex

Spouse/Co-Applicant Information
Spouse/Co-Applicant
SSN
DOB
Sex
Number to Live in Household

List other occupants below:
Name
Relationship
Social Security #
Date of Birth
------------------------
Name
Relationship
Social Security #
Date of Birth
------------------------
Name
Relationship
Social Security #
Date of Birth
------------------------
Name
Relationship
Social Security #
Date of Birth

Present Housing
Present Address *
Present Address From
Present Address To
Landlord Name
Landlord Phone
Monthly Rent *

Employment
Employer
Position
Employer Address
Employment Date
Salary/Hourly Wage *
Hours Worked per Week
Overtime Hourly Wage
Overtime Hours Worked per Week
If Employment less than 2 years, please provide previous employer information
Previous Employer
Previous Employer From
Previous Employer To

Employment (Spouse/Co-Applicant)
Employer
Position
Employer Address
Employment Date
Salary/Hourly Wage
Hours Worked per Week
Overtime Hourly Wage
Overtime Hours Worked per Week

Other Income

(Social Security, SSI, Pension, Retirement, Child Support, Other)
Amount
How Often?
From?
------------------------
Amount
How Often?
From?
Court Ordered Child Support?

Do You Have?
Savings Account
Savings Balance
Savings Bank
Checking Account
Checking Balance
Checking Bank
Retirement Account
Retirement Balance
Retirement Bank
Own Car
Own Property
Property Description

Anything else you would like for us to know?
Comments

Please enter only the bold text shown in the field below.

APPLICANT CERTIFICATION:I certify all information made on this application is true and correct to the best of my knowledge and belief. I authorize the Neighborhood Housing Corporation and participating lenders to obtain a credit report and a criminal history from the State Law Enforcement Division (SLED). Applicants for homeownership will not be considered if they or any member of the household over the age of 18 have been convicted of drug distribution over the past five years. I consent to the disclosure of income and financial information from my employer and financial references for purposes of verification related to my application for the Affordable Homeownership Program and mortgage loan approval. I agree that a photocopy of this authorization may be used for the purposes stated above. I authorize the NHC to obtain rental history from current and past landlords as necessary for program approval.
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