Santa RosaInterest List Pre-Application

Santa Rosa

Interest List Pre-Application

Submit only one pre-application, duplicate submissions will be deleted.

Disclaimer

Pre-applications can be received online anytime during the lease up period. Applicants will receive a confirmation to acknowledge the successful transmission of the application. By submitting this pre-application information, you are not guaranteed placement on any waiting list.

Maintaining Your Status on the Interest List

If you are added to the waiting list, you will be notified in writing when your name comes to the top of the waiting list or if we are updating our files. If you do not respond to our notifications, or our attempts to contact you fail, your name will be removed from the list. You must notify us immediately if there are any changes to your household size, income, address, email, or phone number. This notification must be submitted in writing to the leasing office. (Electronic submission via email or fax is acceptable)

Eligibility

An applicant must qualify as an individual as defined by the housing programs regulating the property.
Applicant must be at least 18 years of age at the time of this pre-application or an emancipated minor by a court of competent jurisdiction, consistent with California law.
Applicant must have an annual income at the time of admission that does not exceed the established income limits for the program at the time of admission.
Applicant must pass a credit and criminal background check.
Applicant must meet all program requirements.

Reasonable Accommodation

If you have a disability and think you might want or need a reasonable accommodation you may request it at any time.

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This is not an application for residency and does not guarantee or imply approval for our Affordable Housing Program or residency within our community. Your signature allows us to place you on our interest list. Many income categories have a substantial wait time and therefore we cannot guarantee or speculate on the length of time when you will be called.

WinnResidential does not discriminate on the basis of race, sex, color, religion, marital status, familial status, national origin, age, pregnancy, disability, ancestry, or sexual orientation in the access to, admission into, or employment in housing programs or activities.

Household Size

Select

Last Name*

First Name*

Middle Initial

Date of Birth*

Cell Number*

Phone

Alternate Number

Phone

How did you hear about us?*

Select

Email Address*

Physical Address*

(If no permanent address list N/A)

Mailing Address*

(If no permanent address list N/A)

Total Annual Household Income*

Income Source 1: Employment

Income Source 2: Unemployment

Income Source 3: Self-Employment

Income Source 4: Social Security

Income Source 5: Supplemental Security Income

Income Source 6: Child Supprt

Income Source 7: TANF

Income Source 8: Alimony

Income Source 9: Other

Do you have a Section 8 Voucher?

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Do you have pets?*

Select or enter value

Disability Requiring Reasonable Accomodation?*

Select

Requires Accessible Features?*

Select

Feature 1: Mobile Impaired

Feature 2: Sensory

Feature 3: Grab Bars

Feature 4: Other

Student Status

Please check the applicable student status below:

FT Student

PT Student

Not a Student

Exception 1: Is the student married and entitled to file a joint tax return?

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Exception 2: Is the student a single parent with child(ren) and this parent is not a dependent of someone else, and the child(ren) is/are not dependent(s) of someone other than a parent? (attach student’s tax return and if applicable, divorce/custody decree or other parent’s most recent tax return.) (This option applies to 1993 and later tax credit allocations only)

Select or enter value

Exception 3: Is the student receiving assistance under Title IV of the Social Security Act, for example: Temporary Assistance to Needy Families (TANF)?

Select or enter value

Exception 4: Does the student participate in a program receiving assistance under the Job Training Partnership Act, Workforce Investment Act, or under other similar, federal, state or local laws?

Select

Exception 5: Was the student previously under foster care?

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Certification: I hereby certify under penalty of perjury, that to the best of my knowledge, all of the information I have provided on this pre-application is true and correct and hereby authorize verification of the above items including, but not limited to, the obtaining of a credit report. WinnResidential has adopted a policy of performing criminal background checks for all adult household members. I understand that providing false information may be grounds for the denial of my pre-application. I also understand that I will be required to provide WinnResidential’s designated representatives with verification and/or proof to support any or all of the claims I have made on this pre-application. Check box below.*

E-Signature*

A signed copy of this pre-application or any other ancillary agreement transmitted by facsimile, email, or other means of electronic transmission shall be deemed to have the same legal effect as delivery of an original executed copy of this Master Contract or such other ancillary agreement for all purposes. Please type name below.

Send me a copy of my responses

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