City of Waltham HOME TBRA Security Deposit Program Online Application

THIS IS NOT AN EMERGENCY ASSISTANCE PROGRAM. READ THE PROGRAM GUIDELINES BEFORE YOU APPLY. All applicants will be required to upload documents to this application that relate to your household. This will include proof of income, assets, and identification for ALL household members. Before you start you should make sure you have reviewed the application checklist in the City of Waltham Housing Web Page and gather all of the neccessary documents you will need to upload. This is very important and you should STOP now if you have not already prepared and gathered your supporting documentation. YOU WILL NOT BE ABLE TO RE-ENTER THIS APPLICATION ONCE YOU SUBMIT IT. Affirmative Marketing In accordance with Mass State Law and Federal Code 24 CFR 92.350,and to further the City’s commitment to nondiscrimination and equal opportunity, the City of Waltham will not discriminate on the basis of race, color, national origin, religion, sex, gender identity, sexual orientation, disability, ancestry, genetic information, marital status, veteran or active military status, age, familial status (i.e., children), and source of income (i.e., Section 8 voucher). The City will follow all procedures outlined in the City of Waltham and West Metro Consortium Affirmative Marketing Policy.
 
 
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Please provide a phone number where you can be reached.
 
if you do not have an email address you can leave this blank.
 
How many people live in your household?
 
How many household member are Adults 18 years or older
 
How many household members are children under 18 ye
 
Are there any household members 18 or older who are currently full time students. UPLOAD OF CURRENT STUDENT STATUS.
 
Please identify your race
 
 
Is anyone in your household disabled?
 
Enter names of household members who are currently working. If none please answer NONE. UPLOAD OF 8 WEEKS OF PAY STUBS FOR ALL ADULTS WHO WORK.
 
 
Enter the names of household members who are currently collecting unemployment. If none, please answer NONE. UPLOAD OF UNEMPLOYMENT AWARD PAPERWORK
 
 
Enter the names of any household members who currently collect social security benefits. If none please answer NONE. REQUIRES UPLOAD OF ANNUAL SS STATEMENT
 
 
Do you or any other household members collect a pension? UPLOAD OF STATEMENT(S).
 
Do you or any other adults in the household have any other sources of Income? Examples of other income could be Child Support, or someone who provides the household with money every week or monthly, If none please answer NONE. WILL REQUIRE UPLOAD OF PROOF OF OTHER INCOME.
 
 
Do you or any other household members have any life insurance? Check all that apply. WILL REQUIRE UPLOAD OF FIRST PAGE OF INSURANCE POLICY.
 
Did you or any other adults in the household file State and Federal Tax returns this year? WILL REQUIRE UPLOAD OF TAX DOCS.
 
Do you or any other adults in the household have a checking account? REQUIRES UPLOAD OF THREE MONTHS OF STATEMENT COPIES FOR ALL ADULTS
 
Do you or any other household members have a savings account? WILL REQUIRE UPLOAD OF THREE MONTHS OF BANK STATEMENTS.
 
Do you or any other household members have any IRA , 401K or other retirement investment accounts? WILL REQUIRE UPLOAD OF STATEMENTS
 
Do you or anyone in your household currently own real estate?
 
Does your household currently live in public housing or have any rent assistance that pays part of your rent each month? Example would be a Section 8 Voucher, Local Voucher or MVRP Voucher through a housing authority or agency.
 
Have you ever been evicted from your housing , if yes please briefly explain what the reason was for your eviction. If no answer NO.
 
 
By checking this box I am confirming that I will upload all necessary household information regarding income, assets, and identification for myhousehold.
 
additional documents can be sent to housingapplication@city.waltham.ma.us ATTENTION: upload the following documents for all adults in household . Incomplete applications will not be processed until you provide ALL neccessary information as listed: Photo ID's for all adults Birth Certificates for all children 3 months of bank statements (checking, savings) 8 weeks of pay stubs proof of unemployment (benefit statement) proof of Social Security (annual statement) proof of IRA or Investment accounts proof of alimony proof of life insurance full time student status( school verification)
Drop your files here
 
By checking this box I understand that by submitting this application all the information I have provided is truthful and to the best of my knowledge. The City of Waltham Housing Department may ask me for additional information if necessary to determine household eligibility. If it is determined that i have falsified my application in any way the City has the right to reject my application.
 
By checking this box I am confirming that I have read the HOME TBRA Security Deposit Guidelines on the City of Waltham webpage and all other applicable documents pertaining to the program before I completed this application and understand what is required to be determined eligible. I understand that a submission of an application does not mean I have been approved for the program. I understand that my application must be reviewed prior to approval.