Categories Housing Forms NHA Project Based Voucher Program Application Post author By mmelendez Post date December 2, 2020 No Comments on Project Based Voucher Program Application Project-Based Voucher Program Pre-Application Pre-ApplicationAddendum to Pre-ApplicationLandlordsEmergency ContactsForm Certification Social Security Number * Sex Male Female First Name * Middle Initial * Last Name * Phone Current Address * Current Address Street Street Apt/Suite/Trlr Apt/Suite/Trlr City City State Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Zip Zip Is your Mailing Address the same as current address? Yes No Mailing Address * Mailing Address Street Street Apt/Suite/Trlr # Apt/Suite/Trlr # City City State Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Zip Zip Date of Birth * Are you and/or spouse 62 years of age or older * Yes No I consider myself: * White Hispanic African American Oriental American Indian Asian/Pacific Islander OtherOther Total gross monthly income of all household members who will be living with you * $ Are you and/or spouse a U.S. Veteran * Yes No Are you and/or spouse disabled or handicapped? * Yes No Are you hearing impaired * Yes No Are you vision impaired? * Yes No If yes, please explain nature of disability or handicap How may we best accommodate the special need of your family? Current monthly rent * $ Number of bedrooms in current residence * If sharing, portion of rent you pay * $ If sharing, number of bedrooms you occupy Do you and/or spouse work in the City of Nogales? * Yes No Please give ZIP code of place of employment * Are you being displaced by government action, private action or natural disaster? * Yes No Are you living in substandard housing? * Yes No Are you currently paying over 50% of your monthly income towards rent? * Yes No Have you or any member of your household been diagnosed with a terminal illness? * Yes No Have you recently been referred to the Nogales Housing Authority by the Department of Social Services or Child Protective Services? * Yes No Are you currently interested in job training/education or other services? * Yes No Is a wheelchair required for any household members? * Yes No Can all household members, including yourself, climb stairs to a second floor apartment? (optional) Yes No Income Sources Do you or any household member who will be living with you have the following sources of income? Wages * Yes No S.S.I * Yes No Welfare * Yes No Social Security * Yes No Pension/Retirement * Yes No Veterans Benefits * Yes No Unemployment * Yes No OtherOther Family Composition Persons who will live with you including your unborn child Relationship to applicant Date of Birth Sex Age Social Security Number Add more members Remove If you are human, leave this field blank. Next
Categories Housing Forms NHA Nogales Housing Pre-Application Post author By mmelendez Post date December 1, 2020 No Comments on Nogales Housing Pre-Application NHA Pre-Application Pre-ApplicationAddendum to Pre-ApplicationLandlordsEmergency ContactForm Certification Social Security Number * Sex Male Female First Name * Middle Initial * Last Name * Phone * Current Address * Current Address Street Street Apt/Suite/Trlr Apt/Suite/Trlr City City State Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Zip Zip Is your Mailing Address the same as current address? Yes No Mailing Address * Mailing Address Street Street Apt/Suite/Trlr # Apt/Suite/Trlr # City City State Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Zip Zip Date of Birth * Are you and/or spouse 62 years of age or older * Yes No I consider myself: * White Hispanic African American Oriental American Indian Asian/Pacific Islander OtherOther Total gross monthly income of all household members who will be living with you * $ Are you and/or spouse a U.S. Veteran * Yes No Are you and/or spouse disabled or handicapped? * Yes No Are you hearing impaired * Yes No Are you vision impaired? * Yes No If yes, please explain nature of disability or handicap How may we best accommodate the special need of your family? Current monthly rent * $ Number of bedrooms in current residence * If sharing, portion of rent you pay * $ If sharing, number of bedrooms you occupy Do you and/or spouse work in the City of Nogales? * Yes No Please give ZIP code of place of employment * Are you being displaced by government action, private action or natural disaster? * Yes No Are you living in substandard housing? * Yes No Are you currently paying over 50% of your monthly income towards rent? * Yes No Are you currently paying over 50% of your monthly income towards rent? * Yes No Have you or any member of your household been diagnosed with a terminal illness? * Yes No Have you recently been referred to the Nogales Housing Authority by the Department of Social Services or Child Protective Services? * Yes No Are you currently interested in job training/education or other services? * Yes No Is a wheelchair required for any household members? * Yes No Can all household members, including yourself, climb stairs to a second floor apartment? (optional) Yes No Income Sources Do you or any household member who will be living with you have the following sources of income? Wages * Yes No S.S.I * Yes No Welfare * Yes No Social Security * Yes No Pension/Retirement * Yes No Veterans Benefits * Yes No Unemployment * Yes No OtherOther Family Composition Persons who will live with you including your unborn child Relationship to applicant Date of Birth Sex Age Social Security Number Add more members Remove If you are human, leave this field blank. Next