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Beaufort Manor Apartments1300 Beaufort Manor DriveBeaufort, NC 28516Phone (252) 728-5702Fax (252) 728-7116Thank You for your interest in Beaufort Manor Apartments. We are now accepting applications for our 2and 3 bedroom apartments. Enclosed is our rental application that must be filled out completely. If aquestion does not apply to your situation, please answer N/A. We also ask that you use a pen whencompleting the application. Again, thank you for inquiring about Beaufort Manor Apartments!The following income restrictions apply for all persons applying for housing.HouseholdSize123456750% of Median IncomeMaximum Annual % of Median IncomeMaximum Annual RRent Schedule:11 @ 47510 @ 5503BR(For 50% Households)(For 60% Households)Utility allowance 133(estimated utility cost per month – based on average utility cost)7 @ 5257 @ 605 156Security Deposit: One Months RentMinimum Income Requirement: 14,592 16,392(For 50% Households)(For 60% Households) 16,344 18,264For Section 8 Cert./Voucher: (2.5 x (tenant rent utility allowance) or 3,600.00, which ever is greater)Smoking, including E-cigarettes will be prohibited in all residential units including porches andbalconies. Smoking will be permitted 25 feet and beyond from all buildings. This policy applies toall residents, guests, employees, service personnel, and all other visitors to the property.No Pets Allowed1.2.3.4.Application RequirementsCompleted and signed application. 25.00 money order or check payable to Evergreen Construction to cover the cost of the creditand criminal reports that we will run. An additional 25.00 will be required if applicants havedifferent last names or the same last name but separate credit (i.e. parent/child)Enclose a copy of each household member(s) birth certificate.Enclose a copy of each household member(s) social security card.Return the above information to: Beaufort Manor Apartments1300 Beaufort Manor Dr.Beaufort, NC 28516EQUAL HOUSING OPPORTUNITY1-1-2020Hsg Trust

Rental ApplicationLIHTCPlease print in ink, answer NO or N/A where applicable, initial all corrections, and do not use white outAPPLICANT INFORMATIONApplicant’s Full Name:Bedroom Size Requested:Desired Move-In Date:RESIDENCE INFORMATION* 5 YEARS OF RESIDENTIAL HISTORY MUST BE PROVIDED*Current ResidenceStreet:City:State:Cell Phone Number:ZIP:Telephone:Drivers License Number:Lived here from:to:Do you Rentor OwnReason for moving:Landlord Name:Landlord Address:City:Previous :Lived here from:to:Rentor OwnReason for moving:Landlord Name:Landlord Address:City:Previous :Lived here from:to:Rentor OwnReason for moving:Landlord Name:Landlord Address:City:State:ZIP:Telephone:CO-APPLICANT INFORMATIONCo-Applicant’s Full Name:RESIDENCE INFORMATION – CO-APPLICANT* 5 YEARS OF RESIDENTIAL HISTORY MUST BE PROVIDED*Current ResidenceStreet:City:State:Cell Phone Number:Lived here from:ZIP:Telephone:Drivers License Number:to:Do you Rentor OwnReason for moving:Initial

2 of 7Landlord Name:Landlord Address:City:Previous :Lived here from:to:Rentor OwnReason for moving:Landlord Name:Landlord Address:City:Previous ResidenceZIP:State:ZIP:Telephone:Street:City:Lived here from:State:to:Rentor OwnReason for moving:Landlord Name:Landlord Address:City:State:ZIP:Telephone:HOUSEHOLD COMPOSITIONDIRECTIONS: PLEASE COMPLETE THE TABLE BELOW LISTING EACH MEMBER OF THE HOUSEHOLD, INCLUDING CAREATTENDANTS, WHETHER OR NOT THOSE MEMBERS ARE RELATED. INCLUDE ALL MEMBERS WHO YOU ANTICIPATE WILLLIVE WITH YOU AT LEAST 50% OR MORE OF THE TIME DURING THE NEXT 12 MONTHS. (A FULL TIME STUDENT ISANYONE WHO IS ENROLLED FOR AT LEAST FIVE CALENDAR YEAR MONTHS FOR THE NUMBER OF HOURS OR COURSESWHICH ARE CONSIDERED FULL-TIME ATTENDANCE BY THAT INSTITUTION. THE FIVE MONTHS NEED NOT BECONSECUTIVE).*LIST EACH PERSON LIVING IN THE UNIT*NameRelationto HeadBirth gYNHowLongYNHowLongMarital StatusSS edWidowedInitial

3 of 7Do all of the household members reside in the household 100% of the time? Yhousehold 100% of the time:Anticipated changes in household size within the next 12 months? YAnticipated change in number of students within the next 12 months? YNNIf no, please list those not living in theIf yes, explain:NIf yes, explain:DISABILITY STATUSYes, I feel I meet the definition of handicapped/disabled as defined as having a physical or mental condition that limits mov ement,senses, or activities.No, I feel that I do not meet the definition of handicapped/disabled as defined above.Would you or anyone in your household benefit from the features of a handicap -accessible unit? YDo you require any accommodations or modifications to the unit for any disability? YNNIf yes, explain:CARE ATTENDANTWill you have a Care Attendant living with you?YNIf yes, F/Tor P/TName of Care Attendant:Address:City:State:ZIP:Telephone:GENERAL INFORMATIONHave you, your spouse, or any other proposed occupant ever:1. Been arrested and charged with a misdemeanor or felony? YNIf yes, who in w hat state what year2. Been required to register as a sex offender? YNIf yes, who in what state what year3. Been evicted? YNIf yes, when whereDo you have a Section 8 voucher or certificate? YDo you have any pets? YNNIf yes, list breed and weight:*Pets are Only permitted in senior properties*How did you hear about our apartment community?EMERGENCY CONTACT(PLEASE PROVIDE INFORMATION FOR TWO PEOPLE NOT PLANNING TO OCCUPY THE PREMISES WHOM WE MAY CONTACT IN THE EVENTOF AN EMERGENCY, OR TO LOCATE :Zip:AUTOMOBILE INFORMATIONModel:Make:Color:Tag #:Model:Make:Color:Tag #:Initial

4 of 7NCHFA (North Carolina Housing Finance Agency) regulations require that all applicants/tenants reveal all sources of income and assets.This application is not considered complete and therefore cannot be processed until the following questionnaire of income and assetshave been completed by each household member 18 years of age and older (not required for care attendants) .NAME:INCOME AND ASSETS(EACH HOUSEHOLD MEMBER 18 YRS AND OLDER MUST COMPLETE SEPARATE INCOME AND ASSETS FORMS)HowManyType of AssetChecking AccountYNEstimatedValue Savings AccountYN Source Contact for Verification(list each separately)Institution Name:Telephone:Institution Name:Telephone:Institution Name:Telephone:Institution Name:Telephone:Institution Name:Telephone:Institution Name:Telephone:Debit CardsYNNOT including debit cards related to the accountslisted above Certificates of DepositsYN Institution Name:Telephone:Money Market FundsYN Institution Name:Telephone:Mutual Funds/StockYN Institution Name:Telephone:Treasury BillsYN Institution Name:Telephone:IRA or 401kYN Institution Name:Telephone:Company Retirement AccountsYN Institution Name:Telephone:Annuities IncomeYN Institution Name:Telephone:Life Insurance Policies (Whole Life)YN Institution Name:Telephone:Pension FundsYN(Account Not receiving payments on a regular basis) Institution Name:Telephone:Trust AccountsIf yes, is it revocable?YYNN Institution Name:Telephone:Personal Property held for InvestmentYN Institution Name:Telephone:Mortgage or Deed of TrustYN Institution Name:Telephone:Cash on HandYN Institution Name:Telephone:House/Real EstateYN Institution Name:Telephone:Rental PropertyYN Institution Name:Telephone:Other InvestmentsYN Institution Name:Telephone: Have you received any lump sum payments such as the following:InheritancesYN Details:Lottery or other winningsYN Details:Insurance SettlementsYN Details:Workers Compensation SettlementsYN Details:Social Security Disability SettlementsYN Details:Unemployment Compensation Settlements YN Details:VA Disability SettlementsYN Details:Severance PayYN Details:Capital GainsYN Details:OtherYN Details:Have you disposed of any assets for less than Fair Market Value within the last two years? (Please state if the sale was due toforeclosure, bankruptcy or divorce.) YNIf yes, explain:Initial

5 of 7IncomeHowManyType of IncomeEstimatedMonthlyAmountSource Contact for VerificationInstitution Name:Address:Employment (Wages & Salary)YN How long?If less than 1 year, start date:Telephone:Institution Name:Address:Telephone:Income from a Business or ProfessionYN Institution Name:Telephone:Military Pay, including all allowancesYN Institution Name:Telephone:Social SecurityYN Institution Name:Telephone:SSIYN Institution Name:Telephone: Institution Name:Telephone: Institution Name:Telephone:Disability and Death Benefits(other than SSI)YNTANF/Work First or other Public AssistanceYNAlimonyN Institution Name:Telephone:Child Support (include all support whether courtordered or not)YN Institution Name:Telephone:Unemployment CompensationYN Institution Name:Telephone:Workers’ CompensationYN Institution Name:Telephone:Severance PayYN Institution Name:Telephone:Retirement IncomeYN Institution Name:Telephone:Pensions(Receiving payments on a regular basis)YN Institution Name:Telephone:Annuities IncomeYN Institution Name:Telephone:Insurance Policies IncomeYN Institution Name:Telephone:Scholarships, Grants, Educational EntitlementsYN Institution Name:Telephone:Income from Rental PropertyYYN Work Study ProgramsYN Institution Name:Telephone:Long Term Care PaymentsYN Institution Name:Telephone:Income from TrainingYN Institution Name:Telephone:Other IncomeYN Institution Name:Telephone: Please explain:Regular Recurring GiftsYN(Such as but not limited to: Receiving monetarygifts or non-cash contributions from persons outsidethe household for rent, utilities, groceries, clothingand/or misc household supplies)I understand that the above information is being collected to determine my eligibility for residence. I authorize the owner/ manager toverify information provided on this application and my signature is my consent to obtain such verification. I certify t hat I haverevealed all assets currently held or previously disposed of and that I have no other assets other than those listed on this form (otherthan personal property). I further certify that the statements made in this application are true and comple te to the best of myknowledge and belief and am aware that false statements are punishable under Federal law.I understand that this application and all related inquires will be used only for its relevance to screening and occupancy at thisproperty.Signature:Date:Initial

6 of 7I (we) understand that this application must be filled out completely and accurately. I (we) certify that the information provided isaccurate and I (we) understand that any misrepresentations will disqualify me (us). I (we) further certify that the housing occupied onthese premises will be my (our) permanent residence and I (we) do not/will not maintain a separate subsidized rental unit at any otherlocation.By signing this application, I (we) hereby authorize the management (or agent) of this complex, for the purpose of this application, tocontact and obtain any information required from any of the individuals or entities listed on this application, or from any otherindividuals or entities as may be required. Management further reserves the right to rele ase this information for purposes of collectingoutstanding debts.I (we) understand that the managing agent will verify, in writing through a third party the information provided on this appl ication.I (we) also understand that my household wages are su bject to being verified through a third party source(s) by agencies designatedby the U.S. Federal Government to administer this housing program.WARNINGSection 1001 of the Title 18, United States Code provides, “Whoever, in any matter within the jurisdiction of anydepartment or agency of the United States knowingly and willfully falsifies, conceals or covers up by any trick, scheme,or device a material fact, or makes any false, fictitious or fraudulent statements or representations, or makes or usesany false writing or document knowing the same to contain false, fictitious or fraudulent statements or entry, shall befined under this title or imprisoned not more than five years, or both.If this application is approved, one month’s prorated rent and security deposit or partial payment of deposit must be paid and leaseand tenant certification must be executed in advance before occupancy of the apartment. NO REFUND WILL BE MADE except to com plywith state and federal guidelines. All rent is due and payable in advance on the FIRST DAY OF THE MONTH.Application will not be processed until applicant pay s application fee of . Fee must be in the form of a check ormoney order payable to Evergreen Construction Co. Fee is Non-Refundable.BY SIGNING BELOW, I CERTIFY I HAVE READ AND UNDERSTAND ALL THE dult household member:Date:Adult household member:Date:Please review the statement below and provide the requested information, if you are willing:“Information regarding race, ethnicity, and sex designation solicited on this application is requested in order to assure the FederalGovernment that federal laws prohibiting discrimination against applicants on the basis of race, color, national origin, r eligion, sex,familial status, age, and disabilities are complied with. You are not required to furnish this information, but are encouraged to do so.This information will not be used in evaluation of your application or to discriminate against you in any way. However, if you choosenot to furnish, the owner is required to note the race/national origin and sex of individual applicants on the basis of visua l observationor surname.”RaceEthnicityApplicant:Hispanic or LatinoNot Hispanic or LatinoAmerican Indian/Alaska NativeAsianBlack or African AmericanNative Hawaiian/Pacific IslanderWhiteGenderMaleFemale*I do not wish to furnish ispanic or LatinoNot Hispanic or LatinoAmerican Indian/Alaska NativeAsianBlack or African AmericanNative Hawaiian/Pacific IslanderWhiteGenderMaleFemale*I do not wish to furnish thisinformation(initial)*Race/national origin and sex of individual applicants were completed based on visual observation (MGR initial)Initial

7 of 7TENANT RELEASE AND CONSENTI/We , the undersigned hereby authorize allpersons or companies in the categories listed below to release without liability, informationregarding employment, income, and/or assets to for(owner or agent)purposes of verifying information on my/our apartment rental application.INFORMATION COVEREDI/We understand that previous or current information regarding me/us may be needed. Verificationsand inquiries that may be requested include, but are not limited to: personal identity; employment,income, and assets; medical or child care allowances. I/We understand that this authorizationcannot be used to obtain any information about me/us that is not pertinent to my eligibility for andcontinued participation as a Qualified Tenant.GROUPS OR INDIVIDUALS THAT MAY BE ASKEDThe groups or individuals that may be asked to release the above information include, but are notlimited to:Past and Present EmployersWelfare AgenciesPrevious Landlords (includingState Unemployment AgenciesPublic Housing Agencies)Social Security AdministrationSupport and Alimony ProvidersMedical and Child Care ProvidersUtility CompanyVeterans AdministrationRetirement SystemsBanks and Other FinancialInstitutionsCONDITIONSI/We agree that a photocopy of this authorization may be used for the purposes stated above. Theoriginal of this authorization is on file and will stay in effect for a year and one month from the datesigned. I/We understand I/we have a right to review this file and correct any information that isincorrect.SIGNATURESApplicant/Resident(Print Name)DateCo-Applicant/Resident(Print Name)DateAdult Member(Print Name)Adult Member(Print Name)DateDateNOTE: THIS GENERAL CONSENT MAY NOT BE USED TO REQUEST A COPY OF A TAX RETURN. IF ACOPY OF A TAX RETURN IS NEEDED, IRS FORM 4506, “REQUEST FOR COPY OF TAX FORM” MUSTBE PREPARED AND SIGNED SEPERATELY.Initial

Beaufort Manor Apartments 1300 Beaufort Manor Drive Beaufort, NC 28516 . Phone (252) 728-5702 . Fax (252) 728-7116 . Thank You for your interest in Beaufort Manor Apartments. We are now accepting applications for our 2 and 3 bedroom apartments. Enclosed is our re