WHITEFISH HOUSING AUTHORITY
MOUNTAIN VIEW MANOR
100 4th Street East
Whitefish, MT 59937
406-862-4100 406-862-4107 (fax)
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Dear Applicant,
The Whitefish Housing Authority (WHA) operates 50 housing units within the Mountain View Manor under the Department of Housing and Urban Development (HUD) Public Housing Program. Eligibility for the Mountain View Manor is income based. The rent is based on total household income.
Please complete the attached WHA Public Housing Application, answer all questions, and return to the Mountain View Manor office.
If your total household income is within the applicable HUD income limit, your name will be placed on the Public Housing Waiting List. A criminal background check and credit check will be conducted during the applicant intake interview. An applicant intake interview will be scheduled as you move to the top of the waiting list.
It is your responsibility to keep your application information current. If you have any changes in your household, address or telephone number, you need to notify WHA of the change. Keeping your application information up to date is extremely important.
Thank you for considering Mountain View Manor as your future home. The Board of Commissioners and the Executive Director appreciate your efforts in filling out these forms. If you qualify for housing assistance and an apartment becomes available for your tenancy, we welcome you. If you are offered an apartment, further verifications will need to be made before the lease can take effect.
Sincerely,
Bonnie Leahy
Mountain View Manor Manager
WHITEFISH HOUSING AUTHORITY
MOUNTAIN VIEW MANOR
100 4th Street East
Whitefish, MT 59937
406-862-4100 406-862-4107 (fax)
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BRIEF DESCRIPTION OF MOUNTAIN VIEW MANOR
· Whitefish Housing Authority, overseeing Mountain View Manor, is a Public Housing Project comprised of 50 apartments. Whitefish Housing Authority is an Equal Housing Opportunity agency doing business in accordance with the Federal Fair Housing Law.
· The Mountain View Manor is located on the Whitefish River and is close to downtown Whitefish and the Golden Agers Senior Center.
· There is a management team located on the premises during daytime working hours. Each member of the team can be called after hours for emergencies.
· The rental fee is based on approximately 30% of the applicant/resident monthly net income after out of pocket medical expenses. Gas, electric, water, and sewer are included in the monthly rent. Draperies and/or blinds, refrigerator, and stove are provided to the tenant.
· The main entrance and exits are locked for security after regular office hours. Residents can enter and exit at their will using an entrance key.
· The fire alarm system is connected directly to the Whitefish Police Department to allow for quick response time.
· A Tenant Community Room and Recreation Room are provided for social activities. Also there is a craft room with reading materials. A community computer room with vending machines.
· In the back of building is a gazebo surrounded by flower gardens for social activities.
· There is an active Resident Council on the premises.
· There is a laundry room located on each floor.
· The Manor has two floors and there is an elevator in the building.
· Bus service is provided to the downtown area on Monday, Wednesday, and Fridays. Also the bus goes to Kalispell on Mondays.
· The building has a nice décor and new carpet in the hallways.
EQUAL HOUSING OPPORTUNITY
WHITEFISH HOUSING AUTHORITY
MOUNTAIN VIEW MANOR
100 - 4th Street East
Whitefish MT 59937
406-862-4100
406-862-4107 (FAX)
UNITED STATES DEPARTMENT OF
HOUSING AND URBAN DEVELOPMENT
THINGS YOU SHOULD KNOW WHEN APPLYING OR RECERTIFYING FOR HOUSING
DO NOT RISK YOUR CHANCES FOR FEDERALLY ASSISTED HOUSING BY PROVIDING FALSE, INCOMPLETE, OR INACCURATE INFORMATION ON YOUR APPLICATION AND RECERTIFICATION FORMS
PURPOSE: This is to inform you that there is certain information you must provide when applying for assisted housing. There are penalties that apply if you knowingly omit information or give false information.
PENALTIES FOR COMMITTING FRAUD: The United States Department of Housing and Urban Development (HUD) places a high priority on preventing fraud. If your application or recertification forms contain false or incomplete information you may be:
· Evicted from your apartment or house;
· Required to repay all overpaid rental assistance you received;
· Fined up to $10,000;
· Imprisoned for up to 5 years; and/or
· Prohibited from receiving future assistance.
Your State and local governments may have other laws and penalties as well.
ASKING QUESTIONS: When you sit down with the person who fills out your application, you should know what is expected of you. If you do not understand something, say so. That person can answer your question or find out what the answer is.
COMPLETING THE APPLICATION OR RECERTIFICATION FORM: When you give your answers to application or recertification questions, you must include the following information:
· All sources of money you and any member of your family receive (wages, welfare payments, alimony, social security, pension, etc.);
· Any money you receive on behalf of your children (child support, social security for children, etc.);
· Income for assets (interest from a savings account, credit union, certificate of deposit, dividends from stocks, etc.);
· Earnings from second job or part time job;
· Any anticipated income (such as a bonus or pay raise you expect to receive);
4
· All bank accounts, savings bonds, certificates of deposits, stocks, real estate, etc. that are owned by you and any adult member of your family/household who will be living with you;
· Any business or asset you sold in the last 2 years for less than its full value, such as your home to your children;
· The names of all the people (adults and children) who will actually be living with you, whether or not they are related to you.
SIGNING THE APPLICATION:
· Do not sign any form unless you have read it, understand it, and are sure everything is complete and accurate;
· When you sign application and recertification forms you are claiming that they are completed to the best of your knowledge and belief. You are committing fraud if you sign a form knowing that it contains false or misleading information;
· Information you give on your application or recertification will be verified by your housing agency. In addition, HUD may do computer matches of the income you report with the various Federal, State, or private agencies to verify that it is correct.
RECERTIFICATIONS: You must provide updated information at least once a year. Some programs require that you report any changes in income or family/household composition immediately. Be sure to ask when you must recertify. You must report on recertification forms:
· All income changes, such as pay increases or benefits, change of job, loss of benefits, etc. for all adult family/household members;
· Any family/household member who has moved in or out;
· All assets that you or your family/household members own and any asset that was sold in the last 2 years for less that its full value.
BEWARE OF FRAUD: You should be aware of the following fraud schemes:
· Do not pay money to file an application;
· Do not pay any money to move up on the waiting list;
· Do not pay for anything not covered by your lease;
· Get a receipt for any money you pay;
· Get a written explanation if you are required to pay any money other than rent (such as maintenance charges).
REPORTING ABUSE: If you are aware of anyone who has falsified an application or if anyone tries to persuade you to make false statements, report them to the manager of your project or the Housing Authority. If you cannot report to the manager, call the local HUD office or the HUD hotline on (202) 472-4200. This is not a toll free number. You can also write to the HUD HOTLINE, Room 8254, 451 Seventh Street SW, Washington DC 20410
HUD FORM 1140 - OIG
THINGS YOU SHOULD KNOW ABOUT WHEN APPLYING AND RECERTIFYING FOR HOUSING
WHITEFISH HOUSING AUTHORITY
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WHITEFISH HOUSING AUTHORITY
MOUNTAIN VIEW MANOR
100 4th Street East
Whitefish, MT 59937
406-862-4100 406-862-4107 (fax)
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Application for the Mountain View Manor Public Housing
1) To be qualified for admission to public housing an applicant must:
(a) Be a family as defined in WHA's Admission and Continues Occupancy Policy;
(b) Meet the HUD requirements on citizenship or immigration status;
(c) Have an annual income at the time of admission that does not exceed the income limits established by HUD that are posted in WHA offices.
(d) Provide documentation of Social Security numbers;
(e) Meet or exceed the Applicant Selection Criteria, including attending and successfully completing a WHA-approved pre-occupancy orientation session, if requested to do so;
(f) Pay any money owed to WHA or any other housing authority;
(g) Not have had a lease terminated by WHA in the past 3 years;
(h) Be able and willing to comply with the Whitefish Housing Authority lease; and
(i) Not have any family members engaged in any criminal activity that threatens the life, health, safety, or right to peaceful enjoyment of the premises by other residents, and not have any family members engaged in any drug-related criminal activity.
2) Complete applications will be entered on the waiting list in the order received. The waiting list will then be processed in order according to unit type, size, and admission preferences.
3) Each applicant who meets the above qualifications will receive one unit of the size and type needed. If the applicant accepts the offer, the applicant will be offered a lease. If the applicant refuses the offer without good cause, WHA will remove the applicant's name from the waiting list and send a notice to the family of such removal. The applicant may reapply for assistance if the waiting list is open.
4) Applicants with disabilities may seek assistance with the completion of the application at WHA's office.
5) WHA will conduct a criminal record check on all applicants.
Date of Application:
APPLICANT INFORMATION:
Name of head of household:
Birthdate: Social Security #:
Current address, street, Apt #:
Current City, State, and Zip:
Current Area Code, Home, & Work Phone #'s:
Do you own a pet? Yes No If yes, type of pet:
Do you or any members of your household that will live in the apartment need reasonable accommodation? Yes No Wheelchair Accessibility? Yes No
Is the head of household or spouse age 62 or older or a person with a disability?
Yes No
SPOUSE/LIVE IN AIDE INFORMATION:
Name:
Birthdate: Social Security #:
1) Is any adult family member employed? Yes No If yes, who can verify this?
Please give name, address, and phone number:
2) Is any adult family member enrolled in a job training program, including one required under the Welfare program? Yes No If yes, who can verify this?
Please give name, address, and phone number:
3) Family Income Information: Please list the source and amount of all income expected for the coming 12 months for all family members, including yourself. Include all earnings and benefits received from AFDC/TANF, VA, Social Security, SSI, SSID, Unemployment, Worker's Compensation, Child Support, etc. Example: Wages, $150/week, SSI, $421/month
Family Member Name / Income Source / Amount $ / Frequency Per Week Month Year4) Do you have a checking or savings account or own any Certificates of Deposit, stocks, bonds, etc.? Yes No If yes, describe the type of asset please:
What is the market value of all assets?
5) Do you own any real estate? Yes No If yes, what is the address?
6) Have you sold any real estate in the past two years? Yes No If yes, what was the address?
7) Current Landlord's name and phone #
Date Family moved to this location
8) Most recent former Address, Street, Apt #
Most recent former City, State, Zip
Most recent former Area Code and Phone #
9) Most recent prior Landlords name and phone #
Date Family moved to this location
SCREENING QUESTIONS: A "yes" answer will not necessarily disqualify you for admission.
10) Have you ever been evicted from housing? Yes No If yes, why?
11) Have you ever lived in public housing before: Yes No If yes, where?
Dates: From To Name of Lessee:
Do you owe any money to the housing authority? Yes No
12) Have you or any member of the applicant household ever been arrested or convicted of a crime other than a traffic violation? Yes No If yes, please explain the nature of the problem and who was involved:
13) Is anyone in your household currently on parole or probation? Yes No If yes, please explain:
WHA will be contacting all former landlords for the period three years from the date of application.
I/We certify that the statements on the application are true to the best of my/our knowledge and believe and understand that they will be verified. I/we authorize the release of information to the Whitefish Housing Authority by my/our employer(s), the Department of Public assistance, the Social Security Administration, and/or other business or government agencies. I/we understand that any false statement made on this application will cause me/us to be disqualified for admission.
Applicant Signature Date
Co-Applicant Signature Date
Warning: 18 U.S.C. 1001 provides, among other things that whoever knowingly and willfully makes or uses a document or writing containing false, fictitious or fraudulent statement or entry in any matter within the jurisdiction of a department or agency of the United States shall be fined not more than $10,000 or imprisoned for not more than five years or both.
If you believe that you have been discriminated against, you may call the Fair Housing and Equal Opportunity National Toll-free Hotline at 1-800-424-8590.
UNITED STATES DEPARTMENT OF