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Homestead Manor Apartments Application

Homestead Manor/Townsend Housing Rental Application 

504 S Elm Street Townsend, MT 59644 (406)437‐4411 TTY 711
NOT ALL APARTMENTS HAVE SUBSIDY AVAILABLE
Non‐subsidized apartments will pay basic rent
Subsidized Rent Estimate – 30% of adjusted Annual Income
One‐year initial lease with all apartments.
All utilities are paid except Telephone, Internet, & Cable at Townsend Housing, Tenants are also
responsible for electricity at Homestead Manor. A $56 utility allowance is provided to help with
this cost.
RENTAL SCREENING CRITERIA
Incomplete applications or applications with incorrect information will be denied.
 Occupancy must be limited to no more than 3 persons per apartment
 The prospective tenant must initially provide unmistakable identification. A driver’s license or
other picture ID is acceptable. Valid proof of social security number is also required.
 No less than five (5) years of current and previous verifiable landlord references are to be
listed on the application provided with telephone numbers and addresses. If no rental
history, then you must provide 3 professional references. If you own your own house or
mobile home when you apply, landlord references are not necessary.
Inability to meet any of the above criteria for residency will result in the denial of the application
for residency.
Please Note: We will run criminal, credit, and rental history background checks before offing an apartment.
Rocky Mountain Development Council, Inc. does not discriminate on the basis of Race, Color, National Origin, Religion,
Sex, Familial Status, Physical or Mental Disability, Creed, Marital Status, Political Beliefs, Veterans’ Status, Age, or
Sexual Orientation, Gender Identity or Expression, or Genetic Information

Apartments do have subsidy available. If you need assistance with you rental payments, please contact Helena Housing Authority at (406) 442-7970 or visit their website: https://hhamt.org/.

The initial lease of all apartments is one year. Rents are maintained at moderate levels through the nonprofit operation of Rocky Mountain Development Council in partnership with the Montana Department of Commerce.

Tenants are responsible for Electricity, Telephone, Internet, & Cable. We Recommend contacting Rocky's Low Income Energy Assistance Program at (406) 447-1625 if you need assistance paying your heating bill.


First Name
Last Name
Month
/
Day
/
Year

Applicant Citizen

Other household members:

Applicant Student
First Name
Last Name
Month
/
Day
/
Year
Household Member 1 Citizen
Household Member 1 Student
First Name
Last Name
Month
/
Day
/
Year
Household Member 2 Citizen
Household Member 2 Student
Optional (used for reporting only)
Optional (used for reporting purposes only)

NOTICE: You are required to notify the Property Manager of ANY change of address and/or phone number. If we cannot contact you at the phone number you provide us, your name will be removed from the waiting list and you will need to re‐apply.

Country
Address Line 1
City
State/Province
Postal Code

How long at current address?

Month
/
Day
/
Year
Month
/
Day
/
Year

Current Landlord

First Name
Last Name

**FIVE YEARS’ WORTH OF LANDLORD REFERENCES ARE REQUIRED UNLESS YOU OWN A HOME OR MOBILE HOME**

Country
Address Line 1
City
State/Province
Postal Code
Month
/
Day
/
Year
Month
/
Day
/
Year
Country
Address Line 1
City
State/Province
Postal Code
Month
/
Day
/
Year
Month
/
Day
/
Year

Please list any other previous addresses in the last 5 years in the text box below.


Required Income and Asset Information

Income Sources

Please list ALL 1) income sources followed by their 2) gross monthly and 3) net monthly amounts. Examples of income sources include wages, social security, pensions, etc.

Assets/Bank Accounts

Please list ALL assets or bank accounts by 1) the bank of financial institution, followed by 2) the account type, and  3) approximate balance. Examples of accounts include checking, savings, CD's, IRA, Annuities, etc.

Do you own a mobile home?
Is there a mortgage on the home (reverse mortgage does not apply)?

You must answer ALL of the questions below truthfully with full disclosure. Failure to do so will result in denial of your application. If you accepted and we find there has not been full disclosure, it could lead to eviction.

Have you/anyone who will be sharing the apartment with you ever been charged with criminal offenses or DUIs?
Do you/anyone in your household who will be sharing the apartment with you have a felony conviction?
Are you required to register as a lifetime sex offender in this or any other state?
Have you had credit under any other name?
In the last two (2) years, have you/any household member who will be sharing the apartment with you disposed of assets for less than fair market value?
Have you/anyone in your household who will be sharing the apartment with you ever been convicted for the use, sale, manufacture, or distribution of controlled substances?
Do you/anyone in your household who will be sharing the apartment with you currently use illegal drugs?
Have you/anyone in your household who will be sharing the apartment with you ever been evicted?
Have you/anyone in your household who will be sharing the apartment with you been evicted from federally assisted housing in the last five years?
Are you currently receiving tenant‐based or project based assistance from HUD/USDA/or similar?
Will this apartment be your only residence?
Do you own any pets?

This property does not recognize any preferences except income requirements per HB‐1‐3560 Appendix 1 Section
3560.257.
In compliance with the Fair Credit Reporting Act, we are informing you that information as to your character,
general reputation, and mode of living will be verified. You have the right to dispute the information reported. The
facts set forth in this application are true and complete. I/We understand that any misrepresentation of
information or failure to disclose information requested on this application may disqualify me from consideration
for admission or participation and may be grounds for eviction or termination of assistance. You agree to all the
above and sign this of your own free will.
I/We further understand that, upon acceptance of this application for tenancy, I/WE must provide verification of all
income, all assets, and household composition, sign a Lease Agreement, Property Rules and Regulations, and a
Tenant Income Certification.
You, as the prospective tenant(s), agree that a complete investigation of all information on this application will
not constitute invasion of privacy. I/We are aware of and extend the privilege to its representatives to obtain
credit reports, current & previous landlord references, and/or character reports as necessary.
WARNING: Title 18, Section 1001 of the U.S. Code, states that a person is guilty of a felony for knowingly and
willingly making false or fraudulent statements to any Department or Agency of the U.S. or the Department of
Agriculture.


Before submitting your application, please review your notice of occupancy rights under the Violence Against Women Act using the file link below.

Rocky Mountain Development Council, Inc. does not discriminate on the basis of Race, Color, National Origin, Religion, Sex, Familial Status, Physical or Mental Disability, Creed, Marital Status, Political Beliefs, Veterans’ Status, Age, or Sexual Orientation, Gender Identity or Expression, or Genetic Information

APPLICATION REVISION DATE: 7/1/2020

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    Rocky's Agency on Aging
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