Only those people listed on the application and lease are allowed to live in the unit. Income is re-certified on an annual basis prior to lease renewal and current limits will apply. Pets are not allowed except for service animals.
Full name of the primary applicant
All bedrooms must be used as a bedroom by an occupant; no dens, studies, or guest rooms are allowed.
Fill out the following information for each person in the household. Sources of income include all income, unemployment, social security, disability, alimony, child support, interest.
Total annual income for all household members.
Rent per month
Number of bedrooms in current home
Utility costs per month
Use this section to explain your current living arrangement. Please list any special needs, such as handicap accessibility.
State law authorizes housing occupancy preferences in certain circumstances. Please note if you may qualify (e.g., veteran, disabled, homeless, victim of domestic violence, victim of natural disaster, etc.).
I/we certify that if selected to participate in this program, the unit I/we occupy will be my/our only residence. I/we understand that the above information is being collected to determine my/our eligibility. I/we authorize the East Brunswick Community Housing Corporation to verify all information provided on this application and to contact previous or current landlords or other sources of credit and verification information which may be released to appropriate
Federal, State, or local agencies. I/we certify that the statements made in this application are
true and complete to the best of my/our knowledge and belief. I/we understand that false statements or information will disqualify this application from eligibility and are punishable under Federal Law.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
This field is not part of the form submission.
* indicates a required field