Post on 30-May-2018
ROYAL PALMS Resident Selection Plan
2 Revised 06/01/2013
Table of Contents
Section 504 Equal Access Statement 3
Tenant Selection Overview 4
Eligibility 4
Citizenship Requirements 5
Enterprise Income Verification (EIV) System 5
Income Limits 7
Preferences for Tenant Selection 7
Application Intake 7
Screening Criteria and Procedures 9
Accepting and Rejecting Applications 11
Income Targeting Procedures 11
Occupancy Standards 12
Unit Transfer Policies 12
Protections Provided to Applicants and Residents under the
Violence Against Women Act (VAWA) 13
Student Rules Regarding Eligibility for Section 8 14
Fair Housing and 504 Compliance 16
Waiting List Management 17
Notification of Modification to the Resident Selection Plan 18
Acknowledgement of Receipt and Understanding of Resident Selection Plan 19
ROYAL PALMS Resident Selection Plan
3 Revised 06/01/2013
SECTION 504
EQUAL ACCESS STATEMENT
For persons with mobility impairments – This document is kept in the Office
of ROYAL PALMS APARTMENTS which is an accessible facility on an accessible
route. The document may be examined from Monday through Friday between the hours
of 9:00 AM to 4:00 PM. You must call to make arrangements to examine this document.
Please call ROYAL PALMS APARTMENTS (713) 649-2985.
For Persons with Visual Impairments – ROYAL PALMS APARTMENTS will provide a
staff person to assist a person with visual
impairments in reviewing the document. Assistance
may include: describing the contents of the
document, reading the document or sections of the
document, or providing other such assistance, as may
be needed to permit the contents of the document to
be communicated to the person with visual
impairments.
For Persons with hearing impairments – ROYAL PALMS
APARTMENTS will provide assistance to hearing impaired persons in reviewing this
document. Assistance may include provision of a qualified interpreter at a time
convenient to both the Property and the individual with handicaps. Please call Relay
Texas TDD at (800) 735 – 2988 or TTY at (800) 735-2989 for ROYAL PALMS
APARTMENTS (713) 649-2985 - to schedule an appointment.
For any disability -- Assistance to insure equal access to this document will be
provided in a confidential manner and setting. The individual with disabilities is
responsible for providing his/her own transportation to and from the location where this
document is kept. If an individual with disabilities is involved, all hearings or meetings
required by this document will be conducted at an accessible location with appropriate
assistance provided.
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TENANT SELECTION OVERVIEW:
ROYAL PALMS APARTMENTS provides affordable rental units to lower income
families who meet the eligibility requirements of the Section 8 program.
A family includes, but is not limited to, the following, regardless of actual or perceived
sexual orientation, gender identity, or marital status:
1. A family with or without children;
2. An elderly family;
3. A near-elderly family;
4. A disabled family;
5. A displaced family;
6. The remaining member of a tenant family; and
7. A single person who is not an elderly or displaced person, or a person with
disabilities, or the remaining member of a tenant family.
ROYAL PALMS APARTMENTS accepts applications from all eligible persons who
meet the tenant selection criteria established in this Tenant Selection Plan.
ELIGIBILITY:
To be considered eligible, the applicant(s) must meet the following requirements:
The family’s verified annual income must not exceed HUD’s Very Low Income
limits based on family size
Applicants must disclose Social Security Numbers (SSNs) for all family members
claiming eligible immigration status and requesting assistance and provide proof
of the numbers reported.
For children under 6 where no SSN has been assigned, the family will have 90
days to provide the SSN. If no SSN is available after 90 days, an additional 90
days can be provided if the failure to disclose was due to circumstances that could
not be foreseen and were outside the household’s control. However, the family
will not be eligible to move in until all household members have submitted valid
SSNs and acceptable documentation to verify the SSN is correct.
If the applicant states they have an SSN number but does not have acceptable
documentation of the SSN, the applicant can certify to this fact and will be placed
on the waiting list, but the applicant cannot become a participant in the program
unless the documentation is submitted. If the applicant meets all other
qualifications, they will be placed on the waiting list in accordance with the
procedures outlined in “Application Intake” (page 7). However, they will not be
eligible to move-in or participate in the program until the SSNs and
documentation are provided.
Exception: An applicant who is age 62 or older as of January 31, 2010 and who
was receiving assistance at another HUD program/property as of January 31,
2010, who does not already have an SSN is not required to disclose an SSN. Such
applicants must provide proof of same.
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All adults (age 18 and older) in each applicant family must sign an Authorization
for Release of Information prior to receiving assistance and annually thereafter
However, if any household member who is currently under the age of 18, turns 18
after the household moves in, this household member will have 30 days to come
into the office and sign the Authorization for Release of Information forms
provided by HUD. It will not be acceptable for the household member to wait
until the next annual recertification to report their change from minor to adult
status.
Applicants must agree to pay the rent required by the Section 8 program
The unit for which the family is applying must be the family’s only residence.
Only U.S. citizens or eligible non-citizens may receive assistance under Section 8.
CITIZENSHIP REQUIREMENTS:
Assistance in subsidized housing is restricted to the following:
1. U.S. citizens or nationals; and
2. Noncitizens who have eligible immigration status as determined by HUD.
b. All applicants are required to submit evidence of citizenship or eligible
immigration status at the time of application.
c. All family members, regardless of age, must declare their citizenship or
immigration status.
d. Noncitizens (except those age 62 and older) must sign a Verification Consent
Form and submit documentation or sign a declaration that they do not claim to
have eligible status. Noncitizens age 62 and older must sign a declaration of
eligible immigration status and provide a proof of age document. U.S.
Citizens must sign a declaration of citizenship.
e. A mixed family – a family with one or more ineligible family members and
one or more eligible family members – may receive prorated assistance,
continued assistance, or a temporary deferral or termination of assistance.
ENTERPRISE INCOME VERIFICATION (EIV) SYSTEM
ROYAL PALMS Apartments is required to access information from the Enterprise
Income Verification (EIV) system. EIV is a federal government on-line system that
contains information on Social Security Benefits, Supplemental Security Income
Benefits, Dual Entitlement Benefits, Medicare Insurance Premiums, New Hire (W-4)
Data, Quarterly Employment Wages, and Quarterly Unemployment Compensation
Benefits. It also contains information on individuals who may be receiving multiple
subsidies under more than one rental housing assistance program and if households are
receiving assistance for a deceased household member, or are using a false or incorrect
SSN.
An Existing Tenant Search is run on all applicant households. If it is determined that the
household is receiving housing assistance at another location, the applicant will be so
advised and if the multiple subsidy is confirmed, the application will be rejected.
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If you and your household members become residents at ROYAL PALMS, please be
advised that within 90 days after move-in, ROYAL PALMS Apartments will request an
Income Report on the Household to confirm that the income disclosed by the household
and verified by the property is correct.
On a monthly basis, management also will run the following reports for all households:
1) Identity Verification Report. This report will tell the management if any member
of the household is using a false or incorrect SSN.
2) Multiple Subsidy Report. This report will tell management if any member of the
household is receiving subsidy at another property.
3) New Hires Report. This report will tell the management if any member of the
household has obtained new employment.
4) Deceased Tenant Report. This report will tell management if any member of the
household is deceased.
5) No Income Reports: Residents who appear on both of the following No Income
Reports for three (3) consecutive months will be required to re-verify their no-
income status.
a) No Income Reported by HHS & SSA. This report will tell management if any
member of the household has no income from employment, Social Security,
Supplemental Security Income, Unemployment or other benefits that may be
reported to EIV.
b) No Income Reported on 50059. This report will be compared to the No
Income Reported by HHS & SSA
At every annual and interim recertification, management will run the household’s Income
Report, Income Summary Report, and Income Discrepancy Report. These reports will be
matched to the information that you have provided on your certification questionnaire.
It is important to note that full disclosure and accuracy in completing your rental
application is essential to prevent later issues regarding your identity or income. HUD
requires that discrepancies between reported income and EIV must be resolved. The
process for resolving these discrepancies is extremely time-consuming for both the
resident and the staff and could result in loss of tenancy or retroactive rent increases due
to failure to fully disclose.
You have been provided with the EIV& You Brochure which provides detailed
information on the EIV system and how it will be used to verify your identity and income
should you become an occupant of ROYAL PALMS Apartments.
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INCOME LIMITS:
The income limit schedule required for this property is the Section 8 Very Low Income
limit. Very Low Income is defined as 50% of the median income for the area in which
this property is located. The property is also required to rent 40% of the apartments that
become available for occupancy each year to families that do not exceed the Section 8
Extremely Low Income limit. Extremely Low Income is defined as 30% of the median
income for the area. Both limits are adjusted for family size.
PREFERENCES FOR TENANT SELECTION:
It is ROYAL PALMS Apartment’s policy that a preference does not guarantee
admission. Every applicant must still meet the property’s Tenant Selection standards
before being accepted as a resident.
Preference is given to applicants who have been displaced by government action or a
presidential declared disaster.
Preferences for Accessible or Adaptable Units:
For units accessible to or adaptable for persons with mobility, visual, or hearing
impairments, households containing at least one person with such impairment will have
first priority (as applicable for a particular unit’s features). Note: Current residents in
good standing requiring accessible/adaptable units shall be given priority over applicants
requiring the same type of unit. Where non-handicapped persons are moved into units
designed to meet special needs, they shall do so only after signing the lease and agreeing
to move to a unit (at their expense) with no such design features should an applicant or
current resident require an accessible unit of the type currently occupied by the non-
handicapped person.
APPLICATION INTAKE:
To apply to live in ROYAL PALMS APARTMENTS, a family must complete an
application and certify that the information supplied is correct. Examples of types of
information that an application requests are:
Basic characteristics, such as name, gender, and age, of all family members;
Current address and telephone number;
Annual income, the sources of that income, assets of the family, and certain types
of expenses;
Citizenship status of all family members; and
Screening information, such as prior landlords, credit history, drug and criminal
history.
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Application forms are available during normal business hours Monday-Friday. Once the
application is completed, they will be accepted by appointment during normal business
hours Monday-Friday. For an appointment please contact:
Paulette Norman at (713) – 649-2985
All communications with applicants will be by first class mail. Failure to respond to
letters may result in withdrawal of an application from further processing.
ROYAL PALMS APARTMENTS will accept preliminary applications for open waiting
lists from anyone who wishes to apply. Subsequent review will eliminate applications of
families that do not qualify. An application is considered complete when all blanks have
been filled in, all occupants 18 years or older or legally emancipated have signed the
application and all the required documents are attached. Applications that are incomplete
and not accompanied with the required documents will not be accepted. N/A (not
applicable) is considered incomplete. The following original documents are required
(photo copies are not permitted):
Current Picture ID for each person on the application who is 18 years of age or
older.
Original or Certified copy of birth certificate and Social Security Card for each
person listed on the application.
Original or Certified copy of divorce decree.
Original copies of the last six (6) consecutive bank statements for all checking
and savings accounts.
Asset information to include: money marketing funds, trust, certificates of
deposits, stocks/bonds, IRA/Keogh or other Retirement/Investment Accounts, etc.
Proof of all income to include your last 4-6 weeks checks stubs or award letters
verifying proof TNAF, GAU, AFDC etc. Please provide us with the address and
phone number to all sources.
Proof of Child Support from the Attorney General’s Office.
As applicants approach the top of the waiting list, they will be contacted to update their
application and to schedule an application interview. The application interview shall be
conducted in accordance with the requirements set forth in Paragraph 4-24 and Exhibit 4-
1 of HUD Handbook 4350.3 REV-1. The Property shall obtain verification in compliance
with requirements set forth in Paragraph 5-13 and Appendix 3, Acceptable Forms of Verification,
of HUD Handbook 4350.3 REV-1. The Project will provide all applicants with the HUD-9887
Fact Sheet and a copy of Residents Rights and Responsibilities Brochure. All applicants must
sign Form HUD-9887, Notice and Consent to Release Information to HUD and to a PHA and
Form HUD 9887-A, Applicants/Tenant’s Consent to the Release of Information – Verification by
Owners of Information Supplied by Individuals Who Apply for Housing Assistance.
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No decisions to accept or reject applicants shall be made until all verifications have been
received. The following items will be verified to determine eligibility and suitability for
admission to the property:
1. Eligibility Information;
2. Citizenship information;
3. Annual Income;
4. Assets and Asset Income;
5. Allowance Information;
6. Social Security Numbers of all Family Members; and
7. Information Used in Resident Screening.
SCREENING CRITERIA AND PROCEDURES:
All applicants will be screened according to the criteria set forth in this Tenant Selection
Plan. These criteria are based on those set forth on HUD Handbook 4350.3 REV-1,
paragraphs 4-27 and 4-28, relate to the individual behavior of each applicant household.
The screening process will include obtaining and reviewing written comments from prior
and present landlords, credit references (if available), hook-up clearance from the utility
company, and a criminal background check, and a check of the National Sex Offender
Registry for all States where each member of the household has resided. The check of
the National Sex Offender Registry will be also run at every annual recertification.
The following factors will be considered in the overall screening process, and failure to
meet any or all of these criteria will constitute grounds for rejection of the application:
Income:
Proof of any and all income must be verified through a direct supervisor, payroll or
human resources department or from the last four check stubs. Income such as SS, SSI,
TANF, or Retirement will be 3rd
party verified or from a secondary verification such as
the Benefit Award Letter. Self-employed applicants will be required to provide either the
previous year’s tax return or bank statements for the last six (6) months.
Credit History:
Applicant must demonstrate ability to pay rent on time and must meet LBK
Management’s current credit reporting criteria. However, lack of a credit history (as
opposed to poor credit) is not sufficient reason to deny the application. Foreclosure
within four (4) years and Bankruptcy within two (2) years or any unpaid
eviction/skips/money owed to a previous landlord will result in denial of the application,
proof of payment in full is required.
Residence History: Applicant must demonstrate good housing history in terms of housekeeping, rent
payment, damages, respect for the rights of others, and all terms of the lease agreement.
Applicant(s) must have a current resident reference (i.e., apartment community or
mortgage company) reflecting a prompt payment record and an acceptable rental history
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for the past three (3) years. Any unpaid foreclosure within four (4) years or unpaid
eviction/skips/money owed to a previous landlord will result in denial of the application;
proof of payment in full is required.
Applicants who owe balances to HUD from previous rentals will be refused.
Criminal History/Drug Free Housing Policies:
All applicants are subject to a criminal background check.
ROYAL PALMS APARTMENTS requires that applicant(s) must have a criminal history
that does not reflect any prior felony convictions, deferred adjudication for felony
offenses, or any drug related offence regardless if it reflects a misdemeanor.
Note: This requirement does not constitute a guarantee or a representation that residents
or occupants residing at this apartment community have not been convicted of a felony or
are not subject to deferred adjudication for a felony.
In addition, HUD regulations and ROYAL PALMS policies prohibit the property from
admitting:
1. Any household containing a member(s) who was evicted in the last four years
rom federally assisted housing for drug-related criminal activity. There are two
exceptions to this provision:
a. The evicted household member has successfully completed an approved,
supervised drug rehabilitation program; or
b. The circumstances leading to the eviction no longer exist (e.g. the
household member no longer resides with the applicant household).
2. A household in which any member is currently engaged in illegal use of drugs or
for which the owner has reasonable cause to believe that a member’s illegal use or
pattern of illegal use of a drug may interfere with the health, safety, and right to
peaceful enjoyment of the property by other residents;
3. Any household member who is subject to a state sex offender lifetime registration
requirement; and
4. Any household member if there is reasonable cause to believe that member’s
behavior, from abuse or pattern of abuse of alcohol, may interfere with the health,
safety, and right to peaceful enjoyment by other residents. The screening
standards will be based on behavior, not on the condition of alcoholism or alcohol
abuse.
Providing Information:
Applicant must be cooperative in providing needed and accurate information to process
the application. An applicant’s misrepresentation of any information related to
eligibility, award of preference for admission, allowances, family composition or rent
may result in the rejection of the application. If during the course of processing an
application, it becomes evident that an applicant has falsified or otherwise misrepresented
any facts about his/her current situations, history, or behavior in a manner that would
affect eligibility, applicant selection criteria qualification, allowances or rent, the
application will be rejected. This provision will not be applied to minor mistakes that in
fact produce no benefit to the applicant.
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ACCEPTING AND REJECTING APPLICATIONS:
Upon completion of the application and the application interview, if the applicant appears
to meet eligibility requirements but no unit is immediately available, the applicant will be
notified in writing that the household has been placed on the waiting list. However,
placement on the waiting list is not an indication that the applicant has been
approved to reside at the property.
When the appropriate sized unit becomes available, Credit and Criminal Background
Checks as described in “Screening Criteria and Procedures,” pp. 9-10 will be run and the
applicant will be notified in writing if the application is approved.
The applicant’s position on the waiting list is determined by the date and time their
application was accepted. Applicants whose applications are approved will be offered
the unit in a manner consistent with HUD’s income-targeting requirements. If the
approved applicant is offered a unit and rejects the unit offered, after three times the
applicant will be removed from the waiting list.
If the application is rejected, the applicant will be notified in writing that the application
was rejected and the reasons for rejection will be given. Rejected applicants will have the
right to respond in writing or request a meeting within 14 days to dispute the rejection.
The applicant will be advised in writing within 5 business days of the owner response or
meeting as to the final decision on eligibility.
INCOME TARGETING PROCEDURES
The following method will be used to comply with the income-targeting requirements:
ROYAL PALMS APARTMENTS will alternate between the first extremely low-income
applicant on the waiting list and the applicant at the top of the waiting list. ROYAL
PALMS APARTMENTS will select the first extremely low income applicant on the
waiting list (which may mean skipping over some applicants with higher incomes) for the
available unit, and then ROYAL PALMS APARTMENTS will select the next eligible
applicant currently at the top of the waiting list (regardless of whether Very Low or
Extremely Low Income) for the next available unit. This will continue until the 40%
target has been met and will be repeated at the beginning of each calendar year.
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OCCUPANCY STANDARDS:
Occupancy will be limited to no more than two (2) persons per bedroom.
For the purposes of determining the appropriate unit size:
All persons who will live in the unit must be counted.
Anticipated children must be counted. Anticipated children will include: Children
expected to be born to a pregnant woman, children in the process of being
adopted by an adult family member, children whose custody is being obtained by
an adult family member, foster children who will reside in the unit, children who
are temporarily in a foster home who will return to the family, and children in
joint custody arrangements who are present in the household 50% or more of the
time.
Live-in aides must be counted.
Foster adults must be counted.
UNIT TRANSFER POLICIES:
In accordance with HUD regulations, unit transfers can be made for the following
reasons:
A change in family size results in the family being under-housed or over-housed;
A change in family composition;
Medical Reasons certified by a doctor; or
The need for an accessible unit
Current residents in need of a unit transfer for one or more of the above reasons will be
transferred to an available unit before consulting the waiting list. ROYAL PALMS
APARTMENTS will maintain a transfer list by bedroom size and accessibility including
the names of families that need to be transferred. The family will be placed on the
transfer list on the day management becomes aware of the change in writing of the
circumstances that require a transfer. If a resident refuses a resident request transfer more
than 3 times, then said resident will go to the bottom of the list. If a resident refuses a
management decision transfer for being under-housed or over-housed (per Hud
guidelines) then resident may be subject to Market rent and/or an eviction notice.
Families who are under-housed will be given preference over families that are over-
housed in the transfer selections. Families who are over-housed will not be required to
transfer if no appropriate sized unit is available in the property.
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PROTECTIONS PROVIDED TO APPLICANTS AND RESIDENTS
UNDER THE VIOLENCE AGAINST WOMEN ACT (VAWA)
The Violence against Women Act (VAWA, P.L. 109-62) and the Justice Department
Reauthorization Act of 2005 protects housing assistance applicants and residents who
have been victimized by domestic violence, dating violence and stalking as follows:
1. Applicants cannot be denied rental assistance solely because they were previously
evicted from an assisted site for being victims of domestic violence;
2. Applicants cannot be denied assistance solely for criminal activity or other acts
against them that were directly related to domestic violence;
3. Applicants cannot be denied rental assistance solely because they were previously
evicted from an assisted site for being victims of domestic violence;
4. Applicants cannot be denied assistance solely for criminal activity or other acts
against them that were directly related to domestic violence;
5. Residents cannot be evicted, or have their subsidies terminated solely because they
were victims of domestic violence; being a victim of domestic violence does not
qualify as a “serious or repeated violation of the lease” or “other good cause” for
eviction.
6. The domestic abusers may be evicted and their names removed from leases.
Remaining household members may continue residency as long as they are eligible.
Note: Certification of victim status is required, which includes names of
abusers. Only victim service providers, medical professionals or attorneys
who have counseled a victim can provide third-party verification of the
applicant's/resident's status as a domestic violence victim.
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STUDENT RULES REGARDING ELIGIBILITY FOR SECTION 8
Effective January 30, 2006, HUD issued new regulations regarding students seeking
Section 8 assistance. This rule was mandated by Congress and applies to both part-time
and full-time students. The law requires that:
(a) No assistance shall be provided under section 8 of the United States Housing Act of
1937 (42 U.S.C. 1437f) to any individual who—
(1) is enrolled as a student at an institution of higher education (as defined
under section 102 of the Higher Education Act of 1965 (20 U.S.C. 1002));
(2) is under 24 years of age;
(3) is not a veteran;
(4) is unmarried;
(5) does not have a dependent child; and
(6) is not a person with disabilities, as such term is defined in section
3(b)(3)(F) of the United States Housing Act of 1937 (42 U.S.CF.
1437a(b)(3)(E)) and was not receiving assistance under Section 8 as of
November 30, 2005; and
(7) is not otherwise individually eligible, or has parents who, individually
or jointly, are not eligible, to receive assistance under section 8 of the
United States Housing Act of 1937 (42 U.S.C. 1437f).
(b) For purposes of determining the eligibility of a person to receive assistance
under section 8 of the United States Housing Act of 1937 (42 U.S.C. 1437f), any
financial assistance (in excess of amounts received for tuition) that an individual
receives under the Higher Education Act of 1965 (20 U.S.C. 1001 et seq.), from
private sources, or an institution of higher education (as defined under the Higher
Education Act of 1965 (20 U.S.C. 1002)), shall be considered income to that
individual, except for a person over the age of 23 with dependent children.
Sources of student financial assistance included in income are (a) any assistance
the student receives under the Higher Education Act of 1965 including Pell
Grants, Federal Supplement Educational Opportunity Grants, Academic
Achievement Incentive Scholarships, The Robert G. Byrd Honors Scholarship
Program, and Federal Work Study; (b) assistance from private sources, including
assistance provided by parents, guardians or other family members; and (c) any
financial assistance from an institution of higher education.
Sources of student financial assistance not included in income are (a) loan
proceeds from government or private sources such as the Perkins, Stafford and
Plus Loans and (b) the portion of financial assistance that is for tuition as defined
by the institution of higher education.
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In order to comply with the Student Rule, all adult household members at initial and
annual certification will be required to complete an affidavit disclosing whether or not the
individual IS:
1) under the age of 24
2) Enrolled at an institution of higher education
If the student is determined to be a student, then the owner must determine whether or not
the student:
1) Is a veteran
2) Is married
3) Has a dependent child
If the student does not meeting any of the three criteria above, then in order for the
student to be eligible for Section 8 Assistance he/she must meet BOTH of the following
tests:
1) The student must be eligible for Section 8 AND
2) The student’s parents, individually or jointly, must be income eligible for Section
8 assistance
UNLESS the student can demonstrate his or her independence from parents.
The following criteria must be met in order for a student to be considered independent
from parents and therefore to be considered eligible to be a Head or Co-Head of
Household and/or member of a household where his/her parents are not present:
1. The individual must be of legal contract age under state law.
2. The individual must have established a household separate from parents or legal
guardians for at least one year prior to application for occupancy or the individual
meets the U.S. Department of Education’s definition of an independent student.
3. The individual must not be claimed as a dependent by parents or legal guardians
pursuant to IRS regulations. (Independent students are exempt from this
requirement)
4. The individual must obtain a certification of the amount of financial assistance
that will be provided by parents, guardians or others signed by the individual
providing the support. This certification is required even if no assistance will be
provided. The financial assistance provided by persons not living in the unit is
part of annual income that must be verified to determine eligibility and at annual
recertification to determine rent.
Assistance cannot be prorated – if any student is residing in a household other than the
student’s parents’ household, the entire household is ineligible for assistance.
Student Eligibility for Section 8 Assistance will be re-determined at every annual
recertification.
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FAIR HOUSING AND SECTION 504 COMPLIANCE:
It is the policy of ROYAL PALMS APARTMENTS to comply with Section 504 of the
Rehabilitation Act of 1973, The Fair Housing Act Amendments of 1988 and Title VI of
the Civil Rights Act of 1964. Section 504 prohibits discrimination on the basis of
disability in any program or activity receiving federal financial assistance from HUD.
The Fair Housing Act prohibits discrimination in housing and housing related activities
based on race, color, sex, national origin, disability and familial status. It applies to
housing regardless of the presence of federal financial assistance. Title VI of the Civil
Rights Act of 1964 prohibits discrimination on the basis of race, color, or national origin
in any program or activity receiving federal financial assistance from HUD.
ROYAL PALMS APARTMENTS is operated in a manner that protects applicants and
residents against discrimination and promotes accessibility for persons with disabilities to
enable them to participate fully in the program.
Common use facilities and public spaces are made accessible to persons with disabilities,
as long as such improvements would not result in an undue financial and administrative
burden.
ROYAL PALMS APARTMENTS will consider requests for reasonable accommodations
from applicants and tenants with disabilities to allow a person with disabilities to use and
enjoy their apartment. Such requests may be submitted to management orally or in
writing and management will promptly respond to such requests. Reasonable
accommodations will be made when it has been verified that the accommodation is
necessary, that there is an identifiable relationship between the requested accommodation
and the individual’s disability, and when the requested accommodation does not
constitute a fundamental alteration in the nature of the program or an undue financial and
administrative burden.
ROYAL PALMS APARTMENTS will make reasonable adjustments to their rules,
policies, practices and procedures in order to enable an applicant or resident with a
disability to have an equal opportunity to use and enjoy the unit and the common areas of
the a dwelling, or to participate in or have access to other activities conducted or
sponsored by the property.
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WAITING LIST MANAGEMENT:
How Long is the Waiting List?
The waiting list varies from day to day because some applicants find other housing, some
are no longer qualified when the apartment is offered, and some withdraw their
application. During your scheduled appointment ROYAL PALMS APARTMENTS will
be able to provide you with information as to how many are on the list for unit type you
may qualify for on that day.
Updating the Waiting List:
Applicants on the waiting list must keep the property informed of any change in address
or phone number after submitting their application. Once an applicant has been on the
list for 6 months, the property will send the applicant a notice at the most current address
on file. The letter will advise the applicant that they must appear within 14 days of the
date of the letter and update their application. If the applicant does not update their
application within the 14 days, the property will send the applicant a notice that we are
removing them from the waiting list. (See also “Removal from Waiting List”, p. 17.)
Opening and Closing the Waiting List:
In order to maintain a balanced application pool, the ROYAL PALMS APARTMENTS
may, at its discretion, restrict application taking, suspend application taking and close
waiting lists in whole or in part. If the property has sufficient applications, it may elect
to (a) close the waiting list completely, (b) close the list during certain times of the year,
or (c) restrict intake by preference or priority.
Decisions about closing the waiting list will be based on the number of applications
available for a particular sized and type of unit and the ability of the property to house an
applicant in an appropriate unit within a reasonable period of time. Closing the waiting
lists, restricting intake, or opening the waiting lists will be publicly announced.
During the period when the waiting list is closed, the property will not maintain a list of
individuals who wish to be notified when the waiting list is reopened.
Removal from the Waiting List:
ROYAL PALMS APARTMENTS will not remove an applicant’s name from the waiting
list unless:
1. The applicant requests in writing that the name be removed; or
2. The applicant was clearly advised of the requirement to tell management of
his/her continued interest in housing by a particular time and failed to do so; or
3. Management made a reasonable effort to contact the applicant to determine if
there is continued interest in housing but has been unsuccessful; or
4. Management has notified the applicant of its intention to remove the applicant’s
name because the applicant no longer qualifies for assisted housing.
5. The applicant has been offered an appropriate sized unit three times and has
rejected the offer three times.
ROYAL PALMS Resident Selection Plan
18 Revised 06/01/2013
Reinstatement to the Waiting List:
If an applicant is removed from the waiting list in accordance with the above policies and
subsequently management determines that an error was made in removing the applicant,
the applicant will be reinstated at the original place on the waiting list.
Notification of Modification of the Resident Selection Plan
Applicants and Residents will be notified in writing when modifications have been made
to the Resident Selection Plan that may affect an application or tenancy.
ROYAL PALMS Resident Selection Plan
19 Revised 06/01/2013
ROYAL PALMS APARTMENTS
Acknowledgement of Receipt and Understanding of
Resident Selection Plan
To be signed by all members of applicant household age 18 and older
I/We have read and understand the ROYAL PALMS APARTMENTS Resident Selection
Plan prior to submitting my completed rental application for verification.
____ I/We have requested and received a personal copy of the Resident Selection Plan
OR
____ I/We do not wish to receive a personal copy of the Resident Selection Plan
I/WE certify that the submitted information and documentation is true and completed to
the best of my knowledge and belief. I/We understand that the information provided will
be verified from the source.
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 of the
United States Government. HUD and any owner (or any employee of HUD or the owner)
may be subject to penalties for unauthorized disclosures or improper uses of information
collected based on the consent form. Use of the information collected based on this
verification form is restricted to the purposes cited above. Any person who knowingly or
willingly requests, obtains, or discloses any information under false pretenses concerning
an applicant or participant may be subject to a misdemeanor and fined not more than
$5,000. Any applicant or participant affected by negligent disclosure of information may
bring civil action for damages and seek other relief, as may be appropriate, against the
officer or employee of HUD or the owner responsible for the unauthorized disclosure or
improper use. Penalty provisions for misusing the social security number are contained in
the Social Security Act at 42 USC 208(a) (6), (7) and (8). Violations of these provisions
are cited as violations of 42 USC 408 (a) (6), (7) and (8).
Signature Date
Signature Date
Signature Date
LBK Management, LLC- LEASE APPLICATION 1 of 6 Revised 7/12/2012
Current Date FOR OFFICE USE ONLY
Property Name APPLICATION RECEIVED DATE:
Address 5601 Royal Palms APPLICATION RECEIVED TIME:
City/State/Zip Houston, Texas 77021 APARTMENT SIZE:
Phone Number 713.649.2985 RECEIVED BY:
DATE POSTED TO MANUAL WAITING LIST:
I. APPLICANT I. CO-APPLICANT
NAME: NAME:
LAST FIRST MI LAST FIRST MI
SOCIAL SECURITY NO.: SOCIAL SECURITY NO.:
ADDRESS: ADDRESS:
CITY/STATE/ZIP: CITY/STATE/ZIP:
HOME PHONE NUMBER: ( ) HOME PHONE NUMBER: ( )
DRIVERS LICENSE NUMBER: DRIVERS LICENSE NUMBER:
MAKE OF CAR & YEAR: MAKE OF CAR & YEAR:
CAR LICENSE NO. CAR LICENSE NO.:
II. EMPLOYMENT
APPLICANT: ( )Name of Employer Supervisor Employer phone
( )Full Time
( )Part-time Full Street Address Occupation Length of Service
( )Unemployed
$ # City State Zip Rate per hour number of hrs per week
CO-APPLICANT: ( ) Name of Employer Supervisor Employer phone
( )Full Time
( )Part-time Full Street Address Occupation Length of Service
( )Unemployed
$ #City State Zip rate per hour number of hours per week
III. CHILD CARE EXPENSE INFORMATION
NAME OF EACH DEPENDENT QUALIFYING:
CHILD CARE PROVIDER: PHONE #: ( )
ADDRESS: STREET: FAX #: ( )
CITY: AMOUNT PAID: $PER: [ ] WEEK [ ] MONTH
STATE: ZIP CODE: (Check the one that applies)
Royal Palms Apts
Please note that all lines, questions or requests for information MUST be completed. This requires that you provide the relevant information requested, answer yes or no where applicable, or write "N/A" if the information requested does not apply to anyone
in the Applicant Household listed.
(Check the one box on the left that applies to the status of employment. If currently unemployed, provide the most recent employer information.)
Expenses may be deducted for the care of children under the age of 13 years when care is necessary to enable a family member to work, seek employment, or further his/her education (academic or vocational), the family has determined there is no adult member capable of providing care during the hours care is needed, the expenses are not paid to a family member living in the unit, the amount deducted reflects reasonable charges for child care and/or the expense is not reimbursed by an agency or individual outside the family. Further restrictions may apply.
IV. LIST EACH HOUSEHOLD MEMBER WHO WILL BE RESIDING IN APARTMENT
FIRST NAME MI LAST NAME SEX
[ ] Male1 Head of Household [ ] Female
[ ] Male2 [ ] Female
[ ] Male3 [ ] Female
[ ] Male4 [ ] Female
[ ] Male5 [ ] Female
[ ] Male6 [ ] Female
[ ] Male7 [ ] Female
[ ] Male8 [ ] Female
[ ] Male9 [ ] Female [ ] Male10 [ ] Female
PLACE AND DATE OF BIRTHSOCIAL SECURITY NUMBER
FULL-TIMECITY STATE MONTH DAY YEAR STUDENT?
[ ] Yes1A [ ] No
[ ] Yes2A [ ] No
[ ] Yes3A [ ] No
[ ] Yes4A [ ] No
[ ] Yes5A [ ] No
[ ] Yes6A [ ] No
[ ] Yes7A [ ] No
[ ] Yes8A [ ] No
[ ] Yes9A [ ] No
Have You Been Displaced by a Government or Presidential Disaster? [ ] Yes10A [ ] No
ANY OTHER NAME (MAIDEN/ALIAS)
RELATIONSHIP TO HEAD OF HOUSE
LBK Management, LLC- LEASE APPLICATION 3 of 6 Revised 7/12/2012
V. ELDERLY, HANDICAPPED, or DISABLED HOUSEHOLDS
List out-of-pocket medical expenses paid by you for which you are not reimbursed:
Medicare: $ Describe:Medical Insurance: $ Describe:Doctor Bills: $ Describe:Hospital Bills: $ Describe:Other Medical Expenses:
$ Describe:
$ Describe:
$ Describe:
$ Describe:
$ Describe:
VI. ASSET INFORMATION
CHECKING: _________________________________________ ACCOUNT NUMBER: ______________________________
[ ] Single NAME OF BANK OR CREDIT UNION
[ ] Joint _________________________________________ CURRENT BALANCE:[ ] No Checking Acct. FULL STREET ADDRESS
_________________________________________ INTEREST BEARING ACCOUNT: ___________________CITY STATE ZIP
INTEREST AMOUNT: ______________________________
SAVINGS: _________________________________________ ACCOUNT NUMBER: ______________________________
[ ] Single NAME OF BANK OR CREDIT UNION
[ ] Joint _________________________________________ CURRENT BALANCE:
[ ] No Savings Acct. FULL STREET ADDRESS
_________________________________________ INTEREST BEARING ACCOUNT: ___________________CITY STATE ZIP
INTEREST AMOUNT: ______________________________
CERTIFICATE orMONEY MARKET: _________________________________________ ACCOUNT NUMBER: ______________________________
[ ] Single NAME OF BANK OR CREDIT UNION
[ ] Joint _________________________________________ CURRENT BALANCE:
[ ] No Cert. Or FULL STREET ADDRESS
Money Market Acct. _________________________________________ INTEREST BEARING ACCOUNT: ___________________CITY STATE ZIP
INTEREST AMOUNT: ______________________________
Other:1. TRUST FUND?: PRINCIPAL VALUE: $ [ ] No Trust Fund
2. REAL ESTATE?: VALUE: JOINTLY OWNED BY: [ ] No Real Estate
3. STOCKS / BONDS?: [ ]YES then provide company name & address for each [ ] NO Stocks/Bonds
4. Have you disposed of any assets (home, land, business, etc.) for less than fair market value within the last two years? [ ] NO [ ] YES
If yes, _____________ asset was sold or transferred: ________________________ Type of Asset: _________________
Disclosure of the following information is voluntary and will be used for the purpose of verifying allowances against income in determining the resident's monthly housing charge. Medical expenses not reimbursed by Medicare or any other insurance are allowable deductions.
Please note: Disability and/or Life Insurance Policy Expenses are not deductible.
$_____________________________
$_____________________________$_____________________________
$_____________________________$_____________________________
$___________________
Your estimate of the market value of the asset: $_______________________ Amount Received: $______________
VII. RENTAL AND/OR RESIDENTIAL HISTORY Please check the yes or no to advise whether you are applying as aresult of being displaced by government action or a presidentially declared disaster:[ ]YES [ ]NO
Landlord Name ____________________________________ Rent per Month: $
Move In Date:
Current Address: ____________________________________ Lease Expires:
Notice Required:____________________________________ Notice Given:
Landlord's Telephone Number (_____)______________________________
Previous Landlord Name: ____________________________________ Rent per Month: $
Previous Rental Address: ____________________________________ Rented From ________ to
Address: ____________________________________ Proper Notice Given:
Deposit Returned:
Landlord's Telephone Number (_____)______________________________
Previous Landlord Name: ____________________________________ Rent per Month: $
Previous Rental Address: ____________________________________ Rented From ________ to
Address: ____________________________________ Proper Notice Given:
Deposit Returned:Landlord's Telephone Number (_____)______________________________
Previous Landlord Name: ____________________________________ Rent per Month: $
Previous Rental Address: ____________________________________ Rented From ________ to
Address: ____________________________________ Proper Notice Given:
Deposit Returned:
Landlord's Telephone Number (_____)______________________________
Previous Landlord Name: ____________________________________ Rent per Month: $
Previous Rental Address: ____________________________________ Rented From ________ to
Address: ____________________________________ Proper Notice Given:
Deposit Returned:Landlord's Telephone Number (_____)______________________________
Previous Landlord Name: ____________________________________ Rent per Month: $
Previous Rental Address: ____________________________________ Rented From ________ to
Address: ____________________________________ Proper Notice Given:
Deposit Returned:Landlord's Telephone Number (_____)______________________________
VIII. CREDIT INFORMATIONCreditor Creditor Address Current Balance Account Number
$
$
$
$
$
$
LBK Management, LLC- LEASE APPLICATION 5 of 6 Revised 7/12/2012
IX. OTHER INCOME SOURCES PLEASE RESPOND TO EACH LINE
TYPE OF INCOME CARE/CLAIM MONTHLY SOURCE OF INCOME? NAME OF PERSON
NUMBER AMOUNT YES NO RECEIVING INCOME
Social Security
Supp. Security Income
Black Lung Benefits
Unemployment Comp
Disability Compensation
Military Wage/Allotment
National Guard
Pension/Retirement
Scholarship
Education Grant Type
Alimony
General Relief
ADC/ADFC
Parental Support
Baby-Sitting
Lottery Winnings
Other
X. CRIMINAL/FELONY/MISDEMEANOR HISTORY
Have you, co-applicant, or any adult applicant included in this application, ever had a conviction of any of the following?
Answer "YES" to all that apply and the household member's name involved, and "NO" to those that do not apply:
Type of Charge No Yes Household Member's Name Involved PLEASE RESPOND TO EACH LINE
TheftTrespassingDrug Use/ Alcohol Use-CurrentIllegal Sale of Drugs or Drug ParaphernaliaViolent Acts to Persons or Property
Burglary
Criminal Mischief
Drug Possession -Manufacture/ Distribute a Controlled Substance No Yes
Sex Offense/ Lifetime Registry
DUI
Eviction from Federal Housing in the past 3 years
Bad Checks
Other:
Circle Each State You Have Ever Lived In:Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho
Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Mass. Michigan Minnesota Miss.
Missouri Montana Nebraska Nevada N. Hamps. N. Jersey N. Mexico New York N. Carolina N. Dakota Ohio Oklahoma
Oregon Penn. Rhode Is. S. Carolina S. Dakota Tenn. Texas Utah Vermont Virginia Washington W. Virginia
Wisconsin Wyoming
XI. CERTIFICATION OF APPLICANTSVERY IMPORTANT - READ CAREFULLY
WARNING
PLEASE BE FURTHER ADVISED
How did you learn about this community? [Please check box or fill in information]: [ ] Newspaper
[ ] Current Resident [ ] Property Signage/Driveby [ ] Yellow Pages/Phone Directory
[ ] Internet/WEB Site [ ] Other: ______________________________________________________________
_____________________________________________ ___________________________________Signature of Applicant Date
_____________________________________________ ___________________________________Signature of Co-Applicant Date
_____________________________________________ ___________________________________Signature of Additional Adult Applicant Date
_____________________________________________ ___________________________________Signature of Additional Adult Applicant Date
I/we certify the information given in this application [pages 1 through 6] is accurate and complete, and has been provided based on a complete review and understanding of the "Resident Selection Plan", the basis for determining eligibility. I/we further understand that any inaccuracies provided or information withheld may be the basis for immediate denial of my/our application by the Owner/Agent. I/we, by signature below, authorize the Owner/Agent to request a complete criminal, sex offender, credit, employment and landlord investigation through the use of an outside independent background service company to secure a written report of all information pertaining my/our application request. I/we understand that there will be no separate verification form used in the processing of this background check other than this application and the HUD Form 9887 & 9887A, as applicable. I/we further agree and understand that this application does not constitute any oral and/or written commitment on the part of the Owner/Agent. I/we understand the Owner/Agent will request only that information necessary to determine eligibility and/or level of assistance.
The Department of Housing & Urban Development and/or the Contract Administrator will compare the information applicant families supply with information federal, state and/or local agencies have on those same applicant families income and household composition. Federal law prohibits the Landlord from discriminating against individuals with disabilities and/or handicaps. Each applicant is encouraged to make known accessibility needs
and/or any reasonable accommodations necessary at initial application or as part of occupancy consideration. As required by Federal law, applicants must produce proof of their social security numbers. Individuals who have not been assigned a social security number are required to sign and date a
certification stating that a social security number has not been assigned. This certification requires subsequent compliance should this apply.
Applicants on the waiting list will be reviewed and contacted by letter once annually to insure continued interest to remain on the waiting list and to update any changes to the original information supplied at the time of initial application. Failure to respond to this annual review will result in the applicant being removed as "inactive", requiring that applicant household to reapply. All inactive [including denied applications] will be held for three years as required by
federal regulation.
“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 of the United States Government. HUD and any owner (or any employee of HUD or the owner) may be subject to penalties for unauthorized disclosures or improper use of information collected asked on the consent form. Use of the information collected based on this verification form is restricted to the purposes cited above. Any person who knowingly or willingly requests, obtains or discloses any information under false pretenses concerning an applicant or participant may be subject to a misdemeanor and fined not more than $5,000. Any applicant or participant affected by negligent disclosure of information may bring civil action for damages, and seek other relief, as may be appropriate, against the officer or employee of HUD or the owner responsible for the unauthorized disclosure or improper use. Penalty provisions for misusing the social security number are contained in the **Social Security Act at 208 (a) (6), (7) and (8). Violation of these provisions are cited as violations of 42 U.S.C. 408 (a) (6), (7) and (8).**
Gwen Volk- has been designated to coordinate compliance with nondescrimination requirements contained in the Department of Housing and Urban Development's regulations implementing Section 504 (24CFR, part 8 dated June 2, 1988) and can be reached at LBK Management, 1320 Greenway Drive, Suite #720, Irving TX 75038 - (972) 756-0606 X 104 Voice or TTY (800)735-2989. - The owner does not discriminate against persons with disabilities.
Applicant's Certification - I/We certify that the information given in the application is true and complete to the best of my/our knowledge and belief. I/We understand that I/We can be fined up to $10,00, imprisioned up to 5 years, or otherwise penalized if I/We furnish false or incomplete information. I/We herby give the management/owner the authority to investigate my/our credit rating, my/our past rental record, and all other information necessary to determine eligibility.