Northrup King Lofts - Online Application

  • Pre-Application Questionnaire

    To be completed by applicant.
  • Format: (000) 000-0000.
  • Requested Move-In Date:*
     / /

  • The following items will be requested during the application process. If at all possible, please have these items ready during submission.

    Do you currently have a job?

    • Need 6 current consecutive paystubs. If this is a new job, we would need the offer letter and any paystubs received. Self-Certification will be required if you have no offer letter and fewer than 6 paystubs.
    • If No, must complete an Affidavit of Unemployment
    • If you have not worked in the current year, we will need prior year W-2’s or the tax return. A Self- Certification will also be required.

    Do you have minor children that live with you (if both parents are not in household?

    • If Yes, must complete the Custody and Child Support Affidavit. One per child
    • Will the child live with you 50% or more of the time? We will need either the court order, the first page of your tax return to show you claimed the child, or a public assistance form showing the number of adults & children in the household.
    • Do you have court ordered child support? If Yes, you will need to provide a copy of the court order.

    Are you divorced?

    • If Yes, we will need a copy of the divorce decree, if less than 5 years since divorce.
    • If you are separated, you will need to complete the Marital Separation Form
    • Do you receive any spousal support, or do you anticipate receiving any? Do you have sporadic or no income?
    • If Yes, must complete the zero-income questionnaire
    • Is someone is providing money or other items to your household? If Yes, we will need to 3rd party verify that income. The person providing this income will complete a regular contribution form and sign.
    • Will also need to fill out cash on hand form.

    Assets?

    • Do you have a Direct Express or EBT Card that is not linked to a bank account? If Yes, we will need a copy of a receipt showing current balance. You must also complete a Debit Card Affidavit.
    • Do you own a home or other real estate? If Yes, we will need a copy of the property tax statement and a copy of the mortgage balance. Do you receive rental income from this property? If Yes, we will need something that shows how much you receive.

  • Resident Selection Criteria

    To be completed by applicant.
  • I, or a member of my household, is an artist and would like to apply for the Artist Preference?*
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  • Date*
     / /

  • Application for Affordable Housing Tax Credit (LIHTC) Property

    To be completed by applicant.
  • Date of Birth*
     / /
  • Rows

  • EACH ADULT HOUSEHOLD MEMBER (18+) MUST ALSO COMPLETE THEIR OWN APPLICATION.

  • Marital Status*
  • Do you expect any changes in the household composition in the next 12 months?*
  • Do all of the above household members reside in the household 100% of the time?*

  • Part II - Student Questions

    To be completed by applicant.

  • All family members 18 or over listed as Full-Time students provide the following information.

  • Please select the appropriate answer.*
  • Are the students married and entitled to file a joint tax return?*
  • Is the student a title IV recipient?*
  • Is the student enrolled in a job training program receiving assistance under the Job Training Partnership Act?*
  • Is the student a TANF/MFIP recipient?*
  • Is at least one student a single-parent with child(ren) and this parent is not a dependent of someone else, and the child(ren) is/are not dependent(s) of someone other than a parent?*
  • Does the household consist of at least one student who was previously under foster care within 5 years of the effective date of the initial income certification?*

  • Part III - Other

    To be completed by applicant.
  • Do you have full custody of your child(ren)?*
  • Have you ever been evicted?*
  • Have you ever been convicted of a felony?*
  • Does your household have a pet/service animal?*
  • Will your household be eligible, currently receiving, or are you applying to receive Section 8 rental assistance, or any other rental assistance in the next 12 months?*
  • Has your rental assistance ever been terminated for fraud, non-payment of rent or failure to recertify?*
  • Have you ever lived with or applied for housing with MetroPlains Management?*
  • Have you or any member of your household lived in any other states?*

  • Part IV - Rental History

    To be completed by applicant.

  • Please complete the following fields based on your current address you provided earlier.

    Current Address: {currentAddress}.

  • Format: (000) 000-0000.
  • Do you rent or own?*
  • When did you move in?*
     - -
  • When did you move out?*
     - -
  • Have you lived at this residence for at least 3 years?
  • Format: (000) 000-0000.
  • Do you rent or own?*
  • When did you move in?*
     - -
  • When did you move out?*
     - -
  • Do the above two addresses equal at least 3 years history of residency?
  • Format: (000) 000-0000.
  • Do you rent or own?*
  • When did you move in?*
     - -
  • When did you move out?*
     - -

  • Part V - Special Needs

    To be completed by applicant.
  • Does anyone in your household have special needs?*
  • Special living accommodations required?*
  • Does your household have any needs that might be better served by a unit which is accessible to persons with mobility, hearing, or visual impairments?*

  • Part VI - In Case of Emergency, Notify.

    To be completed by applicant.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Part VII - Household Income

    To be completed by applicant.

  • Indicate the amount of anticipated income for all household members named on this application (for minors, unearned income amounts only), during the 12-month period beginning this date. Do you or anyone in your household have:

  • Wages or Salaries (Gross Income)*
  • Child Support (Actual Amount)*
  • Alimony or Spousal Maintenance (actual amount)*
  • Social Security and/or Railroad Pension*
  • Supplemental Security Income (SSI)*
  • Public Assistance - TANF, General Assistance*
  • Veterans Administration Benefits*
  • Pensions, IRA, and/or 401 (k) (Keogh Accounts) (regular periodic payments)*
  • Annuities (regular periodic payments)(RMD’s)*
  • Unemployment Compensation*
  • Disability, Death Benefits, Adoption Assistance and/or Life Insurance Dividends*
  • Worker’s Compensation*
  • Severance Pay*
  • Net Income from a Business(Self-Employment, including rental property/land)*
  • Long Term Medical Care InsurancePayments in Excess of $180.00 per day*
  • Regular cash and non-cash contributions, assistance with paying bills(including utilities), or gifts from companies,agencies, or individuals not living in the unit(not including groceries)*
  • Lottery Winnings or Inheritances*
  • All regular pay paid to members of the Armed Forces*
  • Education, Grants, Scholarships or other Student Benefits*
  • Other Income (Cash Payments)*
  • Are any changes of income expected within the next 12 months? If yes, please explain:*

  • Part VIII - Assets

    To be completed by applicant.

  • CURRENT ASSETS – List all assets currently held by all household member and the cash value of each. The cash value is the market value of the asset minus reasonable costs there were, or would be, incurred in selling or converting theasset to cash.

  • Savings Account*
  • Checking Account*
  • Certificate of Deposit*
  • Prepaid Debit Card (Direct Express,NetSpend, Citibank, reloadable Wal-Mart cards,red or green dot cards, Etc.)*
  • Trust Account*
  • Real Estate or Contract for Deed*
  • Annuities*
  • Mutual Funds*
  • Saving Bonds*
  • Money Market Account*
  • Recreational vechicle/boat, expensive jewelry, stamp/coin collection antique cars, artwork, gems/precious metals, etc.*
  • Whole or Universal Life Insurance?*
  • Lump sum payments? (lottery winnings,inheritances, etc)*
  • Online donation accounts?(GoFundMe, Kickstarter, Fundly, local bank)*
  • Other*
  • Have you received a federal tax refund or refundable federal tax credit in the last 12 months?*
  • Have you sold or disposed of any assets for less than fair market value in the last 2 years?(given money away, set up Irrevocable Trust Account, property, etc.)*
  • Are any accounts held jointly with someone not in the unit?*

  • Part IX - Demographic Information

    The following questions are voluntary to be used for statistical purposes only. You are not required, nor does your answers affect your eligibility.
  • Race*
  • Native Hawaiian/Other Pacific Islander
  • Asian
  • Ethnicity*
  • Is the Head of Household:*
  • Is the Co-Head of Household:
  • Is any member mobility impaired?*
  • Is any member a person with a disability other than mobility impairment?*
  • Main source of household income (select only one)*

  • Document Upload

  • Please upload a copy of all household members social security cards.

    Do you currently have a job?

    • Need 6 current consecutive paystubs. If this is a new job, we would need the offer letter and any paystubs received. Self-Certification will be required if you have no offer letter and fewer than 6 paystubs.
    • If No, must complete an Affidavit of Unemployment
    • If you have not worked in the current year, we will need prior year W-2’s or the tax return. A Self- Certification will also be required.

    Do you have minor children that live with you (if both parents are not in household?

    • If Yes, must complete the Custody and Child Support Affidavit. One per child
    • Will the child live with you 50% or more of the time? We will need either the court order, the first page of your tax return to show you claimed the child, or a public assistance form showing the number of adults & children in the household.
    • Do you have court ordered child support? If Yes, you will need to provide a copy of the court order.

    Are you divorced?

    • If Yes, we will need a copy of the divorce decree, if less than 5 years since divorce.
    • If you are separated, you will need to complete the Marital Separation Form
    • Do you receive any spousal support, or do you anticipate receiving any? Do you have sporadic or no income?
    • If Yes, must complete the zero-income questionnaire
    • Is someone is providing money or other items to your household? If Yes, we will need to 3rd party verify that income. The person providing this income will complete a regular contribution form and sign.
    • Will also need to fill out cash on hand form.

    Assets?

    • Do you have a Direct Express or EBT Card that is not linked to a bank account? If Yes, we will need a copy of a receipt showing current balance. You must also complete a Debit Card Affidavit.
    • Do you own a home or other real estate? If Yes, we will need a copy of the property tax statement and a copy of the mortgage balance. Do you receive rental income from this property? If Yes, we will need something that shows how much you receive.
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  • Part X - Resident's Statement

    To be completed by applicant.

  • I/we understand that the above information is being collected to determine my/our eligibility for residency. I/ we authorize the owner/manager to verify all information provided on this Application/Certification and my/our signature is our consent to obtain such verification. I/we certify that I/we have revealed all assets currently held or previously disposed of and that I/we have no other assets than those listed on this form (other than personal property). I/we further certify that the statements made in this Application/Certification are true and complete to the best of my/our knowledge and belief and are aware that false statements are punishable under Federal law.

    Any applicant, who purposefully falsifies, misrepresents or withholds any information related to program eligibility or submits inaccurate and/or incomplete information on this application will not be considered for housing.

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  • Date*
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  • Date
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  • Date
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  • General Consent Release

    To be completed by applicant.

  • I authorize RENTBUREAU and MetroPlains to investigate my criminal history, residential, employment and income hisotry, and bank and credit history for the purpose of housing and/or employment. The source of the information may come from, but is not limited to: Credit Bureaus; banks and other depository institutions; current and former employers; federal or state records including State Employment Security Agency records, county or state criminal records as follows, or other sources required. It is understood that a photocopy or facsimile copy of this form will serve as authorization.

    This authorization is for this transaction only and continues in effect for one (1) year unless limited by state law, in which case the authorization continues in effect for the maximum period, not to exceed one (1) year, allowed by law.

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  • Date
     / /
  • Have you lived in any other state?*

  • Authorization to Release Confidential Information

    To be completed by applicant.

  • As a condition of participating in an affordable housing program, I understand the property owner is required to initially and annually certify each resident’s eligibility for such program. Consequently, I understand it is necessary for me to give authorization for specific income, asset, medical, and childcare expense information to be provided on one or more of the following forms:

    • Employment
    • Unemployment
    • Self-Employment
    • Social Security/SSI
    • Public Assistance
    • Regular Contributions
    • Alimony/Child Support
    • Student Status & Financial Aid
    • Landlord Verification
    • Life Insurance
    • Military Pay
    • Veteran's Benefit
    • Worker's Compensation
    • Bank
    • Pension/Annuity
    • Stocks/Bonds
    • Real Estate
    • Disability Status
    • Medical Providers
    • Trust Accounts

    This authorization is limited to the forms listed above and expires 365 days after the date of my signature below unless revoked in writing by me earlier. By my signature below, I authorize the representative individuals to disclose my specific income, asset, and medical information as requested on the forms above. No other information may be released without my express written authorization.

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  • Date
     / /

  • By the signature of its authorized management agent below, and in consideration for execution of this Authorization by the applicant/resident, property representative warrants the following:

    1. Information requested on the above form is required and necessary to complete certification of the applicant/resident’s eligibility to reside in the above housing property;
    2. The information requested above will be used for no purpose other than determining such applicant/resident’s eligibility; will be maintained as confidential personal information subject to disclosure only as required by property administrative or judicial process, and will not be otherwise disclosed by the property owner or management; and
    3. The property owner and management have instituted procedures that insure all personally identifiable information provided pursuant to this authorization will be maintained in electronic or magnetic form, sufficient to protect such information form any unauthorized use, access, or disclosure.

  • Application Fee & Submission

    A $40 application fee is required to submit this application. This fee is 100% non-refundable.
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      Northrup King Lofts - Application Fee

      $40 + $1.50 Online Processing Fee. MetroPlains Management does not receive any portion of this processing fee. 

      $41.50
        
      Total
      $0.00

      Payment Methods

      creditcard
      After submitting the form, you will be redirected to Apple Pay to complete the payment.

    • Holding Fee Agreement

      Please choose a payment method for your $300 holding fee. If you opt to pay online, please note there is a $9.27 transaction fee, which is non-refundable and not retained by MetroPlains Management.
    • How would you like to pay the holding fee?*
    • Date*
       / /
    • Should be Empty: