Apartment Application
Household
Apartment Application
Income
Apartment Application
Status and History
Apartment Application
Vehicle(s) and Emergency Contact
Apartment Application
Signature
Applicant Information
For which location are you applying?
Gender
Full-time Student
Household Information
Please list all household members that are applying to live in this apartment. Household Member One
Household Member One Gender
Household Member One Full-time Student
Household Member Two
Household Member Two Gender
Household Member Two Full-time Student
Will there be any other household members?
Current Address
Martial Status
Have you ever used another name?
Do you expect any change in the number of students in your household within the next 12 months?
Do you expect any additions to the household within the next twelve months?
Income is counted for anyone 18 or older. If the income is unearned, such as a grant of benefit, it is still counted for all household members including minors. Include all income anticipated for the next 12 months.
Do you, or anyone in your household receive, or expect to receive income from:
If receiving Child Support or Alimony, How is the support received?
Do you or any other household member(s) expect any changes to your income in the next 12 months?
Asset Information
Please include all assets held and the income derived from the asset. Include all assets held by all household members including minors. Do you or anyone in your household hold:
A checking or savings account?
CD’s, money market accounts, or treasury bills?
Stocks, bonds, or securities?
Trust Funds?
IRA’s, Keogh, or other retirement accounts?
Cash on hand over $500?
Real estate, rental property, land contracts/contract for deeds or other real estate holdings?
Personal property held as an investment?
Whole Life Insurance Policies?
Have you or any other household members disposed of or given away and asset(s) for less than fair market value within the past 2 years?
Applicant Status
The following questions pertain to specific eligibility requirements of the Housing Credit Program.
Are you or any other adult household members claiming zero income?
Are you or any other household members currently a full-time student or expect to be a full-time student within the next 12 months?
Will you or any adult household member require a live-in care attendant to live independently?
Will your household be receiving Section 8 rental assistance at the time of move-in?
Will your household be eligible or are you applying to receive Section 8 rental assistance in the next 12 months?
Have you, or anyone else named on this application been convicted of a felony?
Have you, or anyone else named on this application been evicted from a rental unit of any type including an apartment, home, mobile home, or trailer?
Residence History
List the past 10 years of housing references. Housing Reference One Previous Address
Housing Reference Two Previous Address
Housing Reference Three Previous Address
Vehicle Information
Please list the information for any vehicles owned or operated by any household member. Vehicle One
Vehicle Two
Emergency Notification
Who should be notified in case of an emergency?
Special Needs
Does anyone in your household have special needs?
Signature
I/We authorize the management of Panorama Apartments to verify information in this application. I/We further agree that a full disclosure of pertinent facts may be made to the management of Panorama Apartments as to my/our character, general reputation, income, credit and mode of living. This application may be rejected as the result of my/our misrepresentation or insufficient information. Acceptance of this application and any deposits is not binding upon Panorama Apartments until the application is approved in writing. I/We understand that this application and all related inquiries will be used only for its relevance to screening and occupancy at this property. I/We also understand that this application is for occupancy at a Housing Credit or other type of property and will require annual recertification of my/our household.
A PLACE TO CALL HOME
Panorama Apartments
111 Brent Spence Sq, Main OfficeCovington, KY 41011
Phone: 859.581.4445
Fax: 859.581.0939
Panorama Plus
8510 Old Toll RdFlorence, KY 41042
Phone: 859.746.8090
Fax: 859.746.0021
Navigation
