Cooper Tower Pre-Application

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This form is used to determine your preliminary eligibility for the affordable apartments at Cooper Tower in Woodbridge. If eligible, you will be added to the waiting list and will be contacted as soon as a unit becomes available and we come to your name.

1. HEAD OF HOUSEHOLD INFORMATION












Please enter a five digit zip code.

2. HOUSEHOLD COMPOSITION
Please list all household members who will be living in the apartment.  Cooper Tower is a rental development for seniors ages 62+ and people with disabilities. 
1st Household Member (Head of Household)



2nd Household Member




3rd Household Member
Please note that there are only studio and one bedroom units at Cooper Tower. Household of 3+ will not meet the eligibility requirements. To apply for additional locations, please submit a general Preliminary Application at our website: https://www.affordablehomesnewjersey.com/preliminary-application




4th Household Member
Please note that there are only studio and one bedroom units at Cooper Tower. Household of 3+ will not meet the eligibility requirements. To apply for additional locations, please submit a general Preliminary Application at our website: https://www.affordablehomesnewjersey.com/preliminary-application




5th Household Member
Please note that there are only studio and one bedroom units at Cooper Tower. Household of 3+ will not meet the eligibility requirements. To apply for additional locations, please submit a general Preliminary Application at our website: https://www.affordablehomesnewjersey.com/preliminary-application




6th Household Member
Please note that there are only studio and one bedroom units at Cooper Tower. Household of 3+ will not meet the eligibility requirements. To apply for additional locations, please submit a general Preliminary Application at our website: https://www.affordablehomesnewjersey.com/preliminary-application




Additional Household Members

3. REGIONAL INFORMATION
What Region or Regions do you and your intended household members LIVE or WORK in?
Bergen
Hudson
Passaic
Sussex
Essex
Morris
Union
Warren
Hunterdon
Middlesex
Somerset
Mercer
Monmouth
Ocean
Burlington
Camden
Gloucester
Atlantic
Cape May
Cumberland
Salem

4. ADDITIONAL INFORMATION
$
Please enter without commas.
Please include the gross BEFORE tax income of all household members.  Income includes gross wages, salaries, tips, commissions, overtime, alimony, child support, pensions, social security, unemployment, and disability benefits.
$
Please enter without commas.
$
Please enter without commas.
There are currently no units in our portfolio that provide a veterans preference. We are collecting this information in the event that a preference becomes available in the future.


5. SIGNATURE


Once we come to your name on the waiting list, you will be asked to verify your household composition and income, among other factors. All information will be verified.
I certify that the information provided herein is true and complete and that any misrepresentation of income or household size reported herein shall be cause for program disqualification. I also understand that this information is to be used only for determining my preliminary eligibility for referral to an affordable housing unit and does not obligate me in any way.



You will receive notification that your Preliminary Application was successfully submitted. If you do not receive this notification, please resubmit your Preliminary Application.

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