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Eaton Senior Communities owns and operates two communities – The Residences and The Summit. The Residences opened in 1980 and is an income-restricted building. At The Residences, rent is determined based on income and there is a mandatory meal program. The Summit opened in 2019 and is aimed at serving the middle-market. Both communities offer robust on-site services and amenities.

The Summit

To meet the requirements for tenancy at The Summit, an individual must be an elderly person or family, defined as a household where the head or spouse is age 62 or older; and must provide verifiable identification sufficient to adequately screen the applicant for credit, criminal, and rental history and to confirm the applicant is not on the terrorist list. A refundable fee of $200 is required to hold an apartment.

The Summit tenant selection plan and wait list procedure

The Residences

In addition to the requirements for The Summit, the local HUD income limits apply to The Residences and applicants must meet specific income restrictions to be eligible for housing. No fee is required to hold an apartment.

FY 2021 Income Limits:  Income cannot exceed Low (80%) Income Limit:  $55,950 (single), $63,950 (couple)

The Residences tenant selection plan and waitlist procedure

Community & Apartment Selection

To which community would you like to apply? The Summit (no income restriction)The Residences (must meet income requirements)
Need for Accessible Unit? YesNo

Applicant Info

Name of Applicant
Email
Home Phone #
Work Phone #
Cell Phone #
List the States where household members have resided

Current Address

Current Housing Type Own HomeRentLive with relativesHUD subsidized
Current monthly housing payment
Current monthly utilities payment
Current Address (with apartment #)
Name of Current Community
Dates of Occupancy
Manger's Name
Manger's Phone #

Previous Address 1

Current Address (with apartment #)
Name of Current Community
Dates of Occupancy
Manger's Name
Manger's Phone #

Previous Address 2

Current Address (with apartment #)
Name of Current Community
Dates of Occupancy
Manger's Name
Manger's Phone #

Demographic and Insurance Info

Martial Status (optional) SingleMarriedWidowed
Date of Birth
Place of Birth
Race (optional) Caucasian/WhiteAfrican American/BlackAsianNative AmericanAsian/Pacific IslanderOther
Social Security Number
Medicare Number
Supplemental Health Insurance

Personal References

Non-relative, living in this area if possible

Reference 1 Name
Reference 1 Address
Reference 1 Phone #
Reference 2 Name
Reference 2 Address
Reference 2 Phone #

Family Members

List those who are immediately available to be of support and who will respond in emergencies.

Family 1 Name
Family 1 Address
Family 1 Phone #
Family 1 relation
Family 2 Name
Family 2 Address
Family 2 Phone #
Family 2 relation

Sources of Income ($ monthly)

Social Security
Veterans Benefits
Old Age Pension (OAP)
Railroad Retirement Pension
Other Pension/Annuities
Supplemental Security Income (SSI)
Wages
Business Income Net
Other Supplemental Income
Other Income

Assets

Savings Account Balance
Savings Account Interest Rate
Certificates of Deposit Balance
Certificates of Deposit Interest Rate
Stocks/Bonds Value
Stocks/Bonds r/o/r
Checking account 6 month average balance
Checking account interest rate (if any)
Real estate appraisal
Amount due on mortgage (if applicable)
Rent received on property (monthly)
Other mortgage balance
Other mortgage interest rate
Personal property not included above

Applicant Questionnaire

Are you aware that The Summit is a smoke-free community, which means that The Summit does not allow smoking or use of tobacco products of any kind by residents, visitors, and employees anywhere inside the building, including resident apartments other than special designated areas? YesNo
Have you ever been evicted or involuntarily removed from any housing or residential situation? YesNo
If yes, please explain
Have you been convicted of a crime, other than a traffic violation, within the last 5 years? YesNo
If yes, please explain
Do you have a pet? YesNo
Do you have a car? YesNo
Are you or any members of your household subject of a lifetime registration requirement under any state sex offender registration program? YesNo
If yes, please explain
Applicant 1 name (constitutes signature)
Applicant 2 name (constitutes signature)
Date of Application