Sunset View Housing Application

Student?*

1. Has any member of the household used another name (for example, maiden name) or social security number?*

2. Do you expect any changes to the household in the next 12 months?*

3. Are you divorced or separated?*

4. Do you certify that this unit will be your permanent residence and that you will not/do not maintain a separate residence unit in a different location?*

5. Do you have any specific housing requirements, such as special handicapped accessible unit?*

6. DCHA administers the Section 8 Housing Choice Voucher Program. Would you like to complete a separate rental assistance application to potentially reduce your rent?*

7. Would you like to sign a release form for a person or agency to assist with your application process?*

Employment Income*

Self-employment Income*

Gig Employment*

Child Support/Alimony/Family Maintenance*

Unemployment Compensation*

Social Security/SSI Benefits (Disability)*

Pension/Annuity*

Disability/Worker's Compensation/Severance Pay*

VA Benefits*

Military Pay*

Education Financial Assistance*

Public Assistance (AFDC/TANF/W-2)*

Trust Income*

Rental Income*

Recurring Gifts/Contribution*

Lottery Winnings*

Adoption Assistance*

Any other income not listed above*

Zero Income (No income from any source)*

Checking Account*

Savings Account*

Mobile Account*

401K*

CD/Money Market*

IRA/KEOGH*

Pension/Annuity*

Stocks/Mutual Funds*

Trusts*

Universal Life Insurance*

Whole Life Insurance*

Bonds*

Real Estate*

Personal Property Held as an Investment*

Land Contract/Deed of Trust*

Cash on Hand*

Lottery Winnings*

Safe Deposit Box*

Other Assets not listed above*

1. Do all combined assets of the entire household exceed $5,000?*

2. In the past 2 years, have you sold or given away any assets listed as examples in the chart above for more than $1,000 less than Fair Market Value?*

3. In the past 2 years, have you given any gifts valued at more than $1,000?*

4. Did any members of your household file an Income Tax Return in the past 3 years?*

1. Have you ever been evicted from tenancy?*

2. Have you ever filed for bankruptcy?*

3. Have you ever been convicted of a felony?*

4. Are you subject to Sex Offender Registry requirements in any State?*

5. Do you have any drug related convictions?*

6. Have you lived outside of Wisconsin?*

7. Will you have 50% or more physical custody of all minor members in the household?*

8. Will you be receiving rental assistance while living at this property?*

Has your rental assistance ever been terminated for fraud, nonpayment of rent or failure to recertify?*

9. Are household members U.S. Citizens or have Eligible Immigration Status?*