Impact Management Group HUD/RD Waiting List Application Form
This file contains the application form for HUD/RD waiting list managed by Impact Management Group. It includes eligibility criteria, income verification, and instructions on filling out and submitting the form. It ensures compliance with Federal nondiscrimination laws.
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How do I fill this out?
To fill out this form, ensure that you provide accurate and complete information about all household members. Make sure to list all sources of income and assets. Review the form thoroughly before submission.

How to fill out the Impact Management Group HUD/RD Waiting List Application Form?
1
Provide full names and details of all household members.
2
List all sources of monthly income.
3
Declare all assets owned within the past 3 years.
4
Sign the certification and release of information agreements.
5
Submit the form to the designated address or contact point.
Who needs the Impact Management Group HUD/RD Waiting List Application Form?
1
Low-income individuals needing subsidized housing.
2
Elderly individuals or families looking for HUD-assisted living.
3
Disabled persons applying for targeted housing programs.
4
People transitioning from a different state or rental situation.
5
Applicants needing income and asset verification for housing eligibility.
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What are the instructions for submitting this form?
Submit the completed form to Impact Management Group's Rental Office at 1300 19th Street, Reedsburg, WI 53959. Alternatively, you can fax it to (608) 713-9326 or email it to portageregion@impactseven.org. Ensure all information is accurate and keep copies of submitted documents. It's advisable to follow up with the Community Manager for confirmation of receipt and further instructions.
What are the important dates for this form in 2024 and 2025?
Make sure to submit the form ahead of the annual income eligibility review dates.

What is the purpose of this form?
The purpose of this form is to determine eligibility for subsidized housing as managed by Impact Management Group. It ensures compliance with federal income guidelines and nondiscrimination laws. The form collects comprehensive household information to verify the applicant's eligibility for targeted housing programs.

Tell me about this form and its components and fields line-by-line.

- 1. Full Name: Enter the full names of all household members.
- 2. Current Address: Provide the current residential address of the applicant.
- 3. Income Sources: List all sources of monthly income for each household member.
- 4. Assets: Declare all assets owned by household members within the past 3 years.
- 5. Certification and Release: Sign the certification to verify the information provided and authorize inquiries.
What happens if I fail to submit this form?
Failure to submit this form may result in disqualification from the HUD/RD waiting list.
- Loss of Housing Opportunity: You may lose the chance to qualify for subsidized housing.
- Delays in Application Processing: Incomplete forms can lead to delays or rejections.
- Non-compliance Penalties: Providing false information can result in legal and financial consequences.
How do I know when to use this form?

- 1. Initial Application: When you first apply for subsidized housing.
- 2. Annual Re-certification: For yearly verification of income and eligibility.
- 3. Change in Household Composition: When adding or removing household members.
- 4. Income Changes: To update changes in household income.
- 5. Asset Updates: To declare newly acquired or disposed assets.
Frequently Asked Questions
How do I fill out this form?
Enter accurate details about household members and their income, assets, and other necessary information. Verify before submitting.
Can I edit the form after filling it out?
Yes, you can edit the form using PrintFriendly's PDF editor before final submission.
How do I sign the PDF?
Use PrintFriendly's signing tool to add your signature to the document.
How can I share the completed form?
Share the form via email, shareable link, or directly to cloud storage using PrintFriendly's sharing feature.
What happens if I fail to submit the form?
Failure to submit the form may result in disqualification from the HUD/RD waiting list.
Who needs this form?
Low-income individuals, elderly, disabled persons, and those transitioning from other states or rental situations need this form for subsidized housing.
How do I verify my income?
List all sources of monthly income and provide corresponding documents for verification.
What are the penalties for false information?
Penalties include eviction, loss of assistance, fines up to $10,000, and imprisonment for up to 5 years.
Can I update my contact information after submission?
Yes, notify the Community Manager about any changes to your contact information.
What are the important dates for this form?
Ensure to submit the form before the annual income eligibility review or as directed by the Community Manager.
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