Rivers Senior Interest List
Thank you for your interest in our beautiful affordable housing community. The information collected below will be utilized to contact you upon availability. It is very important to answer the information completely and accurately. The information will be used to determine whether you are eligible for placement on our Interest List. This is a preliminary application and gives no Lease or Rental Rights. If there is an applicable vacancy in this apartment community for which this Pre-Application deems you eligible, you will need to submit additional documentation to complete the processing of your application for residency. UPON AVAILABILITY you will receive an email at the address stated herein. The available apartment will be LEASED ON A FIRST COME FIRST SERVE BASIS. All applicants must be 55 years old or older.
First Name *
Your answer
Last Name *
Your answer
Current Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email Address *
It is the responsibility of any Interest List applicant to contact our office should this information change.
Your answer
Confirm Email Address *
Your answer
Phone Number *
It is the responsibility of any Interest List applicant to contact our office should this information change
Your answer
Number of Persons in the Household *
Select only one response
Bedroom Size *
List the first and last name, with date of birth, for each additional household member below. Indicate "None" if there are no other occupants. *
Your answer
Total MONTHLY household Income *
Enter the gross amount (before taxes)
Your answer
Total Asset Cash Value *
Your answer
How did you hear about us? *
To the best of my/our knowledge and belief, I/we certify that the foregoing information is true, complete, and correct. I/we understand that inquiries may be made to verify the information on this form and that false statements or omissions are ground for disqualification and/or persecution under the full extent of the applicable law. If there is an applicable vacancy in this apartment community for which this Pre-Application deems you eligible, you will need to submit additional documentation to complete the processing of your application for residency. UPON AVAILABILITY you will receive an email at the address stated herein. The available apartment will be LEASED ON A FIRST COME FIRST SERVE BASIS.
Check YES to confirm you agree with the above information
Print your name for the certification above *
Your answer
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