To be alerted about future affordable rental or home ownership opportunities, please add your name to our interest list by completing the form below. When rental or home ownership prospects become available, we will contact you.

In order to determine if you are income qualified to participate on the ICLT Program you must provide the Gross Income of ALL persons living in your home. "Gross income" shall mean the anticipated income of a person or family for the next twelve-month period.

The following items shall NOT be considered as income:

1. Casual, sporadic or irregular gifts;
2. Amounts which are specifically for or in reimbursement of the cost of medical expenses;
3. Lump-sum additions to family assets, such as inheritances, insurance payments (including payments under health and accident insurance and worker's compensation), capital gains and settlement for personal or property losses;
4. Amounts of educational scholarships paid directly to the student or to the educational institution, and amounts paid by the government to a veteran for use in meeting the costs of tuition, fees, books and equipment. Any amounts of such scholarships, or payments to veterans not used for the above purposes of which are available for subsistence are to be included in income;
5. The special pay to a serviceman head of a family away from home and exposed to hostile fire;
6. Relocation payments made pursuant to federal, state, or local relocation law;
7. Foster child care payments;
8. The value of coupon allotments for the purchase of food pursuant to the Food Stamp Act of 1964 which is in excess of the amount actually charged the eligible household;
9. Payments received pursuant to participation in the following volunteer programs under the ACTION Agency:

"Income" shall consist of the following:
All payments from all sources received by the family head AND each additional member of the family household who is NOT a minor shall be included in the annual income of a family. All payments from all sources received by the family head AND each additional member of the family household who is NOT a minor shall be included in the annual income of a family.

Limit one submission per household. Additional submissions will result of disqualification.

Contact Information

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First Name *

Last Name *

E-Mail *

Address *

City *

Phone *

State * << Select a State>> Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zipcode *

Comments

Demographic Information

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Household Size * 1 2 3 4 5 6 7 8+

Income Information

All fields are required. If a the question is zero or does not apply, please enter "0".

1. $

The gross amount, before any payroll deductions, of wages and salaries, overtime pay, commissions, fees, tips and bonuses

2. $

The Net income from operation of a business or profession or from rental or real or personal property (for this purpose, expenditures for business expansion or amortization of capital indebtedness shall not be deducted to determine the net income from a business)

3. $

Interest and dividends

4. $

The full amount of periodic payments received from social security, annuities, insurance policies, retirement funds, pensions, disability or death benefits and other similar types of periodic receipts

5. $

Payments in lieu of earnings, such as unemployment and disability compensation, worker's compensation and severance pay

6. $

Public Assistance less the amount specifically designated for shelter and utilities

7. $

Alimony and child support payments, and regular contributions or gifts received

8. $

All regular pay, special pay and allowances of a member of the Armed Forces (whether or not living in the dwelling) who is head of the family or spouse.

9. $

Where a family has net family assets in excess of $5,000, income shall include the actual amount of income derived from all of the net family assets or 3 percent of the value of all such assets, whichever is greater. Net family assets means value of equity in real property (other than the household's full-time residence), savings, stocks, bonds, and other forms of capital investment. The value of necessary items such as furniture and automobiles shall be excluded

I have read and agree to the terms of this program. Limited to one submission per household. Additional submissions will result of disqualification.