PARK PLACE º 215 GRAND AVENUE º MERRILL, WI 54452 º 715-536-7386 º FAX 715-539-0846
JENNY TOWERS º 711 EAST 1ST STREET º MERRILL, WI 54452 º 715-536-3838 º FAX 715-536-7378
Please print the Rental Application off and bring it to 101 E First Street Merrill, WI 54452 All questions on the application must be answered. We are unable to accept an incomplete application. Attach a separate piece of paper if you need to add additional information.
Prospective tenants must bring a completed application our office at 101 E First Street, Merrill, WI. Applications can be downloaded, or picked up at our office. Background checks and credit screening are done for all applicants. Qualified applicants are placed on waiting lists until an appropriate unit becomes available at which time we will contact you.
Please fill out all fields, including the HUD-9886 form. If your answer is no or does not apply, please fill in “None” or “NA”.
APPLICATION FOR PUBLIC HOUSING & SECTION 8 NEW CONSTRUCTION
THIS PAGE IS YOURS TO KEEP – STOP AND READ THESE SIMPLE INSTRUCTIONS!
If you do not have everything listed available, please attach a note. Copies may be made for you at our office.
- Picture identification for all family members (18 years of age or older)
- Social Security Cards, and/or Immigration cards for each household member
- Single parent: you must supply a copy of:
- Custody arrangement
- Court order or a print of your last 3 months of child support received (http://dcf.wisconsin.gov)
- Proof all income and assets not limited to:
- Social Security recipients-supply your current benefits statement
- Employment check stubs
- Most current statement(s) from bank, pension, 401K, annuity, etc…
- Homeowners must provide current Property Tax Bill
- Students-adult students of higher education:
- Proof of student status
- Financial aid award letter
- Medicare Expenses (If applicant age 62 & older or receiving Disability payments:
- Medical expenses paid out of pocket from hospital, clinic, dentist, vision, etc…
- Proof of Supplement Health Insurance premiums paid for additional coverage
- Proof of Prescription’s paid out of pocket from pharmacy
How this works: After you have returned the completed application, you will be added to the waiting list. As your name nears the top of the waiting list your application will be put through the approval process. If you are denied housing you will be notified by mail, so it is important to update your contact information if changes occur after submitting your application.
If you have questions for Park Place, contact Theresa Schmeltzer, Property Manager at 715-536-7386 or email@example.com if you have questions for Jenny Towers, contact Shelly Storm, Property Manager at 715-536-3838 or firstname.lastname@example.org. Know your rights: visit hud.gov for information regarding Public Housing.
Note: Please feel free to express any special needs on a separate sheet of paper and return with application.
*Our staff is not able to fill the application out for you however, if you require a reasonable accommodation please ask, we are happy to assist.
Do you have a pet, if so please be sure to ask for a copy of the Pet Policy or print a copy from our website at www.merrillha.com
See the following pages for information that is important to you.
Effective October 1, 2014 the Board of Commissioners implemented a No Smoking Policy for all City of Merrill Housing Authority properties. A copy of this policy will be included with your lease.
Smoking Policy: You may not smoke in your apartment, common areas, parking lots or anywhere on the property other than the designated smoking area.
Do you know . . . . . .
You are committing fraud if you sign a form knowing that you provided false or misleading information.
The information you provide on housing assistance application and certification forms will be checked. The local housing agency, HUD, or the Office of the Inspector General will check the income and asset information you provide with other Federal, State, or local governments and with private agencies. Certifying false information is fraud.
So Be Careful!
When you fill out your application & certification for assisted housing from HUD make sure your answers to questions are accurate and honest. You must include:
All sources of income and changes in income you or any members of your household receive, such as wages, welfare payments, social security and veterans’ benefits, pensions, retirement, etc.
Any regular month payments you receive on behalf of your children, such as child support, AFDC payments, social security for children, etc.
For your information: Allowing someone to move in with you that is not on your lease is a serious violation of our lease:
- OCCUPANCY: The Tenant shall use the premises as a private dwelling for himself or herself and the persons named in this Lease, with the exception of minor children born or adopted into the household during this tenancy, and shall not permit its use for any other purpose without the written permission of the PHA.
The Tenant shall not:
Permit any persons other than those listed above and minor children which are born or adopted into the household during this tenancy, to stay in the unit for more than 3 days without notifying the PHA first. Guests shall not reside in the dwelling unit for more than fourteen (14) days each year without obtaining the prior written approval of the PHA; sublet or assign the dwelling unit, or any part of the dwelling unit; engage in or permit unlawful activities in the dwelling unit, in the common areas, or on the property grounds;
act or allow household members or guests to act in a manner that will disturb the rights or comfort of neighbors; permit any member of the household, a guest, or another person under the Tenant’s control to engage in any criminal activity that threatens the health, safety, or right to peaceful enjoyment of the premises by other Tenants or Authority employees; permit any member of the household, a guest, or another person under the Tenant’s control to engage in any violent or drug-related criminal activity on or off the premises.
With the written permission of the PHA, the Tenant can incidentally use the premises for legally permissible income producing purposes so long as the business does not infringe on the rights of other residents. All such business-related uses of the premises must meet all zoning requirements and the Tenant must have the proper business licenses.
The Tenant has the right to exclusive use and occupancy of the dwelling unit, which includes reasonable accommodation of the Tenant’s guests, visitors, and, with the consent of the PHA, foster children and/or adults and the live‑in care giver of the Tenant’s household.
THE CITY OF MERRILL HOUSING AUTHORITY DOES BUSINESS IN ACCORDANCE WITH THE FEDERAL HOUSING LAW. Title VIII of the Civil Rights Act of 1968, as amended by the Housing and Community Development Act of 1974 states:
IT IS ILLEGAL TO DISCRIMINATE AGAINST ANY PERSON BECAUSE OF RACE, COLOR, RELIGION, SEX OR NATIONAL ORIGIN IN THE SALE OR RENTAL OR HOUSING RESIDENTIAL LOTS, IN ADVERTISING THE SALE OR RENTAL OR HOUSING, IN THE FINANCING OF HOUSING, AND IN THE PROVISION OF REAL ESTATE BROKERAGE SERVICES. BLOCKBUSTING IS ALSO ILLEGAL.
In addition, Wisconsin Stature 101.22 states:
IT IS DECLARED POLICY OF THIS STATE THAT ALL PERSONS SHALL HAVE A EQUALL OPPORTUNITY FOR HOUSING REGARDLESS OF SEX, RACE, COLOR, SEXUAL ORIENTATION AS DEFINED IN D.111.32 (13M), HANDICAP, RELIGION, NATIONAL ORIGIN, SEX OR MARITAL STATUS OF THE PERSON MAINTAINING A HOUSEHOLD, LAWFUL SOURCE OF INCOME, AGE, OR ANCESTRY.
COMMUNITY SERVICE REQUIRMENT
All non-exempt residents of Public Housing age 18 or older, are required to contribute eight (8) hours of community service each month or participate in a self-sufficiency program for eight (8) hours each month.
This community service work is not a service for which the resident is paid; it is strictly volunteer work.
The Community Service Policy is available in the PHA office and describes in detail:
- Who may qualify for an exemption from the requirement to perform community service;
- Types of activities that can be performed to meet the requirement;
- The family’s obligations;
- The PHA’s obligations; and
- The penalties for non-compliance
If any household adult member is not elderly, disabled, the primary caregiver of a disabled person, receiving TANF, receiving SNAP/food stamps or working at least 30 hours per week you must perform 8 hours of community service and/or participate in a self-sufficiency activity (or a combination of the two) each month.
Failure of a non-exempt adult family member to meet the Community Service Self-Sufficiency Requirements (CSSR) will result in non-renewal of the lease and termination of public housing assistance.
More detailed information will be provided to you after the approval process has been processed.