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Home My WebLink About32- Public Comment A&A TELdC(J TELACU Hacienda 708 W. 4th St. San Bernardino, CA 92410 NOW ACCEPTING APPLICATIONS TELACU Hacienda is a 74-unit housing facility for senior citizens that consist of one-bedroom units. These units include a refrigerator, built-in stove, and an emergency pull-cord system. TELACU Hacienda amenities include on-site laundry facilities, elevators, recreation/community rooms, gated parking, and an intercom system entrance. The facility is a U.S. Department of Housing and Urban Development Section 202/PRAC project The rental rate is based on 30 percent of the eligible household's income. Eligibility Requirements 1. The Head of Household (Primary Applicant) must be 62 years of age or older. 2. The Household's annual income may not exceed the applicable income limits: Income Limits (2010) 1 Person 2 Persons $22,750 $26,000 3. The unit must be the household's only residence. 4. All applicants must meet screening criteria (i.e., credit history, landlord verification, criminal background check). For more information please contact us at(323) 838.8556 Mail completed applications to the address on the back of the application. For a listing of where to obtain housing applications, please refer to the back page. - p No Housing Authority Section 8 vouchers will be accepted. OPPORTUNITY 07/07/10 APPLICATIONS MAY BE OBTAINED AT THE FOLLOWING LOCATIONS: TELACU Residential Management TELACU Buena Vista 1248 Goodrich Blvd. 365 East Commercial Rd. Los Angeles, CA 90022 San Bernardino, CA 92408 (323) 838.8556 (909) 799.0818 TELACU Monte Vista TELACU Sierra Vista 451 N "H" St. 650 West 6th St. San Bernardino, CA 92410 San Bernardino, CA 92410 (909) 888.6585 (909) 884.9490 City of San Bernardino TELACU Las Fuentes Economic Development Agency 1807 11th St. 201 N. "E" St., #301 Riverside, CA 92507 San Bernardino, CA 92401 (951) 222.0230 (909) 663.1044 Delmann Heights Senior Center Fifth Street Senior Center 2969 N. Flores St. 600 W. Fifth St. San Bernardino, CA 92407 San Bernardino, CA 92410 (909) 887.2115 (909) 384.5430 Highland Senior Center 3102 E. Highland Ave. Patton, CA 92369 (909) 862.8104 07/07/10 TELACU Hacienda TENANT SELECTION PLAN SUMMARY TELACU Hacienda is a 74-unit building in San Bernardino, Calif., that operates under the guidelines of the HUD Section 202 PRAC Program. As such, there are several eligibility requirements that an applicant must meet to become a resident of TELACU Hacienda. Applicants interested in applying for housing at TELACU Hacienda must submit an application to TELACU Residential Management (TRM). Upon receipt of the application, TRM will conduct a preliminary eligibility review to ensure that the applicant is eligible to participate in the HUD Section 202 PRAC Program. To meet the preliminary eligibility, the Primary Applicant must: • Be 62 years of age or older(Head of household, co-head, or spouse). • Not exceed the applicable income limit(very-low-income limit—50 percent of median income). • Submit a completed application (All sections of the application must be filled. If a section of the application does not apply to you enter"N/A"). Please note that meeting the preliminary eligibility requirements does not guarantee the applicant is eligible for housing. Ali applicants must meet the TELACU Hacienda Tenant Selection Plan (TSP)requirements. TELACU Hacienda is an equal opportunity housing facility, designed to provide housing to very-low-income elderly individuals and families 62 years of age or older under the HUD Section 202 PRAC Program. However, because 10 percent of the units at TELACU Hacienda have been architecturally altered for the mobility, hearing, and visually impaired as defined in HUD Handbook 4350.3 Rev. 1 Change 3 paragraph 2-32, someone in the family must qualify as"needing"the architecturally altered features to apply for or live in these units. A medical professional must verify the need. In addition to the above requirements federal regulations require that to live at TELACU Hacienda, the applicant must meet the following: • Annual income may not exceed the applicable income limit for the program. • The applicant must be willing to pay the rent calculated using the HUD rules and regulations. • The unit must be the household's only residence.At the time of admission, the applicant may not be receiving assistance for any other unit. • Applicant must meet the owner/management TSP requirements including but not limited to satisfactory credit and criminal background history. • Applicants must disclose the Social Security number for themselves and all household members. • All adult members must sign consent forms and verification documents so that management can verify sources of income and eligibility. PLEASE NOTE:The above information is only a summary of the TSP which may be subject to further revision by Management A complete copy is available upon request Attachment A OMB Control aI 2502-0581 Exp.,07/312012 Supplemental and Optional Contact Information for HUD-Assisted Housing Applicants SUPPLEMENT TO APPLICATION FOR FEDERALLY ASSISTED HOUSING This form is to be provided to each applicant for federally assisted bohsing . .. • Instructions: Optional Contact Person or Orgauization:You have the right by law to include as part of your application for housing, the name,address,telephone number, and other relevant information of a fmmly member,friend,or social,health,advocacy, or other organization This contact mformation is for the purpose of identifying a person m organization that may be able to help in resolving any issues that may arise during your tenancy or to assist m providing any special care or services you may require. Yo¢may npdatc, remove,or change the information you provide on this farm at any time. You are not required to provide this contact information, but if you choose to do so,please include the relevant information on this form Applicant Name: Mailing Address: Telephone No: - Cell Phone No: Name of Additional Contact Person or Organization: Address: Telephone No: CeBPhoneNo: ..E-Mail Address(if applicable): . j iRelationship to Applicant: - Reason for Contact (Check all that apply) ❑ Emergency ❑ Assist with Recertification Process ❑ unable to contact you ❑ Change in lease terms ❑ Termination of rental assistance ❑ Change in house Hiles ❑ Eviction from unit other. - ❑ Late payment of rent Commitment of Housing Authority or Owner: If you are approved for housing,this information will b4 kept as part ofyom tenant Me. If issues arise during your tenancy or if you require my services or speciet care,we may contact the person or organization you listed to assist in resolving the issues or in providing any services or special care to you. Confidentiality Statement The information provided on this form is confidential and will not be disclosed to anyone except as permitted by the glplicent or applicable law. .egal Notification:Section 644 ofthe Housing and Community Development Act of 1992(Public Law 102-550,approved October 28, 1992) equim each applicant for federally assisted bowing to be offered the option of providing information.regarding an additional contact person or rganlzsdon.By accepting the applicant's application,the housing provide agias to comply with themon-discrimination and equal opportunity °quirements of 24 CFR section 5.105,including the prohibitions on discrimination in admission to or participation in federally assisted housing rograms on the basis ofrace,color,religion,national origin,sex,disability,and familial status under the Far Housing Act,and the prohibition on ge discrimination under the Age Discrimination Act of 1975. Check this box if you choose not to provide the contact information Signature of Applicant 'Date ormadm collectica mquirmhvte wnhmedh den forewassubmittedhthe OfS ofMmugmmtand Budget(OMB)undothePeperwoh Reduetioo Acto f1995(44U.S.C.3501-35209. The 'ePrdtV burdca r csdmand a IS mivmm pa rtsponsq including the time for reviewing h annednes,searching odsdag doh spumes,gtthaingand maintaining the date needed,and completing rewdog the calleetiov of information. Section 644 of the Housing and Commmdty Development Act of 1992(42 U.S.C.13606)imposed on HUD the obli on to adng'm HUD's asaisted hb 6ad tegnir housing provider using Programs m provide any individual afaly applying fwomupavry is}gUpvssisted homing with the-Paco h include in the application far...penry the name, .telephmu rumba.end othardcvavt afmmad-oof-family memba.friend,or par..assodated wid,a social,beald,advocacy,e,si lei organization I obleedw eprmiding such - don is b fiditate content by the housing mvidawith the pason-r drgsnisaties ideneed by the taunt m assist in providing any denvory oroaMees or special.to the assent and assist with I any uneasy issues aising during the tenancy ofmch tenant Ties supple sled 10--tion infmmadon is to be munhined by the bouvng provide and maintained as conadann]infomumn. g the itdormation is basic to dm opaadoes oftlu HUD Asslsuni-Homing program ands voluntary. a supprts stammry rquhemenh and pmgrm and managanent controls that prevent feud, td una sesgemeaL re ane-aden-void,the Peperwmk Reduction AR,at agency eery not conduct or apoosor,and a person is not required m respond m,a eallection ofirdmmadon,unless the in displays a en m,ty valid OMB concel rumba. Statuacne Public Lmv 102-550,authorizes the Department of Housing and Urban DevalopmeN(HUD)to coffer an the infomution(escept the Social Searity Nmntw(SSMI which will be HUD m putter disbursanem data from fr-dulmt..fim.