HR Crawford Gardens Interest Form

Email *(Correo Electrónico) *

Preferred Language *(Idioma Preferido) *

First Name *(El primer nombre) *

Last Name *(Apellido) *

Phone Number (Numero de telefono) *

Date of Birth *(Fecha de Nacimiento) *

Age *(Edad) *

Age Verification Notice:

Some units in this community are intended and operated as housing for persons 55 years of age or older, in compliance with the federal Fair Housing Act (42 U.S.C. § 3607(b)) and the Housing for Older Persons Act (HOPA).

The information you provide regarding your date of birth is collected solely to verify eligibility for occupancy in an age-restricted community, as permitted by applicable laws. This information will be kept strictly confidential and used only for this lawful and limited purpose.

Are you 55 years of age or older? *

ZIP Code (Código postal) *

How many members are there in your household? (¿Cuántos miembros hay en su hogar?) *

Annual income (before taxes) of your household? *(¿Cual es el ingreso anual (antes de impuestos) de su hogar?) *

Do you have a housing voucher?(¿Tiene un cupón de vivienda?)

How did you hear about us? (¿Cómo te enteraste de nosotros?) *

Message (Optional)(Mensaje - Opcional)