Application For Certification As A Qualified Purchaser

APPLICATION FOR CERTIFICATION AS A QUALIFIED PURCHASER - FOR ‘RESALE’ ONLY


I. The Township of Boonton, County of Morris, New Jersey has an Affirmative Fair Housing Marketing which promotes the availability of housing to persons of low and
moderate income regardless of individual race, color, religion, sex or national origin.

II. Information on sex or date of birth will be used only to determine the number of bedrooms and size of unit required.

III. State of Confidentiality: THE INFORMATION IN THIS APPLICATION, AND ANY OTHER INFORMATION REQUIRED BY THE TOWNSHIP OF BOONTON WILL BE KEPT CONFIDENTIAL IN ACCORDANCE WITH NEW JERSEY LAWS. NO PART OF THIS APPLICATION OR YOUR APPLICATION FILE WILL BE GIVEN TO ANY PERSON, ENTITY OR BUSINESS NOT RELATED TO THE TOWNSHIP OF BOONTON OFFICE OF THE HOUSING ADMINISTRATOR WITHOUT YOUR WRITTEN REQUEST OR CONSENT.

IV. Please complete the following questions so that the Township can verify your eligibility to purchase a low or moderate-income housing unit.

1) The word “Household” means all persons who will reside in a low or moderate income unit.
Household income”: means all income, wages, social security, pensions, alimony, from all sources received by all persons 18 years or older who will reside in the dwelling unit
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GENERAL INFORMATION: 1) You are required to promptly notify the Office of the Housing Administrator of any changes in your household income or size. 2) The Office of the Housing Administrator may require additional information in connection with your application. 3) By signing this application form, the applicant gives the Office of the Housing Administrator the authority to verify all the information contained herein.
I HEREBY CERTIFY THAT THE STATEMENTS AND INFORMATION MADE IN THIS APPLICATION ARE ACCURATE, TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND I FURTHER AM AWARE THAT WILLFULLY FALSE OR MISLEADING INFORMATION OR STATEMENTS MAY SUBJECT ME TO SANCTIONS AS PERMITTED BY LAW AND DISQUALIFICATION FOR PURCHASE OF A LOW AND MODERATE INCOME HOUSING UNIT. PLEASE HAVE ALL MEMBERS OF YOUR HOUSEHOLD 18 YEARS OF AGE AND OLDER SIGN IN THE SPACES PROVIDED BELOW:

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