The Lailani Apartments form provides a comprehensive guideline for prospective tenants interested in applying for an apartment at the Lailani Apartments located at 74-984 Manawale’a Street, Kailua-Kona, HI. This document outlines the prerequisites and procedures for application, detailing the necessity for all household members aged 18 and above to sign the application, and the imperativeness of a fully completed application for consideration. Additionally, the form specifies the inclusion of income documentation and the applicant's responsibility to notify Hawaii Affordable Properties, INC (HAPI) regarding any application changes. It also gives a brief overview of the project, including the location, number of units, rental assistance available, type of structures, amenities provided on the property and within the units, eligibility criteria, and rental rates for both market and subsidized rent options. Notably, it touches on the income limits, the range of rental costs based on unit size, minimum income requirements, utilities included in the rent, and the security deposit policy. The form indicates the proper channel for submitting questions and completed applications, aiming to streamline the process for both the management office and applicants. This document serves as a fundamental resource for individuals and families looking to understand and complete the application process for housing at La’ilani Apartments, signifying a step towards securing a living space in Kailua-Kona, HI.
| Question | Answer |
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| Form Name | Lailani Apartments Form |
| Form Length | 8 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 2 min |
| Other names | lailani application, lailani apartments, lailani apart, la'ilani apartments |
LA’ILANI APARTMENTS
Phone: (808)
All household members 18 years and over are required to sign the application. All applications must be fully completed. Every line must be filled in. If a question does not apply, please mark N/A. Please include copies of any income. All incomplete applications will not be accepted for placement on the waiting list. Applicants are responsible for notifying HAPI of any changes to the application.
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PROJECT INFORMATION |
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Location: |
Project’s office is located at |
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Housing units are located on Manawale’a Street and Kealakehe Street above the town of |
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Number of Units: |
32 |
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144 |
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24 |
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200 Total Units |
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Rental Assistance: |
120 Units are set aside for families earning eighty percent (80%) or less of the |
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Median income. A monthly rent subsidy payment of up to $175.00 per unit for |
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the 120 units is available to qualified applicants. |
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Type of Structures: |
25 |
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units on the upper floor in each building. |
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Amenities: |
Units: |
Range with hood, refrigerator, double kitchen sinks, carpeting, |
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telephone/cable television jacks, solar assisted hot water heater. |
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On Property: Resident manager, Management office, 4 coin operated laundry |
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rooms, basketball court, pavilion, landscaped grounds. |
ELIGIBILITY AND RENTAL RATES
Eligibility : |
80% of median income for 120 units (subsidized units). |
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No income limits for 80 units (market units). |
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Additional eligibility requirements may apply. |
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Market Rent |
Subsidized Rent |
Rental cost for units: |
1 Bedroom/1 Bath /Approx 400 sq ft living area |
$ 850.00 |
$ 675.00 |
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2 Bedroom/1 Bath /Approx 620 sq ft living area |
$ 950.00 |
$ 775.00 |
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3 bedroom/2 Bath /Approx 840 sq ft living area |
$1200.00 |
$1025.00 |
Minimum Income: |
1 Bedroom - $1688.00, 2 Bedroom - $1938.00, |
3 Bedroom - $2563.00 |
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Utilities: |
Rent will include water, garbage, and 1 parking space. Other services, I.E. electricity, |
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Telephone, cable television and additional parking will be the tenant’s responsibility. |
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Security Deposit: |
A security deposit equivalent to one month’s rent shall be paid by every tenant. |
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Questions and completed applications should be directed to:
Hawaii Affordable Properties, INC
La’ilani |
Office |
Phone: (808) |
Fax: (808) |
Application for Housing
LA’ILANI APARTMENTS
PLEASE PRINT
Applications are placed in order of date and time received. An applicant may be interviewed only after the receipt of this tenant application. Please be sure that ALL QUESTIONS are answered. If the question does not apply, please write “n/a.”
A.GENERAL INFORMATION
Applicant Name(s) ___________________________________________________________
Mailing Address _____________________________________________________________
Residence Address_____________________________________________________________
StreetApt. #CityZip Code
Daytime Phone # ______________________ Evening Phone # ______________________
No. of bedrooms in current unit _____ Do you rent or own? _____
Amount of current monthly rental/mortgage payment $__________
If owned, do you receive rental income from your property? |
Yes_____ No _____ |
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OCCUPANCY STANDARDS: Bedroom |
Household Minimum Household Maximum |
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1 |
1 |
3 |
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2 |
1 |
5 |
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3 |
1 |
7 |
BEDROOM SIZE REQUESTING: (Check only one) |
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1 Bedroom |
2 Bedroom |
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3 Bedroom |
B. HOUSEHOLD COMPOSITION
List ALL persons who will be living in the apartment.
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Relationship to |
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Over 18 |
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Name |
M/F |
years |
SSN |
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Head |
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Yes/No |
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Do you anticipate any additions to this household in the next twelve months? Yes_____ No____
If yes, explain __________________________________________________________________
______________________________________________________________________________
Is anyone in the household a full time student? Yes _____ No _____
If yes, list name(s) and answer the questions below:
Student Name(s) __________________ |
__________________ |
__________________ |
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a. Is the full time student married and filing a joint tax return? Yes ____ No _____ |
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b. Is the student a title IV recipient? |
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Yes ____ No _____ |
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c. Is the student enrolled in a job training program receiving |
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Assistance under the Job Training Partnership act? |
Yes ____ No _____ |
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d. Is the full time student an AFDC recipient? |
Yes ____ No _____ |
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e. Is the full time student a single parent living with his/her |
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minor child who is not a dependent on another’s tax return? |
Yes ____ No _____ |
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C. INCOME: List all sources of income as requested below:
FAMILY MEMBER NAME |
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SOURCE OF INCOME |
_______________________ |
a. |
Social Security…Monthly Amount $____________ |
_______________________ |
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Social Security…Monthly Amount $____________ |
_______________________ |
b. |
SSI Benefits……Monthly Amount $____________ |
_______________________ |
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SSI Benefits……Monthly Amount $____________ |
_______________________ |
c. |
Pension (1)..……Monthly Amount $____________ |
_______________________ |
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Pension (2)..……Monthly Amount $____________ |
Source of Pension(s) |
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(1) _______________________________________ |
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(2) ________________________________________ |
_______________________ |
d. |
Veterans Benefits…Monthly Amount $_______ Claim #_____ |
_______________________ |
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Veterans Benefits…Monthly Amount $_______ Claim #_____ |
_______________________ |
e. |
Unemployment Comp…Monthly Amount $_________ |
_______________________ |
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Unemployment Comp…Monthly Amount $_________ |
_______________________ |
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Unemployment Comp…Monthly Amount $_________ |
_______________________ |
f. |
AFDC………...….Monthly Amount $____________ |
_______________________ |
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AFDC…………….Monthly Amount $____________ |
_______________________ |
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AFDC…………….Monthly Amount $____________ |
_______________________ |
g. |
Wages…Gross…..Monthly Amount $____________ |
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Employer___________________________________ |
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Position Held _______________________________ |
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How Long Employed _________________________ |
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_______________________ |
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Wages…Gross…..Monthly Amount $____________ |
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Employer___________________________________ |
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Position Held _______________________________ |
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How Long Employed _________________________ |
_______________________ |
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Wages…Gross…..Monthly Amount $____________ |
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Employer___________________________________ |
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Position Held _______________________________ |
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How Long Employed _________________________ |
_______________________ |
h. |
Full Time Student Income (Only Full Time Students 18 & over) |
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Monthly Amount $____________ |
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Full Time Student Income (Only Full Time Students 18 & over) |
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Monthly Amount $____________ |
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i. |
Are you entitled to receive alimony? Yes_____ No_____ |
_______________________ |
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Monthly Amount $____________ Source ___________ |
_______________________ |
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Monthly Amount $____________ Source ___________ |
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j. |
Are you entitled to receive child support? Yes_____ No_____ |
_______________________ |
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Monthly Amount $____________ Source ___________ |
_______________________ |
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Monthly Amount $____________ Source ___________ |
_______________________ |
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Monthly Amount $____________ Source ___________ |
_______________________ |
k. |
Interest Income…Monthly Amount $________ Source _______ |
_______________________ |
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Interest Income…Monthly Amount $________ Source _______ |
_______________________ |
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Interest Income…Monthly Amount $________ Source _______ |
_______________________ |
l. |
Other Income….... (Any income not noted above) |
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Monthly Amount $__________ Source _____________ |
_______________________ |
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Other Income….... (Any income not noted above) |
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Monthly Amount $__________ Source _____________ |
TOTAL GROSS ANNUAL INCOME |
(Based on total of monthly amounts listed above x 12) |
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$_________________________
Do you anticipate any changes in this income in the next twelve months? Yes_____ No____
If yes, explain __________________________________________________________________
______________________________________________________________________________
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D. ASSETS
Checking Account(s) #____________ Bank ____________________ Balance $ ____________
#____________ Bank ____________________ Balance $ ____________
#____________ Bank ____________________ Balance $ ____________
Saving Account(s) #____________ Bank ____________________ Balance $ ____________
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#____________ Bank ____________________ Balance $ ____________ |
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#____________ Bank ____________________ Balance $ ____________ |
Trust Account(s) |
#____________ Bank ____________________ Balance $ ____________ |
Certificates |
#____________ Bank ____________________ Balance $ ____________ |
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#____________ Bank ____________________ Balance $ ____________ |
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#____________ Bank ____________________ Balance $ ____________ |
Credit Union |
#____________ Bank ____________________ Balance $ ____________ |
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#____________ Bank ____________________ Balance $ ____________ |
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#____________ Bank ____________________ Balance $ ____________ |
Mutual Fund |
Name____________ #Shares _____Dividend Paid $_______ Balance $ __________ |
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Name____________ #Shares _____Dividend Paid $_______ Balance $ __________ |
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Name____________ #Shares _____Dividend Paid $_______ Balance $ __________ |
Stocks |
Name____________ #Shares _____Dividend Paid $_______ Balance $ ___________ |
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Name____________ #Shares _____Dividend Paid $_______ Balance $ ___________ |
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Name____________ #Shares _____Dividend Paid $_______ Balance $ ___________ |
Savings Bond(s) |
#______________ Maturity Date ______________ Value $ __________ |
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#______________ Maturity Date ______________ Value $ __________ |
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#______________ Maturity Date ______________ Value $ __________ |
Life Insurance Policy #_______________________________ Face Value $ _______________ |
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#_______________________________ Face Value $ _______________ |
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#_______________________________ Face Value $ _______________ |
Personal Property Held As Investment: Type______________ Appraised Value $ __________ |
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Real Property: |
Do you own any property? Yes _____ No _____ |
If yes, type of property __________________________________________________________
Location __________________________________________________________
Appraised Market Value $____________
Mortgage or outstanding loans balance due $____________
Amount of annual insurance premium |
$____________ |
Amount of most recent tax bill |
$____________ |
Have you sold/disposed of any property in the last two years? Yes _____ No _____
If yes, type of property __________________________________________________________
Market value when sold/disposed $ ____________
Amount sold/disposed for $ ____________
Date of transaction _________________________
Have you disposed any other assets in the last two years (Ex: Given away money to relatives, set up irrevocable trust accounts)? Yes _____ No _____
If yes, describe asset(s), date of disposition, & amount disposed __________________________
______________________________________________________________________________
______________________________________________________________________________
Do you have any other assets not listed above (excluding personal property)? Yes _____ No _____
If yes, list |
___________________________________________ Value $_________________ |
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___________________________________________ Value $_________________ |
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E. ADDITIONAL INFORMATION
Are you or any member of your family currently using an illegal substance? Yes _____ No _____
Have you or any member of your family ever been convicted of drug use or manufacture or any other felony? Yes _____ No _____
If yes, describe _________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Have you or any member of your family been evicted from any housing? Yes _____ No _____
If yes, describe _________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Have you or any member of your family ever file for bankruptcy? Yes _____ No _____
If yes, describe _________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Will you take an apartment when one is available? Yes _____ No _____
Briefly describe your reasons for applying ___________________________________________
______________________________________________________________________________
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F. REFERENCE INFORMATION
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Minimum 2 Year rental history required. |
Current Landlord: |
Name _________________________________ |
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Address _______________________________ |
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_______________________________ |
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Home Phone ____________ Business Phone ____________ |
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How long? ___________ |
Previous Landlord |
Name _________________________________ |
Information: |
Address _______________________________ |
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_______________________________ |
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Home Phone ____________ Business Phone ____________ |
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How long? ___________ |
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Name _________________________________ |
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Address _______________________________ |
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_______________________________ |
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Home Phone ____________ Business Phone ____________ |
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How long? ___________ |
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Three credit references: |
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Name |
______________________________ |
Acct. # _____________________ |
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Address |
______________________________ |
Phone # _____________________ |
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______________________________ |
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Name |
______________________________ |
Acct. # _____________________ |
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Address |
______________________________ |
Phone # _____________________ |
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______________________________ |
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Name |
______________________________ |
Acct. # _____________________ |
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Address |
______________________________ |
Phone # _____________________ |
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______________________________ |
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Three personal |
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Name |
______________________________ |
Relationship__________________ |
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Address |
______________________________ |
Phone # _____________________ |
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______________________________ |
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Name |
______________________________ |
Relationship__________________ |
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Address |
______________________________ |
Phone # _____________________ |
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______________________________ |
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Name |
______________________________ |
Relationship__________________ |
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Address |
______________________________ |
Phone # _____________________ |
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______________________________ |
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In Case of Emergency |
Notify ______________________________________________ |
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Address _____________________________________________ |
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G. VEHICLE & PET INFORMATION
VEHICLES: List all vehicles that you own. (Parking will be provided for one vehicle. Arrangements with management will be necessary for more than one vehicle.)
#1 Type of Vehicle ______________ Year/Make _______________
Color ________________ License Plate # _______________
#2 Type of Vehicle ______________ Year/Make _______________
Color ________________ License Plate # _______________
PETS: Do you own any pets? Yes _____ No _____
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CERTIFICATION
I/We hereby certify that I/we do/will not maintain a separate subsidized rental unit in another location. I/We further certify that this will be my/our permanent residence. I/We understand I/we must pay a security deposit for this apartment prior to occupancy. I/We understand that my eligibility for housing will be based on applicable income limits and by management’s selection criteria. I/We certify that all information in this application is true to the best of my/our knowledge and I/we understand that false statements or information are punishable by law and will lead to cancellation of this application or termination of tenancy after occupancy.
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Applicant Signature |
Date |
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____________________________ |
Date |
AUTHORIZATION
I/We do hereby authorize Hawaii Affordable Properties, Inc. and its staff or authorized representative to contact any agencies, local police departments, offices, groups or organizations to obtain and verify any information or materials which are deemed necessary to complete my/our application for housing in programs administered/managed by Hawaii Affordable Properties, Inc. This includes, but not limited to, background checks, rental history, employment records, credit history and all assets.
Applicant Signature |
Date |
Date |
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