• Tribal Membership ID for all adults over the age of 18, If applicable
• Driver's license or State ID for all household members over the age of 18
• Social Security Cards for all household members over the age of 18  
• State Birth Certificates for all household members over the age of 18
• P rocessing Fee $25.00 (No cash)

 

 COPIES INCLUDED WITH APPLICATION MUST BE LEGIBLE AND IN COLOR

IMPORTANT: The Absentee Shawnee Housing Authority will not be able to successfully process your application if you do not provide the items requested above.

107 N. Kimberly Ave, Shawnee, Oklahoma 74801

Phone (405)273-1050 Fax (405)275-0678

107 N. Kimberly Ave, Shawnee, Oklahoma 74801  

Phone (405)273-1050 Fax (405)275-0678

 

OTHER OCCUPANT(S) (LIST NAMES OF ALL PERSONS UNDER 18 WHO WILL OCCUPY THE UNIT. ALL APPLICANTS 18 OR OVER MUST BE LISTED AS AN APPLICANT)

Each person eighteen (18) years of age or older must be listed as an applicant on an application. If a co-signer is necessary, the co-signer must also complete and sign the application form. A required $25.00  Non-refundable processing fee will be collected with the application in order to process the application. Please completely fill in your application. If you do not. we will not be able to process the application successfully.

Tenancy will be denied if any information is misrepresented on this application. If misrepresentations are found after the rental agreement is signed, we have the right to terminate your rental agreement immediately, which would result in you being asked to leave the property. We utilize a third-party service to verify any or all of the following: your current and/or past employment, your current and/or past rental and eviction history, your credit history and score(s), and review criminal records. Preference is given to enrolled members of a federally recognized tribe: however, all applicants are processed without regard to race, color, religion, sex, handicap, familial status or national origin.

This is to advise that I, the undersigned, hereby authorize Absentee Shawnee Housing Authority to obtain a consumer credit report from any or all of the three credit bureaus, conduct a criminal records search, eviction history search, verify the details of my employment including salary information, and to obtain a complete rental history from my current and/or former landlord(s) to determine eligibility for tenancy and assessing credit worthiness.

CONSENT: I authorize and direct any Federal, State, or local agency, organization, business, or individual to release to Absentee Shawnee Housing Authority any information or materials needed to complete and verify my application for participation, and/or to maintain my continued assistance under the Indian Housing program. I understand and agree that this authorization or the information obtained with its use given to administer and enforce program rules and policies.

INFORMATION COVERED: I understand that, depending on program policies and requirements, previous or current information regarding me or my household may be needed. Verifications and inquiries that may be requested include but are not limited to:

Identity and Marital Status

Activity 

Medical or Child Care Allowances

Employment, Income, and Assets

Residences and Rental 

Credit and Criminal Activity 

I understand that this authorization cannot be used to obtain any information about me that is not pertinent to my eligibility for and continued participation in a housing assistance program.

GROUPS OR INDIVIDUALS THAT MAY BE ASKED: The groups or individuals that may be asked to release the above information (depending on program requirements) include, but are not limited to:

Previous Landlords (including Public Housing Agencies)

Courts and Post Offices Institutions

Schools and Colleges Bureaus

Law Enforcement Agencies Support and Alimony Providers

Past and Present Employers Welfare Agencies

State Unemployment Agencies

Social Security Administration

Medical and Child Care ProvidersUtility Companies

Veterans Administration Retirement Systems

Banks and other Financial

Credit providers and Credit

Utility Companies 

COMPUTER MATCHING NOTICE AND CONSENT: I understand and agree that the Housing Authority may conduct computer matching programs to verify the information supplied for my application or recertification. If a computer match is done, I understand that I have a right to notification of any adverse information found and a chance to disprove that information. The Housing Authority may in the course of its duties exchange such automated information with other Federal, State, or local agencies, including but not limited to: State Employment Security Agencies; Department of Defense; Office of Personnel Management; the U.S. Postal Service; the Social Security Agency; and State welfare and food stamp agencies.

CONDITIONS: I agree that a photocopy of this authorization may be used for the purposes stated above. This authorization will stay in affect for a year and one month from the date signed.

WARNING: Section 1001 of Title 18 of the U.S. Code makes it a criminal offense to make willful false statementsor misrepresentations to any Department of Agency of the U.S. as to any matter within its jurisdiction.