Lyberty Green, Falmouth, MA Affordable Unit Lottery Application

For the best online user experience, we recommend using a private browsing tab (like Incognito in Chrome) so the form does not auto-fill in any incorrect information.

If you receive a bad gateway error message, check your Inbox for confirmation that your application was received (because if you receive an email, that means your online application was transmitted).

Online Applications and Paper Applications must be completed and Paper Applications must be submitted by November 7th, 2025

Submitting multiple applications with any of the same adult household members will invalidate all applications submitted unless you notify us of your multiple submissions.

This is an important document. If you require language interpretation, please contact the agent for this development directly (info@sebhousing.com or 617-782-6900 x3) and request interpretation services in your own language. If the agent does not speak your primary language they will contact a translator who will provide language assistance.

Este es un documento importante. Si necesita interpretación de idiomas, comuníquese directamente con el agente de este desarrollo (info@sebhousing.com y 617-782-6900 x3) y solicite servicios de interpretación en su propio idioma. Si el agente no habla su idioma principal, se pondrá en contacto con un traductor para que proporcione que brindará asistencia lingüística.

80% AMI MAXIMUM Household Income Limits:

$74,800 (1 person), $85,450 (2 people), $96,150 (3 people) $106,800 (4 people), $115,350 (5 people), $123,900 (6 people)

Rents for the 80% units are: 1BR at $1,770, 2BR at $2,097, 3BR at $2,402

Tenants will be responsible for the cost of electric (heat, hot water, cooking), electricity, water, and sewer. One complimentary parking space is included for residents. One pet per household is permitted, subject to restrictions.

*Rents for the units available in 2026 are subject to change. If the AMI increases or the utility allowances decrease, the rent may increase as further described in the Regulatory Agreement, which is a recorded document at the local Registry of Deeds.

For 80% AMI Units: Households must make approximately $53,100 to lease a an 1BR unit, $62,900 to lease an 2BR unit and $72,000 to lease a 3BR unit (please read the Information Packet for more details).

The Information Packet and more details on the lottery and the units can be found at the property listing here:

https://sebhousing.com/property/lyberty-green/

For questions on this form, please email info@sebhousing.com

This development does not discriminate in the selection of applicants on the basis of race, color, national origin, disability, age, ancestry, children, familial status, genetic information, marital status, public assistance recipiency, religion, sex, sexual orientation, gender identity, veteran/military status, or any other basis prohibited by law.

HOUSEHOLD TYPE

You must select one fo the following Household Types.  Please review the Information Packet for details on Types.  Please note that households who specify that they have a medical need or disability and require an extra bedroom will later be required to provide verification from a medical provider of need for an extra or separate bedroom as part of their final certification.  Failure to provide verification may result in being removed from all Waiting Lists.

If you answered “Yes” for Local Preference you will be required to provide the documentation specified below AFTER the lottery if you are placed high enough on the Waiting Lists. If you answered “Yes” but are unable to provide the documentation indicated above upon request, your application will be removed entirely from the lottery and you will lose your position on ALL Waiting Lists.

If qualifying under definition (A) as detailed above: I have submitted a Copy of two (2) utility bills 1 from each utility company in my name dated within the last 60 days, e.g.,  (1) electric, (1) oil, (1) cable, (1) gas, or (1) telephone landline (not cell phone). If utility bills cannot be provided the following documentation must be provided: current signed lease AND proof of voter registration from the Town of Falmouth Election Department

If qualifying under definition (B) as detailed above: I have submitted copies of pay-stubs AND IF THE PAY STUBS DO NOT SHOW THE ADDRESS OF THE JOB I have submitted a signed statement from my employer on company letterhead the states the address of the job and the employee’s name.

If qualifying under definition (C) as detailed above: I have submitted copies of Falmouth school transcripts AND proof of relation to the student (by birth certificate or legal guardianship or divorce decree)

Please note that after the lottery, households who mark “Yes” will be required to provide current verification from the doctor or other medical professional who treats the disability, and the note must verify the need of an accessible unit.

Please note that after the lottery, households who mark “Yes” will be required to provide current verification from the doctor or other medical professional who treats the disability, and the note must verify the need of feautres for the hearing impaired.

For the purpose of income determination, “Household” shall mean all persons whose names appear on the lease, and also all persons who intend to occupy the housing unit as their permanent primary residence, even if they are not included on the lease.  Legally married couples shall both be considered part of the household, even if separated.  The incomes of all household members will be included, with the exception of income from employment for household members under the age of 18 or any income from employment over $480/year of full-time students who are also dependents of a household member who is also occupying the unit (but please note that documentation of income for those dependents still needs to be supplied).

Please note:

1.      Gross income from current wages, salaries, tips, etc. is the full amount, before any deductions, and is the amount used to determine estimated current annualized income.

2.      For self-employed applicants- include the contract or job name in the space provided.  You will be directed to all the additional documentation you will need to submit in Section 2.

3.      “Interest Income” refers to any amount that you receive from any asset except for amounts drawn down from a retirement account or 401K as those go on the lines for “pension” or “retirement funds”.

Please note that for retirement accounts, households should provide the NET amount of their retirement accounts (which is the amount if they were to withdraw the full amount today and if there were early withdrawal penalties). 

Additionally, if any household member has divested themselves of an asset for less than full and fair present cash value of the asset within two years prior to this application, the full and fair cash value of the asset at the time of its disposition must be listed below.

Please read each item below carefully before you sign.

1. I hereby declare under pain and penalty of perjury that the information provided on every page of this application is true and correct. I understand that if any sources of income or assets are not disclosed on this application, or any information provided herein is not true and accurate, this application may be removed immediately from further consideration and I will no longer be allowed to reserve a unit.
2. I understand that the income and asset numbers I disclose will determine my eligibility for this lottery AND the Waiting Lists on which I will be placed, and that if the income and/or assets I disclose in this Application are less than my total income and/or assets when counting all sources as detailed in this Application and the Information Packet, and/or if my income is higher on the final date of Certification than what I disclosed in this Certification Application, and as a result I am not eligible for the unit(s) designated for the Waiting List(s) I will be placed on as a result of the information disclosed herein, then I will not be able to be added to any other Waiting List based on my position in the original drawing, but rather I will be added to the bottom of the Waiting Lists for which I am eligible as determined by my income at final Certification
3. I acknowledge that if I have submitted an application prior to this current submission, that any and all previous application submissions will be wholly replaced by this current application submission, as only ONE entry is allowed per person or household.
4. The undersigned certify that none of the people listed in this application, or their families, have a financial interest in the development and none of the people listed in this application can be considered a Related Party by the affordable housing guidelines that govern this property.
5. The undersigned certify that the affordable unit will be undersigned’s principal residence and the undersigned cannot own a home elsewhere or in trust while living in an affordable unit.
6. I understand that the lease or residency agreement for the units to be occupied through this affordable housing program may be subject to cancellation if any of the information above is not true and accurate.
7. I understand that this is a preliminary application and the information provided does not guarantee housing.
8. I understand this is not a lease application and if given the opportunity to move forward in the process of leasing an affordable unit, and by given deadlines I will need to complete Program Certification and a lease application where my affordable housing program and lease eligibility will be determined by additional factors such as credit score, tenant history and criminal background screening.  I understand that if selected high enough in the lottery to move forward, I will need to be able to submit all required income, asset, tax and if applicable, local preference documentation within 10 days of the lottery deadline and failure to submit the required documentation in time, or to meet any other deadlines given by SEB or the management company, will result in my removal from the Waiting List.
9. I understand that any material change in the income or assets of my household, or my household composition, that occurs after the submission of this application may make me ineligible for affordable housing. I understand that any changes to income or assets that may put my household into another income tier must be reported to SEB.
10. Co-signers and Guarantors are not permitted unless they are co-tenants who will reside in the unit.
11. I acknowledge that if my email address is provided in this application, SEB will correspond with me by email instead of postal mail unless I make a written request otherwise. I understand that any changes to my contact information must be reported to SEB.
12. I acknowledge that the determination of eligibility by SEB Housing is based upon the guidelines that govern the Affordable Housing Program for the development and, as such, barring any confirmed error by SEB Housing in applying the guidelines and/or calculating income, the decision is final and I further agree to hold harmless SEB Housing from any claim(s) related to this application.
13. The undersigned give consent to the Town of Falmouth, SEB Housing LLC, MassHousing, and Lyberty Green Apartments to verify the information provided in this application.  The undersigned authorize the release of information necessary in determining income and assets from third-party references.

This development does not discriminate in the selection of applicants on the basis of race, color, national origin, disability, age, ancestry, children, familial status, genetic information, marital status, public assistance recipiency, religion, sex, sexual orientation, gender identity, veteran/military status, or any other basis prohibited by law.