The Belstead, North Attleborough Lottery Application

  • The Belstead, North Attleborough Lottery Application

    There are 5 sections in this form.  You must complete every page, but you can save the form and come back to it, but note that your form will not be submitted until you complete every page (and then at the end you should receive a THANK YOU note with a reference number).  You will be asked to provide the names of every person who will be living in the unit, starting with yourself. NOTE THAT SUBMITTING MULTIPLE APPLICATIONS WITH ANY OF THE SAME ADULT HOUSEHOLD MEMBERS WILL INVALIDATE ALL APPLICATIONS SUBMITTED UNLESS YOU NOTIFY US THAT YOU ARE RESUBMITTING TO MAKE CHANGES OR UPDATES TO YOUR ORIGINAL SUBMISSION.

  • 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 July 20th, 2026 at 2:00pm. 

    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:

    $62,800 (1 person), $71,800 (2 people), $80,750 (3 people) $89,700 (4 people), $96,900 (5 people), $104,100 (6 people)

     

    Rents for the 80% units are: 1BR at $1,642, 2BR at $1,814, 3BR at $1,984

    Rents do not include the cost of utilities. Tenants will pay for electricity (heat, hot water, cooking, general), water and sewer. One surface parking space is included for residents. Garage spaces are available for rent. Maximum 2 pets allowed for a fee, and subject to restrictions. Exceptions will be made for service animals or other animals needed to reasonably accommodate an individual with a disability.

    *Rents in 2027 and beyond 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 in the Northern Bristol County Registry of Deeds.

    Households must make approximately $49,260 to lease a 1BR unit, $54,420 to lease a 2BR unit and $59,520 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/the-belstead/

    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.

    This is an important document. If you require language interpretation, please call the management agent for this development directly. 

     

    Este es un documento importante. Si usted requiere interpretación de idioma, por favor llame directamente al agente de gestión para la propiedad.

     

    这是一份重要文件，如果您需要翻译，请直接致电该物业的代理。

     

    Este é um documento importante. Se precisar de interpretação de linguagem, favor chamar  diretamente o agente de administração da propriedade.

     

    Este é um documento importante. Caso você precise de interpretação de idiomas, por favor, ligue diretamente para o agente responsável por gerenciar a propriedade.

     

    "Это важный документ. Если Вам необходима интерпретация языка, обратитесь, пожалуйста,  непосредственно к административному агенту по поводу данного объекта."

     

    Se yo dokiman enpòtan. Si ou bezwen sèvis entèpretasyon, tanpri rele ajan jesyon an, pou pwopriyete an, dirèkteman.

     

    Questo è un documento importante. Se si ha bisogno di un interprete per la lingua, chiamare l’agente responsabile, per la proprietà, direttamente.

     

    Đây là một tài liệu quan trọng. Nếu quý vị cần phiên dịch, vui lòng gọi trực tiếp cho đại lý bất động sản.

     

    នេះជាឯកសារសំខាន់។ ប្រសិនបើអ្នកត្រូវការការបកប្រែភាសា, 

    សូមទូរស័ព្ទទៅភ្នាក់ងារ គ្រប់           គ្រងសម្រាប់ការអភិវឌ្ឍន៍នេះដោយផ្ទាល់។

  •  

    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).

  • GENERAL INFORMATION


  •
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • HOUSEHOLD AND UNIT SIZE/TYPE

    Please fill out the fields below for everyone who will be occupying the unit.
  • 1-IS THIS PERSON ONE OF THE HEAD(S) OF HOUSEHOLD?*
  • 1-IS THIS PERSON A FULL-TIME STUDENT OR WILL BE A FULL-TIME STUDENT IN THE NEXT 12 MONTHS?*
  • Do you need to add a 2nd household member?*
  • 2-IS THIS PERSON ONE OF THE HEAD(S) OF HOUSEHOLD?*
  • 2-IS THIS PERSON A FULL-TIME STUDENT OR WILL BE A FULL-TIME STUDENT IN THE NEXT 12 MONTHS?*
  • Do you need to add a 3rd household member?*
  • 3-IS THIS PERSON ONE OF THE HEAD(S) OF HOUSEHOLD?*
  • 3-IS THIS PERSON A FULL-TIME STUDENT OR WILL BE A FULL-TIME STUDENT IN THE NEXT 12 MONTHS?*
  • Do you need to add a 4th household member?*
  • 4-IS THIS PERSON ONE OF THE HEAD(S) OF HOUSEHOLD?*
  • 4-IS THIS PERSON A FULL-TIME STUDENT OR WILL BE A FULL-TIME STUDENT IN THE NEXT 12 MONTHS?*
  • Do you need to add a 5th household member?*
  • 5-IS THIS PERSON ONE OF THE HEAD(S) OF HOUSEHOLD?*
  • 5-IS THIS PERSON A FULL-TIME STUDENT OR WILL BE A FULL-TIME STUDENT IN THE NEXT 12 MONTHS?*
  • Do you need to add a 6th household member?*
  • 6-IS THIS PERSON ONE OF THE HEAD(S) OF HOUSEHOLD?*
  • 6-IS THIS PERSON A FULL-TIME STUDENT OR WILL BE A FULL-TIME STUDENT IN THE NEXT 12 MONTHS?*

  • 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.

  • Household Type: III, II or I*

  •  

    Your application is not eligible for the lottery because the total number of household members you've named/listed on your Application does not match the number of persons in your Household Type above. 

    PLEASE MAKE SURE THAT EVERYONE WHO IS PART OF YOUR HOUSEHOLD "TYPE" IS ALSO LISTED IN THE PREVIOUS SECTION WHERE YOU GIVE YOUR NAME, AGE AND RELATIONSHIP INFO.  YOU MAY NOT HAVE ANSWERED THE "Do you need to add (another) household member" QUESTION CORRECTLY. 

    For example, you cannot be a "3 person household" but only list yourself on the application.

    Your application will be ineligible for the lottery if you do not correct this information.

  • Do you or a household member have a disability or a medical need for an additional bedroom? This does NOT include cases where sharing a bedroom with a spouse/partner would be a severe adverse impact on mental/physical health, as that distinction should already be made in the previous question on Household Type.  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 specify that the household member is in need of an additional bedroom because of the disability. Households who are unable to provide required supporting documentation when requested may be dropped entirely from all Waiting Lists.*

  • Please select from the available unit sizes. Please note that if multiple unit sizes are available, households may apply for more than one unit size.

  • For MassHousing developments, a 1 person household may not occupy a 2BR unit and a 2 person household may not occupy a 3BR unit unless they have a medical need for an extra bedroom and/or a reasonable accommodation to live in a unit with more bedrooms than household members.

  • Are you applying for a Studio unit?*
  • Are you applying for a 1BR unit?*
  • Are you applying for a 2BR unit?*
  • Are you applying for a 3BR unit?*

  • Stop! You did NOT select a unit size above, as you selected "No!" for all options.  If you do NOT select a unit size, you will not be entered into the lottery.  So please select at least one of the unit sizes above.

  • Do you currently receive or do you have a Section 8 mobile or MRVP voucher or certificate?*

  • The Lottery Agent does not discriminate based on source of income.  This question is asked for the sole purpose of determining ability to pay rent.

  • LOCAL PREFERENCES AND ADDITIONAL INFO

    LOCAL PREFERENCE INFORMATION
  • Do you or any member of your household qualify for Local Preference? An applicant qualifies for local preference if the applicant or a member of their household fit into one of the following categories (A) a current resident of North Attleborough, (B) employee of the Town of North Attleborough, or (C) employee of businesses located in North Attleborough or (D) a parent or guardian with children attending the North Attleborough Public Schools (including METCO students)*

  • 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: You will be required to submit 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 Town of North Attleborough Election Department.

    If qualifying under definition (B) as detailed above: You will be required to submit acopies of pay-stubs AND IF THE PAY STUBS DO NOT SHOW THE ADDRESS OF THE JOB you will be required to submit a signed statement from your employer on company letterhead the states the address of the job and the employee’s name.

    If qualifying under definition (C) as detailed above: You will be required to submit  copies of pay-stubs AND IF THE PAY STUBS DO NOT SHOW THE ADDRESS OF THE JOB you will be required to submit 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 (D) as detailed above: You will be required to submit copies of Raynham school transcripts AND proof of relation to the student (by birth certificate or legal guardianship or divorce decree)

  • RACE: (OPTIONAL) You are requested to complete the following optional section in order to assist in determining preference. Completing this section may qualify you for additional lottery pools.(Please check all boxes that apply):
  • Do you require a disabled-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 an accessible unit.

  • Do you need the features of a sensory unit (a unit for the Hearing Impaired)?*

  • 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.

  • REASONABLE ACCOMMODATION

    Persons with disabilities are entitled to request a reasonable accommodation in rules, policies, practices, or services, or to request a reasonable modification in the housing, when such accommodations or modifications may be necessary to afford persons with disabilities an equal opportunity to use and enjoy the housing. 
  • Does any member of the household have any accessibility or reasonable accommodation requests or changes in a unit or development or alternative ways we need to communicate with you?*

  • RELATED PARTY

  • Is any member of the household related to or employed by the developer or related to or employed by the Property Management Company?*
  • 0/500

  • INCOME

  • Instructions for completing the following income fields/questions

  • 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”.

  • Source of Income

    You must list the combined total income for every person who will be occupying the unit in the following fields.

  • Please note, your Total Household Annual Income is higher than the maximum income allowed for your household size for this program. If you made a mistake, please fix your prior answers. Otherwise, you will be found ineligible for the program when your online application is reviewed in 1-2 weeks.

  • ASSETS

    You must list the total combined assets for every person who will be occupying the unit in the following fields.

  • 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.

  • Do you or anyone on this application currently own a home (including an investment home) or are listed on the deed for any home?*

  • Please note, your Total Assets are over the Asset Limit of $75,000. If you made a mistake, please fix your prior answers.

    Please also note that the NET amount of your retirement accounts should be listed (so just include the amount that you would have in cash (post-penalty) from those retirement accounts if you were to withdraw the full amount today and incur the early-withdrawal penalty.  Otherwise, if your Total Assets are over $75,000, you will be found ineligible for the program when your online submission is reviewed in 1-2 weeks.”

  • 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 hereby authorizes any third party to disclose and share information that they hold about me to SEB Housing which is necessary for SEB Housing to perform an analysis of undersigned’s eligibility for this affordable housing unit. This authorization shall remain in effect until revoked by me in writing.
  • Date Signed
     - -

  • 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.

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