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The form collects personal data, household disability and accessibility needs, detailed income and asset information for the head of household and second person, anticipated medical and handicap expenses, and required personal references. It also gathers eligibility and statistical information, including prior convictions, illegal drug use, sex offender registration status, prior states lived, and HUD racial group identification, with certification and signature requirements.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/alma-rangel-gardens-preliminary-application-enriched-housing-program/501346/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/alma-rangel-gardens-preliminary-application-enriched-housing-program/501346.png","ImageObject",300,407,{"name":92,"@type":93},"Angel","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-11","2026-10-03",true,{"@type":102,"interactionType":103,"userInteractionCount":19},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What housing program does this preliminary application cover?","Question",{"text":112,"@type":113},"The application is for the Enriched Housing Program only. The standard waiting list is closed.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How should applications be submitted?",{"text":117,"@type":113},"Mail only one application per family by regular mail. Do not send it by registered or certified mail.",{"name":119,"@type":110,"acceptedAnswer":120},"What financial information is required?",{"text":121,"@type":113},"The form requests income details for the head of household and second person, plus asset account information, stocks and bonds total value, other assets value, and questions about real estate and asset disposal below fair market value in the past two years.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},501346,1791486606,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":19,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":44,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},687207412472,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","PRELIMINARY APPLICATION  \nFederally Subsidized Multi-Family Housing Programs  \nAll information contained herein will be held in strict confidence.  \nAll information will be subject to verification.  \nFOR OFFICE USE ONLY LOG\\#   \nElderly    \nHandicapped    \nEnriched Housing  \nMail Only One (1) Application per Family by Regular Mail.  \n(Do Not Send By Registered or Certified Mail.)  \n Mail To: ALMA RANGEL GARDENS  \n55 West 137th Street  \nNew York, NY 10037  \n**Alma Rangel Gardens does not discriminate on the basis of disability in admission or access to the building.  \nAuxiliary Aides and services will be made available upon request to individuals with disabilities.*  \nEach application received will be recorded. Since so many families/elderly need housing, this Development will not be able to accommodate all who are eligible. As families can be reached, they will be called in for an interview.  \nNo Payment or Fee Should Be Given To Anyone In Connection With The Preparation, Filing or Processing of This  \nApplication for Subsidized Housing.  \nPlease read the enclosed material carefully. (THIS APPLICATION IS FOR Enriched Housing Program ONLY, STANDARD WAITING LIST IS CLOSED) .  \n Enriched Housing Program  \nComplete Preliminary Application (Part A)  \nand Enriched Housing Questionnaire (Part B)  \nPART A  \nSECTION 1 PERSONAL DATA  \n1. Your Name:  Sex:   Female   Male  \n2. Street:  Apt. No.:   \n3. City:  State:  Zip:   \n4. Telephone No   Alternate No.   \n5. Date ofBirth   Social Security No.    \n6. How long have you lived at this address?    \n7. Do you have a disability?   Yes   No  \n8. Will someone live with you?   Yes   No  \nIf yes, what is his/her relationship to you?   Please provide the following information about this person:  \nName:   Social Security No.:    \nDate ofBirth:   Sex:   Female   Male  \nDoes this person have a disability?   Yes   No  \n9. Will you require an accessible unit?   Yes   No  \nSECTION 2 FINANCIAL  \nINCOME INFORMATION: Head of Household  \n\n| Head of Household | Dollar Value | Description |\n| --- | --- | --- |\n| Social Security/SSI | $  per   |  |\n| Pension | $  per   |  |\n| Employment | $  per   |  |\n| Disability | $  per   |  |\n| Interest/Dividends | $  per   |  |\n| Other | $  per   |  |\n\nINCOME INFORMATION: Second Person  \n\n| Second Person | Dollar Value | Description |\n| --- | --- | --- |\n| Social Security/SSI | $  per   |  |\n| Pension | $  per   |  |\n| Employment | $  per   |  |\n| Disability | $  per   |  |\n| Interest/Dividends | $  per   |  |\n| Other | $  per   |  |\n\nASSET INFORMATION: Indicate Type of Account (Checking, Savings, Certificate of Deposit, and which person is the owner)  \n\n| TYPE | BANK | ACCOUNT \\# | BALANCE | HEAD/OTHER |\n| --- | --- | --- | --- | --- |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n|  |  |  |  |  |\n\nStocks and Bonds (Total Value): $___________________________Other Assets: ____________________ Value ($):_____________  \nDo you now own Real Estate? _______ Yes _______ No If “Yes”, what is the value? $_______________  \nHas any family member disposed of any asset for less than fair market value during the past two (2)  \nyears? ________ Yes ________ No  \nIf “Yes”, explain:    \nSECTION 3 MEDICAL  \nMedical Expenses:  \nWhat are the medical expenses anticipated to be paid by your household in the coming 12 month period?  \n$  (Do not include expenses that will be paid for you, or reimbursed by an outside agency such as Medicare)  \nHandicap Expenses:  \nThis question applies Only if a family member is Handicapped or Disabled.  \nWhat are the medical expenses anticipated to be paid by your household in the coming 12 month period?  \n$  (Do not include expenses that will be paid for you, or reimbursed by an outside agency such as Medicare)  \nThree personal references (Please note that letters from these references will be requested) . Family/Friends Not Acceptable –(e.g. employers, doctors, social workers, clergyman, etc.)  \n\n| Name | Address | Phon","cbCaip7DnrWjRIsv","https://ap.wps.com/l/cbCaip7DnrWjRIsv","pdf",1015658,"English","# Preliminary Application\n## Enriched Housing Program Notice\n## Part A - Personal Data\n## Part A - Financial Information\n## Part A - Medical and References\n## Eligibility and Statistical Information\n## Declaration and Warning","[{\"question\":\"What housing program does this preliminary application cover?\",\"answer\":\"The application is for the Enriched Housing Program only. The standard waiting list is closed.\"},{\"question\":\"How should applications be submitted?\",\"answer\":\"Mail only one application per family by regular mail. Do not send it by registered or certified mail.\"},{\"question\":\"What financial information is required?\",\"answer\":\"The form requests income details for the head of household and second person, plus asset account information, stocks and bonds total value, other assets value, and questions about real estate and asset disposal below fair market value in the past two years.\"}]","Alma Rangel Gardens - Preliminary Application - Enriched Housing Program | PDF",1791019025,23]