Wayne Housing Commission 4001 S. Wayne Rd Wayne, MI Phone: (734) Fax: (734)

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Wayne Housing Commission 4001 S. Wayne Rd Wayne, MI 48184 Phone: (734) 721-8602 Fax: (734) 721-7032 The Wayne Housing Commission offers housing at various locations within the city. At this time, we do not offer the Section 8 Voucher Program. Rental charges are based on 10% of the tenant s gross yearly income, or 30% of their net income, whichever is greatest, OR a flat rent fee can be assessed if the tenant prefers. The Public Housing units offered include: 36 - one bedroom units are designated for seniors only (62 or older) 18 - one bedroom family units 10 - two bedroom family duplexes 10 - three bedroom family homes 2 - four bedroom family homes Any applicant may qualify for housing as long as the income level requirement establishing low income status and all other Wayne Housing Commission requirements are met. The Wayne Housing Commission hereby conforms to the Fair Housing Amendment Act of 1988 and has available barrier-free units for those applicants requiring accommodations. The wait at this time is at least five years, depending of the size of the unit required and the turnover time for each unit. When a unit is available, the next applicant on the waiting list will be contacted by first class mail at the last address on file for that applicant. Letters are sent once a year to applicants to update their contact information, so it is important to supply the Wayne Housing Commission with any change of address in writing. Applications are available by visiting the Wayne Housing Commission office at 4001 S Wayne Rd, Wayne, MI 48186 or on the City of Wayne website (www.ci.wayne.mi.us). If you or anyone in your family is a person with disabilities, and you require a specific accommodation in order to fully utilize our programs and services, please contact the Wayne Housing Commission. Bridget Piasecki, PHM Executive Director 1

For office use only Unit Size: Household Type: WAYNE HOUSING COMMISSION 4001 S WAYNE ROAD WAYNE, MI 48184 (734) 721-8602 PLEASE NOTE: An application that is not completely filled out will not be processed. A P.O. Box will not be accepted for an address. A physical address is required. NAME ADDRESS APT # CITY STATE ZIP CODE HOME PHONE # WORK PHONE # Please list Head of Household first and then all persons who will live in the household. Relation First Name Last Name Social Security Number To Head of House Sex Date of Birth City & State of Birth Do you or anyone in your household use illegal drugs? Yes No Have your or any household member been involved in drug trafficking? Yes No Have you, or any member of your household, ever been arrested, charged, cited or 2

convicted of a sex crime, drug crime or any other felony. Yes No Have you ever lived in federally assisted housing? Yes No If yes, where and when: Have you ever been evicted from federally assisted housing? Yes No THIS INFORMATION IS FOR STATISTICAL PURPOSES ONLY White American Indian/Native Alaskan Hispanic Black Asian/Pacific Islander Non-Hispanic Is the head of household or spouse 62 years or older? Yes No Does anyone in your household require a barrier free unit? Yes No Is anyone in your family unable to use stairs? Yes No INCOME: Please indicate any income, for yourself, and each person who will live in the household. Include: Wages, overtime, tips, bonus or commissions before taxes, Social Security, Supplemental Security Income from Family Independence Agency, V.A. Benefits, Retirement Benefits, Unemployment Compensation, Worker s Compensation, Child Support or Alimony. Name Source of Income Amount per Month ASSETS: Please indicate assets held by all household members 18 years or older. Name Type of Asset Name of Bank Account # Amount How much is your monthly rent? How much is your monthly gas bill? $ $ 3

How much is your monthly electric bill? How much is your monthly water bill? $ $ All changes in information regarding this application must be reported in writing to the Wayne Housing Commission. If you have any questions please feel free to contact the Wayne Housing Commission at (734) 721-8602. I certify that the above information is correct and complete to the best of my knowledge and inquiries may be made to verify the statements made herein. Any intentional or willful misrepresentation of the facts included on this application may result in denial of housing. I understand and give full permission to the Wayne Housing Commission to check my background, including but not limited to credit check, reference checks, rental history, utility payment history, and criminal background check. I understand that this is only an application and does not guarantee that I will be housed with the Wayne Housing Commission. You MUST notify us, IN WRITING, immediately if any of the following events occur. Changes will not be accepted over the phone: You move to a new address, You get a new telephone number, Your household size increases or decreases, If you or anyone in your family is a person with disabilities, and you require a specific accommodation in order to fully utilize our programs and services, please contact the Wayne Housing Commission office. Signature of Head of Household Date REQUEST FOR REASONABLE ACCOMODATION 4

Reasonable accommodations do not confer special treatment or advantage for the person requesting the accommodation. Rather they make the program fully accessible in a way that would be otherwise not possible for persons with a disability. I,, do hereby request Wayne Housing Commission to grant me a reasonable accommodation. Accommodation requested: (Please provide a description of accommodation being requested) Are you disabled? (please circle) Y N How is your request related to the disability? Signature: Date: TO BE COMPLETED BY THE WAYNE HOUSING COMMISSION Accommodation is: approved or disapproved If disapproved, reason why: Bridget Piasecki, Executive Director Date c: Resident File Michigan Housing Commissions 5

PH - Public Housing S8 - Section 8 Both - S8 & PH (517)373- S8 - Michigan State Housing Development Authority 735 E. Michigan Lansing MI 48912 8370 Address Zip Code Phone Commission Albion Housing Commission 1300 Cooper St (517)629-2511 Box 630 Albion 49224 PH Algonac Housing Commission Allen Park Housing Commission Alma Housing Commission Alpena Housing Commission Ann Arbor Housing Commission Baldwin Housing Commission Bangor Housing Commission Baraga Housing Commission Bath Twp Housing Commission Battle Creek Housing Commission 1205 St. Clair River Dr. Algonac 48001 PH 17000 Champaign Allen Park 48101 PH 400 E. Warwick Alma 48801 Both 2340 S Fourth Ave Alpena 49707 PH 727 Miller Ave Ofc. Ann Arbor 48103 Both 105 Fournier Dr. PO Box 337 Baldwin 49304 Both 820 Second St Bangor 49013 PH 416 Michigan Ave Baraga 49908 Both 14379 Webster Rd Bath 48808 Both 250 Champion St (810)794-9369 (313)928-5970 (989)463-4200 (989)354-3567 (734)994-2828 (231)745-7441 (269)427-5535 (906)353-6432 (517)641-6244 (269)965-0591 Battle Creek 49017 Both ext. 105 Bay City Housing Commission 1200 N. Madison Bay City 48708 PH (989)892-9581 6

Bay County Housing Department 798 N. Pine Essexville 48732 PH (989)895-8191 Bedford Twp. Housing Commission 8745 Lewis Ave Temperance 48182 PH (734)847-3950 Belding Housing Commission 41 Belhaven Belding 48809 PH (616)794-1740 Benton Harbor Housing Commission 721 Nate Wells Sr Dr Benton Harbor 49022 Both (269)927-1050 Benton Twp Housing Commission 1216 Blossom Ln Benton Harbor 49022 Both (269)927-3541 Bessemer Housing Commission 709 West Iron St Bessemer 49911 PH (906)667-0288 Big Rapids Housing Commission 9 Parkview Village Big Rapids 49307 PH (231)796-8689 Boyne City Housing Commission 829 S. Park St Boyne City 49712 Both (231)582-6203 Bronson Housing Commission 318 S. Ruggles PO Box 33 Bronson 49028 PH (517)369-6265 Cadillac Housing Commission 111 S Simons St Cadillac 49601 Both (231)775-9491 Calumet Housing Commission 1 Park Ave Calumet 49913 PH (906)337-0005 Caseville Housing Commission 6905 N. Caseville Rd Caseville 48725 PH (989)856-3323 Charlevoix Housing Commission 210 W Garfield Ave (231)547-5451 Charlevoix 49720 PH Cheboygan Housing Commission 659 Cuyler Cheboygan 49721 Both (231)627-7189 7

Clinton Twp Housing Commission 34947 Village Rd Clinton Twp 48035 Both (586)791-7000 Coldwater Housing Commission 60 S Clay St Coldwater 49036 PH (517)278-2660 Covert Housing Commission 73660 E Lake St Covert 49043 PH (269)764-8881 Dearborn Housing Commission 13615 Michigan Ave Floor 2 Dearborn 48126 Both (313)943-2390 Dearborn Heights Housing Commission 26155 Richardson Dearborn Heights 48126 S8 (734)455-3670 Detroit Housing Commission 1301 E. Jefferson Ave. Detroit 48207 Both (313)877-8000 Dowagiac Housing Commission 100 Chestnut St Dowagiac 49047 Both (269)782-3786 Dundee Housing Commission 501 Rawson St Dundee 48131 PH (734)529-2828 East Jordan Housing Commission 451 Water St East Jordan 49727 PH (231)536-2051 East Tawas Housing Commission 304 W Bay St East Tawas 48730 PH (517)362-4963 Eastpointe Housing Commission 15701 E. 9 Mile Rd Eastpointe 48021 Both (586)445-5099 Eaton County Non-Profit 319 S Cochran Ave Charlotte 48813 S8 (517)541-1180 Ecorse Housing Commission 266 Hyacinth Ave (313)381-9393 Ecorse 48229 PH Elk Rapids Housing Commission 701 Chippewa St Elk Rapids 49629 PH (231)264-5831 8

Escanaba Housing Commission Evart Housing Commission Ferndale Housing Commission Flint Housing Commission Gladstone Housing Commission Gladwin City Housing Commission Grand Rapids Housing Commission Grayling Housing Commission Greenville Housing Commission Hamtramck Housing Commission Hancock Housing Commission Hermansville Housing Commission Highland Park Housing Commission Hillsdale Housing Commission Houghton Housing Commission 110 S 5th St Escanaba 49829 PH 601 W 1st St Evart 49631 Both 415 Withington Ferndale 48220 Both 3820 Richfield Rd Flint 48506 Both 217 Dakota Ave Gladstone 49837 PH 215 S Antler St Gladwin 48624 PH 1420 Fuller Ave SE Grand Rapids 49507 Both 308 Lawndale St Grayling 49738 Both 308 E Oak St Greenville 48838 Both 2620 Holbrook St Hamtramck 48212 PH 1401 Quincy St Hancock 49930 Both W5577 129 W. Third Hermansville 49847 PH 13725 John R Highland Park 48203 PH 45 N West St Hillsdale 49242 PH 401 E Montezuma Ave (906)786-6229 (231)734-3301 (248)547-9500 (810)736-3050 (906)428-2215 (989)856-3323 (616)235-2600 (989)348-9314 (616)754-7179 (313)868-7445 (906)482-3252 (906)498-2141 (313)868-4500 (517)439-1210 (906)482-0334 9

Ingham County Housing Commission Inkster Housing Commission Ionia Housing Commission Iron County Housing Commission Iron Mountain Housing Commission Iron River Housing Commission Ironwood Housing Commission Ishpeming Housing Commission Jackson Housing Commission Kent County Housing Commission Kingsford Housing Commission Lake Linden Housing Commission L'Anse Housing Commission Houghton 49931 PH 3882 Dobie Rd Okemos 48864 Both 4500 Inkster Rd Inkster 48141 Both 667 N. Union St Ionia 48846 Both 210 N. 3rd St Crystal Falls 49920 Both 401 E D St Iron Mountain 49801 PH 236 N 3rd Ave Iron River 49935 PH 515 E. Vaughn St Ironwood 49938 PH 111 Bluff St Ishpeming 49849 PH 301 Steward Ave Jackson 49201 Both 82 Ionia Ave, NW Suite 390-3rd Floor Grand Rapids 49503 S8 1025 Woodward Ave Kingsford 49802 PH 210 Calumet St Lake Linden 49945 PH 110 6th St L Anse 49946 PH (517)349-1643 (313)561-2600 (616)527-9060 (906)875-6060 (906)774-2685 (906)265-4398 (906)932-3341 (906)485-4100 (517)787-9241 (616)632-7400 (906)774-2771 (906)296-0713 (906)524-6311 Lansing Housing Commission 310 Seymour Ave Lansing 48933 Both (517)487-6550 10

Lapeer Housing Commission Laurium Housing Commission Lincoln Park Housing Commission Livonia Housing Commission Luce County Housing Commission Luna Pier Housing Commission Mackinac County Housing Commission Madison Heights Housing Commission Manistee Housing Commission Manistique Housing Commission Marquette Housing Commission Marysville Housing Commission Melvindale Housing Commission 544 N. Saginaw St Lapeer 48446 Both 125 Lake Linden Ave Laurium 49913 PH 1356 Electric Ave Lincoln Park 48146 Both 19300 Purlingbrook Livonia 48152 Both 550 West Victory Newberry 49868 S8 10885 Ellen St Luna Pier 48157 PH N9174 Kozy St 50 Curtis 49820 PH 300 W. Thirteen Mile Rd Madison Heights 48071 S8 273 6th Ave Manistee 49660 PH 400 E Lakeshore Dr Manistique 49854 Both 316 Pine St Marquette` 49854 Both 1100 New York Ave. Marysville 48040 PH 3501 Oakwood Blvd. Melvindale 48122 Both (810)664-0591 (906)337-2306 (248)593-4611 (248)477-7086 (906)293-5988 (734)848-2355 (906)586-3414 (248)583-0842 (231)723-6201 (906)341-5451 (906)226-7559 (810)364-4020 (313)429-1095 Menominee Housing Commission 1801 8th Ave Menominee 49858 Both (906)863-8717 11

Middleville Housing Commission Monroe Housing Commission Montcalm County Housing Commission Mt. Clemens Housing Commission Mount Pleasant Housing Commission Munising Housing Commission Muskegon Housing Commission Negaunee Housing Commission New Haven Housing Commission Niles Housing Commission Ontonagon Housing Commission Paw Paw Housing Commission Plymouth Housing Commission Pontiac Housing Commission Port Huron Housing Commission 500 Lincoln St Middleville 49333 PH 20 N Roessler St Monroe 48162 PH 120 Mulberry Howard City 49329 Both 50 Church St. Mt. Clemens 48043 PH 1 W Mosher St Mount Pleasant 48858 Both 200 City Park Dr Munising 49662 Both 1080 E Hovey Ave Muskegon Heights 49444 Both 98 Croix St Negaunee 49866 PH 30100 John Rivers Dr. New Haven 48048 PH 251 Cass St Niles 49120 PH 100 Cane Ct Ontonagon 49953 PH 205 Miller Ct Paw Paw 49079 PH 1160 Sheridan Plymouth 48170 Both 132 Franklin Blvd Pontiac 48341 Both 905 Seventh St. Port Huron 48060 Both (269)795-7715 (734)242-5880 (231)937-4241 (586)468-1434 (989)773-3784 (906)387-4084 (231)733-2033 (906)475-9107 (586)749-6570 (269)683-2783 (906)884-2258 (269)657-4776 (734)455-3670 (248)338-4551 (810)984-3173 12

Potterville Housing Commission 210 E Main St Potterville 48876 Both (517)645-7076 Rapid River Housing Commission 10570 N Main St Rapid River 49878 PH (906)474-9370 Reed City Housing Commission 802 S Mill St Reed City 49677 Both (231)832-2762 Redford Housing Commission 12121 Hemingway Redford 48239 (313)387-2700 River Rouge Housing Commission 180 Visger PO Box 18174 River Rouge 48218 Both (313)382-1414 Rockford Housing Commission 59 S Main St Rockford 49341 Both (616)866-0371 Rockwood Housing Commission 32409 Fort St. Rockwood 48173 PH (734)379-9700 Rogers City Housing Commission 643 W Erie St Rogers City 49779 PH (989)734-7303 Romulus Housing Commission 34200 Beverly Rd Romulus 48174 PH (734)729-5389 Roseville Housing Commission 18330 Eastland St Roseville 48066 Both (586)778-1360 Royal Oak Housing Commission 211 Williams Royal Oak 48068 S8 (248)246-3290 Royal Oak Twp Housing Commission 8901 Cloverdale Ferndale 48220 PH (248)398-8101 Saginaw Housing Commission 1803 Norman St Saginaw 48601 Both (989)755-8183 Saint Joseph Housing Commission 601 Port St St Joseph 49085 PH (269)983-2814 13

Saint Louis Housing Commission Saranac Housing Commission Sault Ste Marie Housing Commission Schoolcraft County Housing Commission South Haven Housing Commission South Lyon Housing Commission Southfield Housing Commission Stambaugh Housing Commission St. Clair Housing Commission St. Clair Shores Housing Commission Sterling Heights Housing Commission Sturgis Housing Commission Taylor Housing Commission 308 S Delaware St Saint Louis 48880 Both 203 Parsonage St Saranac 48881 PH 608 Pine St Sault Ste Marie 49783 Both 900 Steuben St Manistique 49854 Both 220 Broadway St South Haven 49090 PH 432 Washington St South Lyon 48178 PH 26000 Evergreen Southfield 48076 S8 208 Jefferson Ave Iron River 49935 PH 400 S. Third St. Clair 48079 Both 1000 Blossom Heath Blvd. St. Clair Shores 48080 Both 40555 Utica PO Box 8009 Sterling Heights 48078 Both 128 S. Nottawa St Sturgis 49091 PH 15270 S. Plaza Dr Taylor 48180 Both (989)681-5100 (616)642-9832 (906)635-5841 (906)341-5052 (269)637-5755 (810)629-9500 (248)796-4172 (906)265-5540 (810)329-9141 (586)773-9200 (586)264-6410 (269)651-8772 (734)287-2491 Traverse City Housing Commission 10200 E Carter Center Traverse City 49684 Both (231)922-4915 14

Wakefield Housing Commission Wayne Housing Commission Westland Housing Commission Wyoming Housing Commission Ypsilanti Housing Commission 200 Pierce St Wakefield 49968 PH 4001 S. Wayne Rd Wayne 48184 PH 32715 Dorsey Westland 48185 S8 2450 36th St SW Wyoming 49519 Both 601 Armstrong Dr Ypsilanti 48197 Both (906)229-5204 (734)721-8602 (734)595-0288 (616)534-5471 (734)482-4300 15