Somersworth Housing Authority
Serving the Community since 1961
Questions? Call us at 1-603-692-2864
Language/Alternate Format Designation Form
Supplement to Application for Federally Assisted Housing (HUD-92006)
Thank you for your interest in our affordable housing programs. We take pride in our management and in our apartments within the community. We actively seek desirable residents and strive to provide the best services possible.
Please fill out our your application completely and return it on Tuesday or Thursday between 9:00am-12:00noon or 1:00pm-3:00pm.
If you do not provide a complete application, we will not be able to process the application successfully. Please, leave no question unanswered. Any falsification of information on the application is immediate grounds for denial of residency. If you have any questions when filling out the application, please ask us for assistance. We are here to be of service to you.
We screen all our applicants carefully & verify all information provided to us. Somersworth Housing uses the same screening and verification process for every applicant no matter what program your applying for. By submitting an application to our housing programs and developments, you acknowledge that these checks and verifications will be done, and give us your permission to do so by signing a Consent for Release of Information Form (included in the application).
Please review the list of items screened and verified, All of the following may apply:
*Criminal Background Check
*Previous and Present Landlord References
*Debts Owed to PHA Check
*Existing Tenant Search (through Enterprise Income Verification System- HUD Requirement)
*Verify all income and assets (where applicable) to establish income eligibility
*Sex Offender Registry Check
*Verification of Disability payments (adults under age 62 applying for elder/disabled developments)
We require the following documentation along with your completed application: SHA will not process your application without them!
*Birth Certifications for all members applying
*Social Security Cards for all members applying
*Picture ID for all members over 18 years old
Every adult needs to sign their own form.
All adults must sign (can all sign on same form).
Debt Owed to PHA & Terminations Form (HUD-52675).
Declaration of Citizenship Form
Every adult needs to fill out/sign their own form.
Every adult needs to fill out their own form.
Race & Ethnic Data Reporting Form (HUD-27061)
HUD9887: Section 1 every adult signs (on same form), Section 2 every adult signs their own form.
HUD9886: Every adult must sign (on same form).
All adults must sign (can all sign on same form). Adults sign for Children in appropriate box
Every member of the household must have one of these forms (adults sign for children).
Informational only, no signatures required.
HUD 9887/9887A and HUD 9886 (HUD Consent Forms)
Things you Should Know (HUD-11440-OIG)
The SHA uses only one application for all developments and the Section 8 Housing Choice Voucher Program.
Voilence Against Womens Act Policy & Sign Off Sheet