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Terrace Gardens Senior Housing
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Housing Application Form

  • ONE APPLICATION PER HOUSEHOLD

    Terrace Gardens Senior Housing
    186 Beresford Ct.
    Milpitas, CA 95035
    (408) 946-9034

    Application For Admission

    Terrace gardens will comply with the provisions of any federal, state or local law prohibiting discrimination in housing on the basis of race, color, creed, ancestry, national origin, sex, sexual orientation, familial status, source of income, age, disability, AIDS, or AIDS relation condition.

    TDD Telephone device for the deaf only California Relay Services (1-800-735-2929).

    To the applicant: Please fill out this form completely. All references will be checked and if any information is found to be false or incomplete, the application may be rejected.

    Secure Form: This web form is protected by SSL encryption technology and will securely send your information to our database.

    PLEASE NOTE: THIS FORM WILL NOT SAVE! We strongly advise the applicant (and all co-applicants, if applicable) to be present while completing this form. Please be ready to fill out all information as required while completing your housing application.

  • Section I: Applicant Information

  • Section II: Applicant Contact Information

  • Photo ID Required - Evidence of Residency

  • Section III: Income Information

  • Please list all income sources for the applicant and co-applicant.

  • Section IV: Asset Information

  • Section V: References

  • Current Landlord

  • Former Landlord

  • Bank Information

  • Section VI: Mobility and Family

  • Section VII: Application Consent and Submission

  • By submitting this application, I understand and consent that further inquires may be made the verify the information herein and that any misrepresentations will disqualify this application. I understand that Management's acceptance of this application and that providing this information does not establish my eligibility for residency at Terrace Gardens.

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