Grimshaw Investments, LLC
39 East 1st Street
Sheridan, WY 82801
ph 307.672.2810
fax 307.674.7994
email grimshaw@wyoming.com

PRELIMINARY APPLICATION Harmony Apartments, Buffalo, WY
Date
First Name
Last Name
Phone	-
E-mail
Mailing Address
City
State/Province
ZIP/Postal Code
Including yourself, how many people are in your household?
Counting all income from everyone in the household, how much will your GROSS income be for the next 12 months?
Is everyone in your household a full-time student?
IMPORTANT: Are you currently living in a subsidized unit?
Bedroom Size Requested
Handicap:
I am interested in a 55+ senior community:

Preliminary Application

This is a preliminary application for Harmony Apartments, Buffalo, WY. The purpose of this preliminary application is to determine if you should take the time to complete the main application.

Compare your estimated GROSS annual income against the chart below, if your annual income meets or is below the income limit as compared to the household size you may be eligible to rent an apartment.

	1 person	2 person	3 person	4 person	5 person
50%	25,300	28,900	32,500	36,100	39,000

Simply submit this completed preliminary application and you will be placed on the waiting list. Once a unit becomes available you will be contacted within 48 hours at the phone number/email you listed above.

Pets are considered and allowed with prior management approval.

Thank you for inquiring. We appreciate your interest.

Grimshaw Investments, LLC
Reflections On Your Community™