Clermont County Community Housing Improvement Program (CHIP) Housing Rehabilitation Application

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Clermont County Community Housing Improvement Program (CHIP) Housing Rehabilitation Application"

Transcription

1 Clermont County Community Housing Improvement Program (CHIP) Housing Rehabilitation Application Dear Applicant, To complete your application please review the conditions that apply to a Home Repair versus a Private Owner Rehabilitation and indicate which program you will be applying for by checking the appropriate box: Home Repairs May Include: (generally only 1 or 2 repairs; will be subject to a 0% interest, 100% deferred/declining forgiveable loan; requests are inspected by rehab specialist to determine eligibility): Roof repair or replacement Furnace repair or replacement Gutters & downspouts Flooring issues Handicap accessibility Plumbing repairs Misc. household repairs I am applying for a Home Repair Private Owner Rehabs May Include: (can have more than one repair; will be subject to a 0% interest, 85% deferred/declining loan and 15% permanent lien; requests are inspected by rehab specialist to determine eligibility ): Roof repair or replacement and/or Furnace repair or replacement Gutters & downspouts and/or Flooring issues Handicap accessibility Plumbing repairs Misc. household repairs I am applying for a Private Owner Rehab NOTE: All income for program eligibility is based on current income. yearly gross income. Current income will be projected to 1. Does the applicant s total household income fall below the applicable Maximum Low-Income limit listed below? Yes No 2014 Maximum Low-Income Limit: Size of Household: 1 Person 2 Person 3 Person 4 Person 5 Person 6 Person 7 Person 8 Person Maximum Income: $38,400 $43,850 $49,350 $54,800 $59,200 $63,600 $68,000 $72,350 As soon as the office receives this information, we will contact you regarding your next qualifying step. Completion of this application does NOT guarantee funding. HR.POR Applicatons 00

2 If you have any questions regarding the application please call: Mail the completed application and necessary paperwork to the address below. Return this application to: Clermont County Community and Economic Development Attn: Annette Decatur 101 E. Main St., 3 rd Floor Batavia, Ohio As soon as the office receives this information, we will contact you regarding your next qualifying step. Completion of this application does NOT guarantee funding. 2

3 CHIP APPLICATION Checklist for Homeowner Please include all of the following to assure that your CHIP application will be processed promptly: Proof of current gross income is included for all household members (must have two months of consecutive payments) for all household members (i.e., pay stubs, or letter of income, social security, child support, alimony, etc.) Copy of most recent bank statement Copy of most recent IRS 1040 or signed IRS 4506 Documentation showing that you are current with property taxes Documentation showing that you are current with mortgage (last 6 months) Documentation showing that you are current on your water bill Copy of driver s license Documentation that you have homeowner insurance (Declaration page) Copy of the deed for your home Completed application with signatures Homeowner Affidavit returned with signatures Completed and signed Lead Base Paint Notification If you need assistance with filling out the application, please contact the CHIP Office listed on the application. 3

4 CHIP Application and Analysis Staff use only: Application No.: Date: APPLICANT (head of household) Full Name Address , if applicable: Home Phone Age* Birth date (*This information is being collected as there may be agencies or other resources available to offer additional assistance with home repairs or accessibility issues to seniors or disabled persons) CO-APPLICANT Full Name Address , if applicable: Home Phone Age* Birth date (*This information is being collected as there may be agencies or other resources available to offer additional assistance with home repairs or accessibility issues to seniors or disabled persons) Please Select One: I am applying for a Home Repair OR I am applying for a Private Owner Rehab 1. Year home was constructed:, How long have you lived at the above address? 2. Type of Structure : ( Single Family, duplex) 3. Type of Construction: (frame, block, other) 4. Number of bedrooms: Is there a complete bath? Y N 5. How many people live in the unit? 6. *Are any of the current occupants disabled or handicapped? Y N (*This information is being collected as there may be agencies or other resources available to offer additional assistance with home repairs or accessibility issues to seniors or disabled persons) 4

5 7. Are any members of the household full time students? If so, please list name below and include proof of student status: 8. Please list the items that you feel need replaced or repaired in your home: 9. Have you received public funding, CHIP, or a commitment for rehabilitation on this property in the past? Y N If so, please explain both the type of commitment and why additional funding is necessary. 10. Have you received Weatherization through Community Action? Y N If so, when?. 11. Were you referred by Weatherization? Yes No 12. Do you own other property/land? Yes No 13. I certify that I am / am not (check one) an employee or a family member (grandparent, parent, spouse, children whether dependent or not, grandchildren, brother, sister, or any person related by blood or marriage and residing in the same household) of an employee of an elected official of Clermont County, Ohio. (Clermont County employees are not eligible to participate in the CHIP program) 5

6 DOCUMENTATION OF INCOME Complete the chart below to indicate household income for the next 12 months. This includes wages and salaries, overtime pay, commissions, fees, tips, bonuses; interest, dividends, and other gross income from real or personal property; social security, annuities, insurance policies, retirement funds, pensions, disability; unemployment pay, worker s compensation and severance pay; alimony and child support; and pay received as a member of the Armed Forces. Please provide proof of income of all household members. Total Household Income Family Members (Name) Position in Family (i.e., head of household, spouse, etc) Age Income - (Hourly, Monthly or, Yearly) Source: (place of employment, social security, etc) Do you anticipate any changes to household income within the next year (i.e., pay raise, layoff, etc.) If you do not have any of the following - please state NONE I. SAVING/CHECKING ACCOUNTS Name of Institute Type of Account/Number II. ASSETS (see attached asset information sheet attach separate sheet if necessary) Source Description / Value 6

7 CERTIFICATION AS TO VERACITY The undersigned certifies that all information in this application, and all information furnished in support of this application, is given for the purpose of obtaining rehabilitation assistance and is true and complete to the best of the undersigned's knowledge and belief. The undersigned agrees to occupy the property as his/her/their primary residence and represents that the property will not be used for any illegal or restricted purpose that would lead to forfeiture of, modification of, or other deleterious effect on the property; and he/she/they agree to remain in conformity with any agreement, law regulation or order governing the present use of the property, including, but not limited to, health regulation regarding the use, maintenance and location of septic tank leach beds. The undersigned agrees to allow the Clermont County to verify any of the information contained in this application may be obtained from any source, upon the written request of the City, or their representatives, to the agency or individual having that information. The undersigned acknowledges that the Clermont County will retain the original or copies of this application, even if assistance is not granted. Under the Right to Financial Privacy Act of 1978, the U.S. Department of Housing and Urban Development has a right to financial records held by grantees and sub-grantees in connection with the consideration or administration of assistance to the undersigned. The undersigned hereby authorizes access to and disclosure of all information contained herein and elsewhere in support of this application to the Ohio Development Services Agency (ODSA). Financial records involving the undersigned's transactions will be available to HUD and ODSA without further notice to or authorization by the undersigned but will not be disclosed or released to another agency or department without the undersigned's consent except as required or permitted by law. The undersigned fully understands that it is a federal crime punishable by fine or imprisonment, or both, to knowingly make any false statements concerning any of the above facts as applicable under the provisions of Title 18, U.S. Code, Section I/we have been given copies and have read the following documents: Fair Housing Information CHIP Client Homeowner Affidavit/Client Complaint Procedure Lead information Signature: date Signature: date Witness: date 7

8 Statistical Data Please check the appropriate boxes below. This optional information is to be used for statistical and report information only: Are you head of household: Yes No Are you or members of your household disabled: Yes No If yes, how many Applicant Ethnicity: (A.) White (B.) Black or African American (C.) American Indian, Alaska Native (D.) Asian (E.) Native Hawaiian or Other Pacific Is., (F.) American Indian, Alaska Native & White (G.) Black, African American & White (H.) American Indian, Alaska Nat. & Black, Afr. Amer. (I.) Asian & White (J.) Hispanic or Latino (K.) Other Multi-Racial Co-Applicant Ethnicity: (A.) White (B.) Black or African American (C.) American Indian, Alaska Native (D.) Asian (E.) Native Hawaiian or Other Pacific Is., (F.) American Indian, Alaska Native & White (G.) Black, African American & White (H.) American Indian, Alaska Nat. & Black, Afr. Amer. (I.) Asian & White (J.) Hispanic or Latino (K.) Other Multi-Racial Staff use only: Application No.: Date: 8

9 HOMEOWNER AFFIDAVIT CLERMONT COUNTY CHIP I, certify the following: Certification of Veracity: I certify that all information supplied by me to the CHIP Housing Rehabilitation Program is accurate, true and complete to the best of my knowledge and belief. I understand and acknowledge that the Penalty for false or fraudulent statements under U.S.C. title 18 Section 1001, Provides: Whoever, in any matter within the jurisdiction of any false, fictitious or fraudulent statements or entry, shall be fined not more than $10,000 or imprisoned not more than five years or both. Permanent Residence: The property to be improved with the proceeds of the Program Funds is a permanent structure used for year-round residential use and is not recreational or second home. Use of Program Funds: All proceeds of the Program Funds will be used to substantially protect or improve the basic livability or energy efficiency of the property. None of the proceeds will be used to finance any improvements undertaken prior to the closing of this program funding or to refinance any prior indebtedness. Purpose of Assistance: I hereby give my consent to have rehabilitation work done on my property with Federal and State financial assistance, and therefore, I certify that I will abide by the Community Housing Improvement Program Office CHIP Policies and Guidelines in the selection of work to be done, in the selection of a contractor, in the monitoring (inspection) of the contractor s work, and in authorizing payments when the work is satisfactorily completed, as well as all other applicable program requirements. Civil Rights: I certify that I will not discriminate against any contractors or suppliers I may use on the basis of race, creed, national origin, sex, age, or handicap. Architectural Drawings: I understand that should the inspector(s) detect a serious finding to the structure, architectural drawings may be required. The fee for said drawings is an eligible grant expense. Specifications are provided by the CHIP Office. Competitive Bidding: To permit the CHIP Office to seek competitive bids from qualified contractors for all rehab work. Bids will be requested according to procedures established and in accordance with applicable federal, state and local laws. Agreement with Contractor: To enter into a contract with the lowest and best bidder. I understand that may reject in writing the low bidder in favor of the next highest bidder if in my opinion the low bidder does not possess the experience, skill or resources to satisfactorily complete the job, the ability to proceed in a timely manner, or who has not visited my residence before preparing the bid. In that case, the project will be re-bid. Side Agreements: To refrain from making side agreements with the contractor for work not included in my Owner Contractor Agreement with the contractor, or not included in any written Change Orders approved by the Rehab Specialist until all work under the 9

10 HOMEOWNER AFFIDAVIT CLERMONT COUNTY CHIP contract is satisfactorily completed. The CHIP Office assumes no responsibility for the cost or quality of work not covered by the Agreement or approved Change Orders, but the unit must meet OCD-RRS/local codes prior to the grant completion date. Walk Away: A residential unit will be determined a walk-away when staff or contractor estimates exceed the maximum limit of the Home Repair Program. Hazard Insurance: To obtain hazard (fire, property and liability damage) insurance on the property to be rehabilitated in an amount based on its value after rehabilitation. Right to Financial Privacy: The Federal Financial Privacy Act of 1978 guarantees financial confidentiality to persons requesting assistance directly or indirectly from the federal government. To comply with this law, the CHIP Office must inform the rehabilitation client that no financial information will be disclosed or released to another government agency (except ODSA i and HUD ii, which may review the file on a monitoring visit,) without the prior written consent of the client. Financial records involving my transaction will be available to ODSA i and HUD ii without further notice or authorization, but will not be disclosed or released to another government agency or department without my consent except as required or permitted by law. Public Officials Disclosure (Please check one): I certify that I am not an elected official, a direct employee and/or a family member (grandparent; parent; spouse; children - dependent or not; grandchildren; brother; sister; or any person related by blood or marriage and residing in the same household) of a direct employee or an elected official of Clermont County who is responsible for the decision-making of the local CHIP. Or I certify that I am an elected official, a direct employee and/or a family member (grandparent; parent; spouse; children - dependent or not; grandchildren; brother; sister; or any person related by blood or marriage and residing in the same household) of a direct employee or an elected official of Clermont County who is responsible for the decision-making of the local CHIP, but the public servant that I am related to has no decision-making capacity in the local CHIP to the best of my knowledge. 14. Mechanics Liens: No unpaid improvements have been made, or materials or machinery or fuel delivered to the premises within 90 days immediately preceding the date hereof which might form the basis of a mechanics lien. The affidavit acknowledges payment in full of the contract price if the transaction is pursuant to a home purchase contract or a home construction contract. 15. Additional encumbrances: There are no mortgages, judgement liens, security interests arising under the uniform commercial code, tax liens, or other encumbrances of any nature, whatsoever affecting the said premises and the Affiant has no knowledge of any off record or undisclosed legal or equitable interest in the premises. 10

11 HOMEOWNER AFFIDAVIT CLERMONT COUNTY CHIP 16. Rights of Possession: There are no rights of possession, use or otherwise, outstanding in any third persons by reasons of unrecorded leases, sale contracts, options, land contracts, or other documents. 17. Taxes and Assessments: Affiant has not received notice, either orally or in writing of the existence of, or the intention to create assessments affecting the premises from any public authority, including tax recoupment, nor any notice of condemnation, or other exercise of the power of eminent domain. 18. Legal Ability: Each affiant is at least eighteen (18) years of age and is not under any legal disability; that the marital state of each affiant is as shown on the deed, and all prior marriages, if any, have been legally terminated; and no proceedings in bankruptcy have been instituted by or against any of the affiant(s). 19. Environmental Protection: The premises are not in violation of any Federal, State, or local law, ordinance, statute, or regulations relating to hazardous or toxic materials or substances. Affiant has no knowledge nor has affiant received notice, either orally or in writing, of any governmental authority or agency undertaking to remove, clean or otherwise address the presence of hazardous or toxic materials or substances on or about the premises. 20. Purpose of Assistance: I understand that Deferred or Leveraged Loans are to be used for the sole purpose of bringing my home into compliance with the CHIP PROGRAM REQUIREMENTS and that the loan/grant amount is fixed and limited and will be used to correct those problems which the CHIP Rehabilitation Specialist determines are necessary to bring the house into compliance with the CHIP PROGRAM Requirements. Home repair assistance will be provided as a 0 percent interest, 100 percent deferred/declining forgivable loan with a term not to exceed two (2) years. All loans must be secured through the use of a mortgage lien recorded on the property for the length of the affordability period. 21. Permanent Liens: (applies only to POR) As a recipient of Federal and State housing rehabilitation funds, I hereby consent to and acknowledge that a lien will be placed against my property assistance shall be provided as a 0 percent interest, deferred/declining loan, with a term not exceeding five (5) years. Eighty five percent (85%) of the loan will decline in equal increments, on an annual basis, over the term of the loan. The remaining 15% will be due should the homeowner(s) vacate the home and or transfer the property to another person(s). CLIENT/CONTRACTOR COMPLAINT PROCEDURE: Communities receiving a Community Housing Improvement Program (CHIP) grant award through the Office of Community Development (OCD) are required to establish and implement a complaint procedure for dis-satisfied CHIP participants and/or awarded contractors, for rehabilitation work performed within the CHIP program requirements. 11

12 HOMEOWNER AFFIDAVIT CLERMONT COUNTY CHIP Dispute Resolution and Conflict Management Process 1. If there is any dispute regarding the scope of work, workmanship or material quality/selection or any other discrepancy, the homeowner must notify the contractor immediately. If the contractor is not on site, the disputed work must stop and the contractor will be notified. Disputed work will not proceed until the issue is resolved. 2. Both the homeowner and contractor shall contact the administrator immediately when/if the dispute is not resolved between the contractor and the homeowner at step #1. 3. The administrator and/or grantee, rehabilitation specialist, contractor and the homeowner shall make a good faith effort to resolve the dispute at this time. If resolved, details of the dispute and resolution must be documented and signed at this time. The documentation will be placed in the client file. 4. If the dispute is not resolved at step #3, the homeowner must submit a written complaint to the grantee within five working days, on the Dispute Resolution Form provided. Note: Disputed work that is necessary for the health and safety of the occupants, sanitary reasons or the protection of the structure and/or property should proceed to the extent necessary to safeguard until the dispute is resolved. 5. Upon receipt of a written complaint, the administrator shall notify the grantee of the dispute. The grantee may attempt local resolution at this point, but in any case, shall require the administrator to respond in writing within 15 working days of receiving the complaint. Local resolution may be, but is not limited to, a review committee comprised of impartial members. Procedures for local resolution methods must be attached to this policy, and described in the grantee s local Policies and Procedures Manual. 6. The homeowner shall provide a statement, in writing, within 15 working days of the grantee s response date either accepting the proposed resolution or requesting mediation. 7. Within 15 working days of the date of the homeowner s response requesting mediation, the grantee and administrator shall provide the homeowner with the option of two dates for mediation.* *The grantee may opt to proceed directly to arbitration. Mediator Responsibilities If the dispute cannot be resolved through negotiations with all parties, it may be submitted to mediation if the grantee chooses. The mediator is responsible for assisting the parties, impartially, in reaching an agreement on the disputed matter within 30 days of receiving the dispute. 12

13 HOMEOWNER AFFIDAVIT CLERMONT COUNTY CHIP The grantee may use the assistance of, but are not limited to, the Ohio Mediation Association to identify a mediator. The Ohio Meditation Association can be reached at P.O. Box 473, Columbus, Ohio, 43216, and can be contacted by telephone at (614) , and by at Arbitrator Responsibilities If the dispute cannot be resolved through negotiations with all parties or through the optional mediation process, the dispute must be submitted to arbitration. The arbitrator is responsible for providing a resolution to the dispute submitted by the applicant within 60 days of receiving the dispute. The administrator may use the assistance of, but are not limited to, the American Arbitration Association. The American Arbitration Association is located at 250 East Fifth Street, Suite 330, Cincinnati, Ohio and can be contacted by telephone at (513) or by fax at (513) For more information regarding the American Arbitration Association, visit THE UNDERSIGNED ACKNOWLEDGES AND AGREES TO THE ABOVE CONDITIONS. ATTEST: Applicant Date Co-Applicant Date i ODSA: Ohio Development Services Agency ii HUD: United States Department of Housing and Urban Development 13

APPLICATION FOR HOME REPAIR AND PRIVATE OWNER REHAB ASSISTANCE

APPLICATION FOR HOME REPAIR AND PRIVATE OWNER REHAB ASSISTANCE I UNDERSTAND THAT: THIS IS AN APPLICATION FOR ASSISTANCE IN UNDERTAKING HOME REPAIRS AND REHABS THROUGH THE FOLLOWING PROGRAMS: KNOX COUNTY CITY OF MOUNT VERNON 100% GRANTS FOR EMERGENCY HOME REPAIR for

More information

Alix Desulme District 4 Council Representative 2015 Single Family Home Beautification Program

Alix Desulme District 4 Council Representative 2015 Single Family Home Beautification Program Councilman Alix Desulme District 4 Council Representative 2015 Single Family Home Beautification Program The City of North Miami 2015 Single Family Home Beautification Program is a repair and rehabilitation

More information

Tooele County HOMEOWNER HOUSING REHAB LOAN APPLICATION

Tooele County HOMEOWNER HOUSING REHAB LOAN APPLICATION ELIGIBILITY Income Eligibility: This program is available to households with a maximum of 80 percent of the median family income for Tooele County. If your household income is greater than the limits,

More information

APPLICATION NUMBER MSC-20 PART I: The following information is optional and is used for statistical purposes only

APPLICATION NUMBER MSC-20 PART I: The following information is optional and is used for statistical purposes only APPLICATION FOR HOME IMPROVEMENT LOAN LEELANAU COUNTY HOUSING REHABILITATION PROGRAM EQUAL HOUSING OPPORTUNITY: BUSINESS CONDUCTED IN ACCORDANCE WITH THE FEDERAL FAIR HOUSING ACT OF 1988 FOR OFFICE USE

More information

Thornton Home Repair Loan Program

Thornton Home Repair Loan Program OVERVIEW Homeowners who live in Thornton may be eligible for a 0% interest rate loan to pay for larger repairs needed on their home. This loan program, offered through the City of Thornton and Brothers

More information

You must submit copies of the following items with your application: (a) Full copy of your 2014 federal income tax statement, if applicable;

You must submit copies of the following items with your application: (a) Full copy of your 2014 federal income tax statement, if applicable; 2015 Dear Applicant: Enclosed are the program guidelines, application, and lead based paint notice for the County s Senior Citizen Owner-Occupied Property Rehabilitation Program. Keep the guidelines and

More information

H O M E FOR HOMEOWNERS IN DISTRICT 3

H O M E FOR HOMEOWNERS IN DISTRICT 3 H O M E R E H A B L O A N P R O G R A M FOR HOMEOWNERS IN DISTRICT 3 Are You Having Problems with Your Plumbing? Do You Need a New Roof? Are Your Windows Old and Seeping Air? How About Other Over Looked

More information

Gloversville Community Development Agency. CDBG Housing Rehabilitation Program

Gloversville Community Development Agency. CDBG Housing Rehabilitation Program Version 10/29/14 Gloversville Community Development Agency CDBG Housing Rehabilitation Program THE PROGRAM ELIGIBLE IMPROVEMENTS The Gloversville Community Development Agency is operating a housing rehabilitation

More information

Enclosed is an application packet for our home repair programs. The maximum grant under this program is $6,000.

Enclosed is an application packet for our home repair programs. The maximum grant under this program is $6,000. Dear Homeowner: Enclosed is an application packet for our home repair programs. The maximum grant under this program is $6,000. Please complete the first three pages of the application, attach required

More information

RESIDENTIAL REHABILITATION PROGRAM

RESIDENTIAL REHABILITATION PROGRAM City of North Lauderdale COMMUNITY DEVELOPMENT DEPARTMENT 701 S.W. 71 st Avenue North Lauderdale, Florida 33068 Telephone: (954) 724-7065 Fax: (954) 720-2064 RESIDENTIAL REHABILITATION PROGRAM If you are

More information

Dear Resident, Sincerely, Neighborhood Services Staff. Rehabilitation Program. Purchase/Workforce Program. Completed Application Form

Dear Resident, Sincerely, Neighborhood Services Staff. Rehabilitation Program. Purchase/Workforce Program. Completed Application Form City of Delray Beach Neighborhood Services Division Dear Resident, Thank you for your interest in the City of Delray Beach Neighborhood Services Programs. We are required to document your eligibility for

More information

Dear Homeowner: Thank you for your interest in The Opportunity Alliance Home Repair Network. The first step is to determine if you pre-qualify.

Dear Homeowner: Thank you for your interest in The Opportunity Alliance Home Repair Network. The first step is to determine if you pre-qualify. Dear Homeowner: Thank you for your interest in The Opportunity Alliance Home Repair Network. The first step is to determine if you pre-qualify. On the subsequent pages, you will find the application for

More information

40 TH YEAR CDBG RESIDENTIAL REHABILITATION PROGRAM

40 TH YEAR CDBG RESIDENTIAL REHABILITATION PROGRAM City of North Lauderdale Community Development Department 701 S.W. 71 st Avenue North Lauderdale, Florida 33068 Telephone: (954) 722-0900 40 TH YEAR CDBG RESIDENTIAL REHABILITATION PROGRAM If you are interested

More information

Dear Homeowner: Enclosed is an application packet for our home repair program. The maximum grant under this program is $6,000.

Dear Homeowner: Enclosed is an application packet for our home repair program. The maximum grant under this program is $6,000. Dear Homeowner: Enclosed is an application packet for our home repair program. The maximum grant under this program is $6,000. Please complete the first three pages of the application, attach required

More information

If eligible, I understand this is a direct assistance loan which is a 0% loan to be paid upon sale or transfer of title.

If eligible, I understand this is a direct assistance loan which is a 0% loan to be paid upon sale or transfer of title. APPLICATION - PART I Hunterdon County Housing Rehabilitation Program reserves the right to verify all information provided in this application ******The County will NOT conduct an eligibility interview

More information

LIVE NEWARK DEPARTMENT OF ECOMONIC AND HOUSING DEVELOPMENT DIVISION OF HOUSING AND REAL ESTATE HOME FACADE PROGRAM (HFP) APPLICATION

LIVE NEWARK DEPARTMENT OF ECOMONIC AND HOUSING DEVELOPMENT DIVISION OF HOUSING AND REAL ESTATE HOME FACADE PROGRAM (HFP) APPLICATION LIVE NEWARK DEPARTMENT OF ECOMONIC AND HOUSING DEVELOPMENT DIVISION OF HOUSING AND REAL ESTATE HOME FACADE PROGRAM (HFP) APPLICATION Please PRINT and complete ALL pages of this application in its entirety

More information

CITY OF VICTORVILLE. APPLICATION Administered by Neighborhood Partnership Housing Services, Inc.

CITY OF VICTORVILLE. APPLICATION Administered by Neighborhood Partnership Housing Services, Inc. CITY OF VICTORVILLE OWNER OCCUPIED HOME REPAIR LOAN APPLICATION Administered by Neighborhood Partnership Housing Services, Inc. Submit completed application and all requested information to: NPHS, Inc.

More information

HOMEOWNER REHABILITATION LOAN

HOMEOWNER REHABILITATION LOAN City of Mobile COMMUNITY & HOUSING DEVELOPMENT DEPARTMENT DEADLINE: Friday, February 27, 2015 at 4:00 p.m. CITYWIDE IV HOMEOWNER REHABILITATION LOAN APPLICATION Please Return the Completed Application

More information

Help for Homes Application

Help for Homes Application Help for Homes is the City of Thornton s minor home repair program. Qualified homeowners are eligible to have minor repairs or rehabilitation performed on their home free of charge. The goal of the Help

More information

CITY OF SHEBOYGAN COMMUNITY DEVELOPMENT BLOCK GRANT OWNER-INVESTOR REHABILITATION LOAN PROGRAM GUIDELINES AND APPLICATION

CITY OF SHEBOYGAN COMMUNITY DEVELOPMENT BLOCK GRANT OWNER-INVESTOR REHABILITATION LOAN PROGRAM GUIDELINES AND APPLICATION CITY OF SHEBOYGAN COMMUNITY DEVELOPMENT BLOCK GRANT OWNER-INVESTOR REHABILITATION LOAN PROGRAM 1 You must be the owner of the property to be rehabilitated. 2 The property must be located in the City of

More information

EMERGENCY REHAB APPLICATION GENERAL INFORMATION

EMERGENCY REHAB APPLICATION GENERAL INFORMATION EMERGENCY REHAB APPLICATION GENERAL INFORMATION 1 The City of Huntington Community Development Block Grant (CDBG) will make available no interest loans that you will have to repay monthly for minor home

More information

Cherokee County HOME Rehabilitation Program Eligibility Criteria

Cherokee County HOME Rehabilitation Program Eligibility Criteria Cherokee County HOME Rehabilitation Program Eligibility Criteria Cherokee County has funds available to provide loans for housing rehabilitation repairs to qualified homeowners. This money can be used

More information

Homeowner Rehabilitation Program Application

Homeowner Rehabilitation Program Application This program is designed to remove potentially dangerous health and/or safety hazards from homes owned by very low income persons as their primary residence. The repairs could also include adding accessibility

More information

DENVER URBAN RENEWAL AUTHORITY HOUSING PROGRAMS SINGLE FAMILY REHABILITATION PROGRAM

DENVER URBAN RENEWAL AUTHORITY HOUSING PROGRAMS SINGLE FAMILY REHABILITATION PROGRAM DENVER URBAN RENEWAL AUTHORITY HOUSING PROGRAMS SPONSORED BY THE CITY AND COUNTY OF DENVER S DEPARTMENT OF HOUSING & NEIGHBORHOOD DEVELOPMENT SERVICES PROGRAM SINGLE FAMILY REHABILITATION PROGRAM The Single

More information

Please contact this office at the numbers listed above should you have any questions about the program, its requirements or procedures.

Please contact this office at the numbers listed above should you have any questions about the program, its requirements or procedures. TOWN OF RIVERHEAD HOUSING PRESERVATION HOME IMPROVEMENT PROGRAM APPLICATION TOWN OF RIVERHEAD COMMUNITY DEVELOPMENT DEPARTMENT 200 Howell Avenue, Riverhead, NY 11901 Tel. (631)727-3200 Ext. 238 Fax (631)

More information

41 W. Lancaster Ave. Downingtown, PA 19335 (610)518-1522. Nancy J. Frame-Executive Director, Housing Partnership of Chester County

41 W. Lancaster Ave. Downingtown, PA 19335 (610)518-1522. Nancy J. Frame-Executive Director, Housing Partnership of Chester County 41 W. Lancaster Ave. Downingtown, PA 19335 (610)518-1522 To: From: Homeowner Nancy J. Frame-Executive Director, Housing Partnership of Chester County RE: HOUSING REHABILITATION PROGRAM APPLICATION Enclosed

More information

NORTH IOWA SINGLE-FAMILY NEW CONSTRUCTION APPLICATION FOR HOME BUYER ASSISTANCE

NORTH IOWA SINGLE-FAMILY NEW CONSTRUCTION APPLICATION FOR HOME BUYER ASSISTANCE NORTH IOWA SINGLE-FAMILY NEW CONSTRUCTION APPLICATION FOR HOME BUYER ASSISTANCE Applicant Name: Social Security Number: Spouse /Co-Householder Name: Social Security Number: Address/City/Zip: Telephone

More information

EMERGENCY REPAIR PROGRAM

EMERGENCY REPAIR PROGRAM City of New Bedford Office of Housing & Community Development 608 Pleasant Street, New Bedford, Massachusetts 02740 Telephone: (508) 979.1500 & (508) 979.1581 Fax: (508) 979.1575 PATRICK J. SULLIVAN DIRECTOR

More information

SOMERSET DISASTER RECOVERY APPLICATION FOR HOMEOWNER ASSISTANCE

SOMERSET DISASTER RECOVERY APPLICATION FOR HOMEOWNER ASSISTANCE SOMERSET DISASTER RECOVERY APPLICATION FOR HOMEOWNER ASSISTANCE Application # Applicant Name: Co-Applicant Name: Property Address: City: Zip Code: Home Phone: Work Phone: Cell Phone: Section 1 - Property

More information

CITY OF LANSING DEVELOPMENT OFFICE 316 N. CAPITOL AVENUE, SUITE D-2, LANSING, MI PHONE: FAX:

CITY OF LANSING DEVELOPMENT OFFICE 316 N. CAPITOL AVENUE, SUITE D-2, LANSING, MI PHONE: FAX: CITY OF LANSING DEVELOPMENT OFFICE 316 N. CAPITOL AVENUE, SUITE D-2, LANSING, MI 48933 PHONE: 517-483-4040 FAX: 517-483-6036 CONTRACTOR APPLICATION Company Name: Type of Contractor: Federal EIN: Submit

More information

Van Buren County Homeowner Rehabilitation Loan Program Pre-Application

Van Buren County Homeowner Rehabilitation Loan Program Pre-Application Van Buren County Homeowner Rehabilitation Loan Program Pre-Application Thank you for inquiring about the Van Buren County homeowner rehabilitation program. Funds for this program come from the Michigan

More information

WAYNE COUNTY/CITY OF GARDEN CITY COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) HOUSING REHABILITATION PROGRAM

WAYNE COUNTY/CITY OF GARDEN CITY COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) HOUSING REHABILITATION PROGRAM WAYNE COUNTY/CITY OF GARDEN CITY COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG) HOUSING REHABILITATION PROGRAM APPLICATION FOR HOUSING REHABILITATION (DEFERRED LOAN LIEN) GENERAL APPLICANT INFORMATION Name:

More information

Grant money available for minor home repairs

Grant money available for minor home repairs FOR IMMEDIATE RELEASE Oct. 1, 2014 Contact: Sandy Lila, Neighborhood Improvement Coordinator slila@nlauderdale.org or 954-597-4745 Grant money available for minor home repairs We all got em. Pesky home

More information

CITY OF ELYRIA OWNER-OCCUPIED CDBG EMERGENCY HOME REPAIR PROGRAM GUIDELINES

CITY OF ELYRIA OWNER-OCCUPIED CDBG EMERGENCY HOME REPAIR PROGRAM GUIDELINES CITY OF ELYRIA OWNER-OCCUPIED CDBG EMERGENCY HOME REPAIR PROGRAM GUIDELINES This program is made possible by the federal Community Block Grant Program. A grant of up to $10,000 is available per owner-occupied

More information

Dear Homeowner, Enclosed are Guidelines and Application for the Middletown Township Home Improvement Program.

Dear Homeowner, Enclosed are Guidelines and Application for the Middletown Township Home Improvement Program. Organized December 14, 1667 Pride in Middletown TOWNSHIP OF MIDDLETOWN Department of Planning and Community Development 3 Penelope Lane Middletown, NJ 07748-2504 Tel: (732) 615-2098 (732) 615-2280 Fax:

More information

TOWN of DANVERS Department of Planning And Human Services

TOWN of DANVERS Department of Planning And Human Services TOWN of DANVERS Department of Planning And Human Services Town Hall One Sylvan Street Danvers, Massachusetts 01970 Tel: 978-777-0001 ext. 3027 Fax: 978-762-0215 FIRST TIME HOMEBUYER DOWN PAYMENT ASSISTANCE

More information

CITY OF KINGSTON COMMUNITY DEVELOPMENT BLOCK GRANT RESIDENTIAL REHABILITATION PROGRAM City Hall 420 Broadway Kingston, NY 12401 (845) 334-3928

CITY OF KINGSTON COMMUNITY DEVELOPMENT BLOCK GRANT RESIDENTIAL REHABILITATION PROGRAM City Hall 420 Broadway Kingston, NY 12401 (845) 334-3928 CITY OF KINGSTON COMMUNITY DEVELOPMENT BLOCK GRANT RESIDENTIAL REHABILITATION PROGRAM City Hall 420 Broadway Kingston, NY 12401 (845) 334-3928 Dear Applicant: Thank you for your interest in the City of

More information

SOMERSET DISASTER RECOVERY APPLICATION FOR BUSINESS ASSISTANCE

SOMERSET DISASTER RECOVERY APPLICATION FOR BUSINESS ASSISTANCE SOMERSET DISASTER RECOVERY APPLICATION FOR BUSINESS ASSISTANCE Application # Applicant Name: Co-Applicant Name: Business Name: Business Address: City: Zip Code: Home Phone: Work Phone: Cell Phone: Section

More information

Housing Rehabilitation Program Preliminary Application City of Arlington 501 W. Sanford Street, Suite 20 Arlington, Texas 76011

Housing Rehabilitation Program Preliminary Application City of Arlington 501 W. Sanford Street, Suite 20 Arlington, Texas 76011 Date of Application (Office Stamp Only) Housing Rehabilitation Program Preliminary Application City of Arlington 501 W. Sanford Street, Suite 20 Arlington, Texas 76011 The information collected below will

More information

CalHome Homeowner Rehabilitation Loan Program Information

CalHome Homeowner Rehabilitation Loan Program Information CalHome Homeowner Rehabilitation Loan Program Information 333 W Ocean Blvd., 3rd Floor Long Beach CA 90802-4430 (562) 570-6949 Fax (562) 570-6215 lbcic.org Thank you for your interest in the Cal-Home Homeowner

More information

CITY OF WESTMINSTER MOBILE HOME GRANT PROGRAM

CITY OF WESTMINSTER MOBILE HOME GRANT PROGRAM CITY OF WESTMINSTER MOBILE HOME GRANT PROGRAM ELIGIBILITY REQUIREMENTS Thank you for your interest in Westminster s Mobile Home Grant Rehabilitation Program. The Mayor and City Council have approved this

More information

Documentation Needed for Rehabilitation Program:

Documentation Needed for Rehabilitation Program: Documentation Needed for Rehabilitation Program: 1. Completed and Signed Home Rehabilitation Application (7 pages) 2. 2 Current Tax Returns (must sign 2 nd page), for everyone over 18 in household with

More information

HOME RENTAL REHABILITATION PROGRAM

HOME RENTAL REHABILITATION PROGRAM HOME RENTAL REHABILITATION PROGRAM The Rental Rehabilitation Program The City of Amsterdam is operating a housing rehabilitation program for rental properties located anywhere within the City limits. Program

More information

Thank you for considering a grant from Homes Are Possible, Inc. (HAPI)!

Thank you for considering a grant from Homes Are Possible, Inc. (HAPI)! Thank you for considering a grant from Homes Are Possible, Inc. (HAPI)! Home rehabilitation work may include but is not limited to: Roof repairs/shingles Siding Windows/Door Plumbing Electrical Foundation

More information

AFFORDABLE HOUSING APPLICATION

AFFORDABLE HOUSING APPLICATION AFFORDABLE HOUSING APPLICATION PLEASE FILL OUT THIS APPLICATION COMPLETELY. ALL BLANKS MUST BE FILLED IN BEFORE THE APPLICATION W I L L B E C O N S I D E R E D C O M P L E T E A N D C A N B E PROCESSED

More information

Program Year 2015 Housing Renovation Grant/Loan Program Application

Program Year 2015 Housing Renovation Grant/Loan Program Application Program Year 2015 Housing Renovation Grant/Loan Program Application Thank you for your interest in the Town of Hamburg s Housing Renovation Program. I am pleased to send along this program application

More information

First-Time Homebuyers Training Assistance Program Application

First-Time Homebuyers Training Assistance Program Application Dear Prospective First Time Home Buyer: Thank you for your recent inquiry regarding the City of Kenner Department of Community Development s First Time Home Buyers Training Assistance Program. The purpose

More information

We will help you get bids from contractors after we have processed your application.

We will help you get bids from contractors after we have processed your application. Dear Homeowner: Thank you for your interest in the Home Exterior Loan Program (HELP). We look forward to assisting you with your home repairs. The HELP guidelines and application are included with this

More information

City of West Allis Housing Rehabilitation Loan Program

City of West Allis Housing Rehabilitation Loan Program City of West Allis Housing Rehabilitation Loan Program Eligible Properties: Eligible Households: Single-family dwellings and duplexes located in West Allis. Households that have a gross annual income not

More information

CITY OF GENEVA COMMUNITY HOUSING IMPROVEMENT PROGRAMS (FY 2013 CHIP)

CITY OF GENEVA COMMUNITY HOUSING IMPROVEMENT PROGRAMS (FY 2013 CHIP) CITY OF GENEVA COMMUNITY HOUSING IMPROVEMENT PROGRAMS (FY 2013 CHIP) PROGRAM SUMMARY COMMUNITY DEVELOPMENT BULLETIN #1 Thank you for your interest in the City of Geneva Community Housing Improvement Program

More information

Homeowner Application for Financial Assistance for the Lead-Based Paint Hazard Control Grant Program MAKING CHICAGO LEAD SAFE CITY

Homeowner Application for Financial Assistance for the Lead-Based Paint Hazard Control Grant Program MAKING CHICAGO LEAD SAFE CITY CITY OF CHICAGO Chicago Department of Public Health Lead Poisoning Prevention and Healthy Homes Program in Partnership with Neighborhood Housing Services Homeowner Application for Financial Assistance

More information

Help for Homes Program

Help for Homes Program The Help for Homes program is the City of Thornton s minor home repair/improvement program. Qualified homeowners are eligible to have minor repairs performed on their home, free of charge. The program

More information

Rural Housing Service Pre-Qualification Worksheet County You Wish To Live In:

Rural Housing Service Pre-Qualification Worksheet County You Wish To Live In: USDA United States Department of Agriculture Rural Housing Service Pre-Qualification Worksheet County You Wish To Live In: APPLICANT INFORMATION CO-APPLICANT INFORMATION Name: Name: Address: Address: City,

More information

Residential Rehabilitation Program Application

Residential Rehabilitation Program Application Thank you for your interest in the City of West Palm Beach s Residential Rehabilitation Program. The Residential Rehabilitation Program is administered by the Department of Housing and Community Development

More information

CITY OF COLORADO SPRINGS HOUSING DEVELOPMENT EMERGENCY REPAIR PROGRAM APPLYING FOR EMERGENCY REPAIR SERVICES:

CITY OF COLORADO SPRINGS HOUSING DEVELOPMENT EMERGENCY REPAIR PROGRAM APPLYING FOR EMERGENCY REPAIR SERVICES: CITY OF COLORADO SPRINGS HOUSING DEVELOPMENT EMERGENCY REPAIR PROGRAM APPLYING FOR EMERGENCY REPAIR SERVICES: Energy Resource Center weatherizes homes for low-income & medium income households. We also

More information

CITY OF LONGVIEW TECHNICAL JOB TRAINING SCHOLARSHIP GRANT APPLICATION INSTRUCTIONS

CITY OF LONGVIEW TECHNICAL JOB TRAINING SCHOLARSHIP GRANT APPLICATION INSTRUCTIONS CITY OF LONGVIEW TECHNICAL JOB TRAINING SCHOLARSHIP GRANT APPLICATION INSTRUCTIONS You are applying for a technical job training scholarship grant from the city of Longview. The grant is federally funded

More information

RENTAL LOAN INFORMATION

RENTAL LOAN INFORMATION RENTAL LOAN INFORMATION BRIEF OBJECTIVE The Rental Loan Program objective is not to revitalize neighborhoods, but to assure an adequate supply of standard housing and affordable rents to low income families.

More information

Town of Plymouth 2016 HOUSING REHAB LOAN APPLICATION

Town of Plymouth 2016 HOUSING REHAB LOAN APPLICATION Town of Plymouth 2016 HOUSING REHAB LOAN APPLICATION Hours: Monday thru Friday 7:30 a.m. - 4:00 p.m. Please return to Office of Community Development 11 Lincoln Street, Plymouth, MA 02360 Hiring Contractors

More information

PENNSYLVANIA HOUSING FINANCE AGENCY Homeownership Programs Division P.O. Box 8029, Harrisburg, PA

PENNSYLVANIA HOUSING FINANCE AGENCY Homeownership Programs Division P.O. Box 8029, Harrisburg, PA Application Package Checklist The following items must be returned to PHFA at the address above within two (2) weeks of receiving the Application Package. 1. Completed Loan Application 2. Signed Borrower

More information

WESTERN DAIRYLAND HOUSING COST REDUCTION INITIATIVE AND NSP/FRESH START APPLICATION

WESTERN DAIRYLAND HOUSING COST REDUCTION INITIATIVE AND NSP/FRESH START APPLICATION WESTERN DAIRYLAND HOUSING COST REDUCTION INITIATIVE AND NSP/FRESH START APPLICATION Social Security No. Applicant(s) (First Name) (Middle Initial) (Last Name) Address_ (Street) (City) (County) (Zip code)

More information

PENN STATE FEDERAL BUSINESS LOAN APPLICATION

PENN STATE FEDERAL BUSINESS LOAN APPLICATION PENN STATE FEDERAL BUSINESS LOAN APPLICATION Date: Branch: Office: BUSINESS LOAN APPLICATION CHECKLIST Please be sure to include all of the following so that we may process your application as quickly

More information

City of Casa Grande Housing Rehabilitation Program

City of Casa Grande Housing Rehabilitation Program City of Casa Grande Housing Rehabilitation Program 510 E. Florence Blvd, Casa Grande, AZ 85122 Telephone: (520) 421-8670; Fax (520) 421-8602, Email: Housing@casagrandeaz.gov TO REHAB APPLICANTS At a later

More information

CITY OF QUINCY MASSACHUSETTS OFFICE OF HOUSING REHABILITATION

CITY OF QUINCY MASSACHUSETTS OFFICE OF HOUSING REHABILITATION CITY OF QUINCY MASSACHUSETTS OFFICE OF HOUSING REHABILITATION 2013 This Program is funded by the Community Development Block Grant (CDBG) and HOME Programs administered by The US Department of Housing

More information

HOUSING REPAIR PROGRAM APPLICATION

HOUSING REPAIR PROGRAM APPLICATION HOUSING REPAIR PROGRAM APPLICATION City of Deerfield Beach Planning and Growth Management Community Development Division 533 South Dixie Highway, Suite 101 Deerfield Beach, Florida 33441 (954) 480-6420

More information

Loan and Line of Credit. Home Equity

Loan and Line of Credit. Home Equity Loan and Line of Credit Home Equity Table of Contents Welcome... 2 Your Most Valuable Asset... 2 Compare Options... 2 Home Equity Loan... 3 Home Equity Line Of Credit... 3 Who Can Get An Equity Loan?...

More information

BUSINESS LOAN APPLICATION

BUSINESS LOAN APPLICATION BUSINESS LOAN APPLICATION SECTION A: TYPE OF CREDIT APPLYING FOR Type of Loan Amount Requested Business Line of Credit Primary Purpose of this Loan(s): Equipment Term Loan - Length: Letter of Credit Commercial

More information

2015 Senior Emergency Safety Grant

2015 Senior Emergency Safety Grant 2015 Senior Emergency Safety Grant The program is designed to address immediate health and safety deficiencies at your home. Final determination of necessary improvements will be made by the Housing Programs

More information

Queset Commons 11 Roosevelt Circle Easton, MA First Come First Serve Rental Application

Queset Commons 11 Roosevelt Circle Easton, MA First Come First Serve Rental Application 11 Roosevelt Circle Easton, MA First Come First Serve Rental Application TO SCHEDULE A SHOWING CONTACT: Jaclyn Cracknell at 508-205-3241. Attached is the information regarding the affordable rental units

More information

City of Odessa Community Development Home of Your Own/Homeownership Assistance Programs

City of Odessa Community Development Home of Your Own/Homeownership Assistance Programs City of Odessa Community Development Home of Your Own/Homeownership Assistance Programs The following items must be submitted with your application before we can proceed with processing. All portions of

More information

VILLAGE REHAB PROGRAM

VILLAGE REHAB PROGRAM I N T E R I O R R E G I O N A L H O U S I N G A U T H O R I T Y 8 2 8 2 7 T H A v e n u e F a i r b a n k s, A l a s k a 9 9 7 0 1 P h o n e : ( 9 0 7 ) 1-8 0 0-4 7 8-4 7 4 2 F a x : ( 9 0 7 ) 4 5 2-8

More information

CITY OF WEST JORDAN Down Payment Assistance Program Application FY 2011-2012 CDBG/HOME Program. Program Information/Requirements

CITY OF WEST JORDAN Down Payment Assistance Program Application FY 2011-2012 CDBG/HOME Program. Program Information/Requirements CITY OF WEST JORDAN Down Payment Assistance Program Application FY 2011-2012 CDBG/HOME Program Program Information/Requirements ELIGIBLE APPLICANTS All applicants must meet income guidelines, debt ratio

More information

Residential Loan Application for Reverse Mortgages

Residential Loan Application for Reverse Mortgages Residential Loan Application for Reverse Mortgages This application is designed to be completed by the applicant(s) with the lender s assistance. Applicants should complete this form as Borrower or Co-Borrower,

More information

Healthy Homes Department Housing Rehabilitation Program County of Alameda Community Development Agency (CDA)

Healthy Homes Department Housing Rehabilitation Program County of Alameda Community Development Agency (CDA) For CDA use only: application first received: Project ID#: Dear Homeowner: With funding and Programs available, NOW is a great time to have those needed home repairs done! Thank you for your interest in

More information

Hallandale Beach Community Redevelopment Agency First Time Homebuyers Program

Hallandale Beach Community Redevelopment Agency First Time Homebuyers Program Hallandale Beach Community Redevelopment Agency First Time Homebuyers Program Program Overview Under the First Time Homebuyer Program, the Hallandale Beach CRA will provide up to $50,000 in assistance

More information

You must own and live in your home for a minimum of 12 months. The property must be located within the Town of Marana incorporated limits

You must own and live in your home for a minimum of 12 months. The property must be located within the Town of Marana incorporated limits Program Requirements You must own and live in your home for a minimum of 12 months The property must be located within the Town of Marana incorporated limits Your income must not exceed the limits listed

More information

Uniform Residential Loan Application

Uniform Residential Loan Application This application is designed to be completed by the applicant(s) with the Lender s assistance. Applicants should complete this form as Borrower or Co-Borrower, as applicable. Co-Borrower information must

More information

2009 Program Year. Mobile Home Rehabilitation Program Application

2009 Program Year. Mobile Home Rehabilitation Program Application 2009 Program Year Mobile Home Rehabilitation Program Application Thank you for your interest in the Town of Hamburg s Mobile Home Rehabilitation Loan Program. I am pleased to send along the attached program

More information

Request for Mortgage Assistance (RMA)

Request for Mortgage Assistance (RMA) Request for Mortgage Assistance (RMA) If you are experiencing a financial hardship and need help, you must complete and submit this form along with other required documentation to be considered for foreclosure

More information

HOMEBASE AFFORDABLE HOMES PROGRAM

HOMEBASE AFFORDABLE HOMES PROGRAM HOMEBASE AFFORDABLE HOMES PROGRAM INCOME ELIGIBILITY APPLICATION Revised April 2013 Please provide ALL applicable information on this form. It will be used to determine your eligibility; HomeBase Income

More information

West Valley City Grants Department Rehabilitation Loan Program Policy & Information Packet

West Valley City Grants Department Rehabilitation Loan Program Policy & Information Packet West Valley City Grants Department Rehabilitation Loan Program Policy & Information Packet Current Revision: 9/09 1 CONTENTS REHABILITATION LOAN PROGRAM (RLP) POLICY: Section I Section II Section III Section

More information

Is Your Home Lead-Safe. For Your Child?

Is Your Home Lead-Safe. For Your Child? Is Your Home Lead-Safe Do you live in an old home and have old windows or peeling paint? If so, we can help! You qualify for help if you meet ALL of the following: You have a child under 6 years old or

More information

Loss Mitigation Pre-Foreclosure Sale Request Instructions & Disclosures

Loss Mitigation Pre-Foreclosure Sale Request Instructions & Disclosures Loss Mitigation Pre-Foreclosure Sale Request Instructions & Disclosures Member Name: Loan Number: If you have received a valid, reasonable, offer to purchase your home prior to a foreclosure and you would

More information

City of Beaumont Owner-Occupied Housing Rehabilitation Program. Application Process

City of Beaumont Owner-Occupied Housing Rehabilitation Program. Application Process City of Beaumont Owner-Occupied Housing Rehabilitation Program Application Process Welcome The City of Beaumont s Owner-Occupied Housing Rehabilitation Program Assistance is available to homeowners who

More information

Homebuyer(s) Property Address 8-30-13 REQUIREMENT DOCUMENT LENDER COMMENTS

Homebuyer(s) Property Address 8-30-13 REQUIREMENT DOCUMENT LENDER COMMENTS Frederick County Department of Housing and Community Development Neighborhood Conservation Initiative (NCI) Program LENDER CHECKLIST for NCI/AG APPLICATION PACKAGE Homebuyer(s) Property Address 8-30-13

More information

Making Home Affordable Program Request For Mortgage Assistance (RMA)

Making Home Affordable Program Request For Mortgage Assistance (RMA) Making Home Affordable Program Request For Mortgage Assistance (RMA) If you are experiencing a financial hardship and need help, you must complete and submit this form along with other required documentation

More information

PREQUALIFICATIONS RESULTS OF THE PREQUALIFICATION ARE UNOFFICIAL AND MAY CHANGE WHEN ALL ESTIMATED INFORMATION IS VERIFIED.

PREQUALIFICATIONS RESULTS OF THE PREQUALIFICATION ARE UNOFFICIAL AND MAY CHANGE WHEN ALL ESTIMATED INFORMATION IS VERIFIED. CENTRAL APPALACHIA EMPOWERMENT ZONE OF WEST VIRGINIA P.O. Box 176 Phone: 304/587-2034 Fax: 304/587-2027 PREQUALIFICATIONS The Prequalification process gives the Central Appalachia Empowerment Zone of WV

More information

COMMERCIAL LOAN APPLICATION

COMMERCIAL LOAN APPLICATION COMMERCIAL LOAN APPLICATION IMPORTANT APPLICANT INFORMATION: Federal law requires financial institutions to obtain sufficient information to verify your identify. You may be asked several questions and

More information

LIABILITIES. Cash on Hand and in Banks $ Outstanding Bills $ Savings Accounts $ Notes Payable to Banks and Others $

LIABILITIES. Cash on Hand and in Banks $ Outstanding Bills $ Savings Accounts $ Notes Payable to Banks and Others $ Small Business Loan Pool Application Page 1 of 5 (Rev. August 2010) Date: 5 AND 10 SMALL B USINESS L OAN F UND ECONOMIC DEVELOPMENT AUTHORITY OF FLOYD COUNTY SECTION I: GENERAL INFORMATION REQUEST FOR

More information

Uniform Residential Loan Application

Uniform Residential Loan Application Uniform Residential Loan Application This application is designed to be completed by the applicant(s) with the Lender s assistance. Applicants should complete this form as Borrower or Co-Borrower, as applicable.

More information

Making Home Affordable Program Request For Mortgage Assistance (RMA)

Making Home Affordable Program Request For Mortgage Assistance (RMA) Making Home Affordable Program Request For Mortgage Assistance (RMA) REQUEST FOR MORTGAGE ASSISTANCE (RMA) page 1 Loan I.D. Number Servicer Borrower s name BORROWER Co-borrower s name CO-BORROWER Social

More information

City of Wichita s HOMEownership 80 Program First-Time Homebuyer Assistance

City of Wichita s HOMEownership 80 Program First-Time Homebuyer Assistance City of Wichita s HOMEownership 80 Program First-Time Homebuyer Assistance The City of Wichita offers a program that assists persons/families with low- to moderate-incomes in buying their first home. First-time

More information

HOUSING AUTHORITY OF THE CHOCTAW NATION OF OKLAHOMA P.O. BOX G Hugo, Oklahoma 74743 Maintenance, Modernization and Rehabilitation Department

HOUSING AUTHORITY OF THE CHOCTAW NATION OF OKLAHOMA P.O. BOX G Hugo, Oklahoma 74743 Maintenance, Modernization and Rehabilitation Department HOUSING AUTHORITY OF THE CHOCTAW NATION OF OKLAHOMA P.O. BOX G Hugo, Oklahoma 74743 Maintenance, Modernization and Rehabilitation Department First Name Middle Name Last Name Mailing Address: Address Line

More information

First Commercial Bank, N.A. Home Equity Credit Application

First Commercial Bank, N.A. Home Equity Credit Application FCB First Commercial Bank, N.A. Home Equity Credit Application Important: Read these directions before completing this application. If you are applying for individual credit in your own name, are not married,

More information

Larimer Home Ownership Program Re-Purchase or Down Payment Assistance for Flood Survivors

Larimer Home Ownership Program Re-Purchase or Down Payment Assistance for Flood Survivors Larimer Home Ownership Program Re-Purchase or Down Payment Assistance for Flood Survivors Application & Information Packet Effective 2014 Larimer County Home Ownership Program Re-purchase or Down Payment

More information

HURRICANE IKE INTAKE APPLICATION

HURRICANE IKE INTAKE APPLICATION HURRICANE IKE INTAKE APPLICATION INSTRUCTIONS FOR APPLICATION STEP 1: Read the instructions for this application and the Frequently Asked Questions (FAQ). They contain important information about documents

More information

HOUSING ASSISTANCE PROGRAMS

HOUSING ASSISTANCE PROGRAMS Marion County Board of County Commissioners Community Services 2631 SE Third St. Ocala, FL 34471 Phone: 352-671-8770 Fax: 352-671-8769 HOUSING ASSISTANCE PROGRAMS LOAN APPLICATION State Housing Initiatives

More information

BUSINESS LOAN APPLICATION

BUSINESS LOAN APPLICATION BUSINESS LOAN APPLICATION New Relationship Existing Relationship Branch: Officer: BUSINESS INFORMATION Business Name Tax I.D. Individual Name(s) Social Security # Date of Birth: Proprietorship Partnership

More information

RENTAL APPLICATION Caldwell Housing Authority 22730 Farmway Road Caldwell, Idaho 83607 (208) 459-2232

RENTAL APPLICATION Caldwell Housing Authority 22730 Farmway Road Caldwell, Idaho 83607 (208) 459-2232 SECTION 1: APPLICANT INFORMATION RENTAL APPLICATION Accessible unit needed: Yes No (mm/dd/yyyy): Applicant Name (first, middle initial, last): Applicant (SSN): Sex: Male Female of Birth (mm/dd/yyyy): Age:

More information

MORTGAGE PRE-APPROVAL

MORTGAGE PRE-APPROVAL MORTGAGE PRE-APPROVAL THE FIRST STEP TO OWNING YOUR OWN HOME Welcome Before you start looking for a home, arm yourself with the knowledge of what you can afford to spend and borrow by obtaining a mortgage

More information

These amounts are set for this area by HUD and are revised periodically.*

These amounts are set for this area by HUD and are revised periodically.* RIVERSIDE HOUSING DEVELOPMENT CORPORATION HOUSING REHABILITATION PROGRAMS The Housing Rehabilitation Programs are intended to serve City of Riverside residents who own their homes, live in their own homes,

More information