Neighbor 2 Neighbor * P.O. Box 96 * Aurora, Ohio * Online at

Size: px
Start display at page:

Download "Neighbor 2 Neighbor * P.O. Box 96 * Aurora, Ohio 44202 * 330-548-4170 Online at www.fullercenter.org/northwestportagecounty"

Transcription

1 About Us Neighbor 2 Neighbor, a Covenant Partner of The Fuller Center for Housing, is a Christian organization whose purpose is to improve the housing conditions of lowincome homeowners in the Northwestern Portage County area. We are a volunteer network through which believers in Christ from various church denominations in the Northwestern Portage County area can respond to our neighbors needing home repairs or yard clean-up who are financially not capable of paying someone else to do the work. While our main focus is on making repairs and doing clean-up work, this activity becomes a means of touching lives and helping people see the love of Christ through our good deeds. Our objective is to improve the quality of life of area residents in need of home repairs and services and, by doing so, to foster awareness of community needs and solutions. Our belief is that everyone benefits when all people join together in a common purpose. Who We Help We seek homeowners who are low-income, elderly, disabled, or caring for a disabled family member and unable to do the work themselves. Home improvement applications are accepted year-round. The applicant must be living in the residence, and the deed must be in the applicant s name. How We Serve Neighbor 2 Neighbor is 100% volunteer we have no paid staff. Our organization is comprised of the following committees: Volunteer Coordination Family Selection Administration Resource Development Construction Finance Our function is to coordinate the skills of many volunteers for the benefit of the folks we serve. Home improvements can take place from the ground up to the roof and everywhere in between. Typical projects include refurbishing roofs, installing or rebuilding plumbing, renovating porches and steps, installing wheel chair ramps, installing insulation and weatherizing homes. Repairs of a purely cosmetic nature will not be eligible. We strive both to improve the lives of the homeowner and to provide a rewarding and meaningful community service experience for our volunteers. From critical home repair to energy conservation and modifications, Neighbor 2 Neighbor s administrative stand volunteers work together to provide cost-effective solutions to improve communities and to keep our neighbors safe in their homes.

2 Need Help? Service Area: Throughout the Northwestern Portage County area. Eligibility: 1. Applicants must own and live in their own home and have neither the resources nor the ability to do the work themselves. 2. Applicants must meet income eligibility guidelines and provide documentation of total household income for all persons living in the home. Proof: Eligibility is established through providing Neighbor 2 Neighbor with the documents listed below. We require copies of all of these documents to be sent with your application for program consideration: 1. proof of home ownership, 2. a copy of your most current mortgage payment coupon or statement showing loan balance, 3. a copy of your most recent Income Tax Return and W-2 Form(s). PROOF OF ELIGIBILITY MUST BE PROVIDED WITH YOUR APPLICATION TO BE CONSIDERED FOR THE PROGRAM. Neighbor 2 Neighbor programs and services are intended for recipients who are homeowners and earn below 50% of the Area Median Income based upon the 2015 HUD Income Guidelines. Special circumstances will allow us to be flexible with these income guidelines Income Limits Family of $23,000 26,300 29,600 32,850 35,500 Or, if you are not employed and not required to file an income tax return, you may provide: Benefit statements if you receive SSI, Social Security, pension(s), retirement, VA benefits, welfare or other fixed income.

3 What does this cost? When able, homeowners work hand-inhand with volunteers to build or renovate their homes, which they then pay for on terms they can afford, with no interest charged or profit made. The costs are determined by the materials alone our labor is free. This is charity with dignity and a building program that creates decent homes, restores neighborhoods and revitalizes communities. The homeowner is expected to pay for or provide the materials for the renovation efforts that are completed by Neighbor 2 Neighbor. A recipient who is unable to pay or provide for the materials may qualify for the Fuller Center for Housing Greater Blessing Box Program. This program gives recipients the opportunity to repay the costs of material repairs over time on terms they can afford, without a loan agreement. Re-donation payments, which are made monthly, provide the beneficiary the opportunity of receiving the greater blessing of giving their gift forward, not just receiving. An application does not guarantee acceptance into the program, it just starts the process for consideration. How Do I Get Selected? The Family Selection Committee determines which sites will be chosen based upon the number of applications in process, the needs of the homeowner, our ability to acquire the materials, our volunteers ability to complete the required repairs, and the applicant s willingness to participate in the program. What Kind of Repairs Are Done? General clean-up, painting, plumbing, electrical, landscaping, fencing, cabinetry, flooring, carpentry, accessibility modifications and other repairsbased on the trade skills available at the time of the renovation. The amount and type of work completed on each site is different and is determined by the Construction Committee. Please understand that we may not be able to address all repairs that you would like to have done in your home. Please call our office and leave a message if you have any questions.

4 Greater Blessing Box Application Return completed application and all requested documents to: Neighbor 2 Neighbor P. O. Box 96 Aurora, Ohio We are pledged to the letter and spirit of U.S. policy for the achievement of equal housing opportunity throughout the nation. We encourage and support an affirmative advertising and marketing program in which there are no barriers to obtaining housing because of race, color, religion, sex, handicap, marital status, or national origin. To help the government fight the funding of terrorism and money laundering activities, Federal law requires us to obtain, verify, and record information that identifies each person who applies for financial services from The Fuller Center for Housing. We will ask for your name, address and other information that will allow us to identify you. We may also ask to see your driver s license or other identifying documents. We need you to complete this application to determine need for your repair project. Please fill out the application as completely as possible and attach any documents that are requested. Incomplete applications will not be considered until all requested documentation has been submitted to Neighbor 2 Neighbor. All information on this application will be kept strictly confidential. 1. APPLICANT/CO-APPLICANT INFORMATION Applicant's Name Co-Applicant's Name Date of Birth Age Date of Birth Age Home Phone Best Time To Reach Home Phone Best Time To Reach Work Phone Best Time To Reach Work Phone Best Time To Reach Married Separated Unmarried (single, divorced, widowed) Married Separated Unmarried (single, divorced, widowed) Dependents and Others that live with you (not listed by co-applicant) Name Age Male/Female Dependents and Others that live with you (not listed by applicant) Name Age Male/Female Home Address (street, city, state, zip code) Home Address (street, city, state, zip code) Number of Years ( ) Year Purchased ( ) Number of Years ( ) Year Purchased ( ) Please describe the repairs needed in this box.

5 Please include proof of monthly income and expenses for any items below: Do you have homeowners insurance? Yes No If so, please list your homeowner s insurance company name Please list your homeowner s insurance policy number 2.. MONTHLY INCOME AND COMBINED MONTHLY BILLS Gross Monthly Income Applicant Co-Applicant Others in Household Monthly Bills Monthly Amounts Base Employment Income* $ $ $ Rent/Mortgage $ AFDC/TANF Food Stamps Social Security SSI Disability Alimony Child Support Other (specify) Utilities Car Payments Insurance Child Care School Lunches Credit Card Payment Student Loans Alimony/Child Support TOTAL $ $ $ TOTAL $ 3. AUTHORIZATION AND RELEASE I understand that by filing this application, I am authorizing The Fuller Center of NW Portage County Neighbor 2 Neighbor to evaluate my actual need for repairs to my home. I own my home and it is my intent to live in that home for at least the next 5 years and my willingness to be a partner family. I understand that the evaluation will include personal visits. I have answered all the questions on this application truthfully. I understand that if I have not answered the questions truthfully, my application may be denied. By signing you further agree to allow The Fuller Center of NW Portage County - Neighbor 2 Neighbor to use the fact that your home is being repaired and photographs, videos and other media may be taken and used to promote The Fuller Center mission. The original or a copy of this application will be retained by The Fuller Center of NW Portage County - Neighbor 2 Neighbor even if the application is not approved. Under the Privacy Act, all personal information provided to The Fuller Center of NW Portage County - Neighbor 2 Neighbor is on a voluntary basis, and that information provided will be protected to the extent permitted by the Privacy Act. Voluntarily submitting information constitutes your consent for The Fuller Center of NW Portage County - Neighbor 2 Neighbor to use the information for the purpose stated and indicates to us you are aware of The Fuller Center of NW Portage County - Neighbor 2 Neighbor s Privacy Policy provisions. Applicant Signature Date Co-Applicant Signature Date x x Date Application Received Date of Home Visit for Assessment of Repairs More Information Requested: Yes No Date Sent to Board Date Denial Letter Sent Date Greater Blessing Box Homeowner Agreement and Release Waiver Accepted Denied Signed

Critical Home Repair Application Process

Critical Home Repair Application Process Critical Home Repair Application Process The Critical Home Repair (CHR) Program is a home preservation program that provides needed interior and exterior repairs for low-income homeowners, so that they

More information

Habitat Nassau Application for Super-storm Sandy Home Repairs

Habitat Nassau Application for Super-storm Sandy Home Repairs Habitat Nassau Application for Super-storm Sandy Home Repairs PLEASE READ CAREFULLY BEFORE COMPLETING THE APPLICATION Habitat for Humanity of Nassau County, NY Inc will help low to moderate income homeowners

More information

GUIDELINES FOR ACCEPTANCE IN THE HABITAT FOR HUMANITY OF PULASKI COUNTY PROGRAM

GUIDELINES FOR ACCEPTANCE IN THE HABITAT FOR HUMANITY OF PULASKI COUNTY PROGRAM GUIDELINES FOR ACCEPTANCE IN THE HABITAT FOR HUMANITY OF PULASKI COUNTY PROGRAM 6700 S. University Ave. Little Rock, AR 72209 501.376.4434 Apply for a Home 1. You will be considered for a Habitat home

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

Senior Home Repair Program Application

Senior Home Repair Program Application Senior Home Repair Program Application HIT (Home Is The) Foundation To qualify, you must: Be age 60 or over Be a resident of Preble County Own your home Meet 50% AMI (area median income) guidelines* *(see

More information

SECTION 1 - Homeowner Information

SECTION 1 - Homeowner Information For Office Use Only Mail completed form to: North Shore Habitat for Humanity: A Brush With Kindness 215 Maple Street Lynn, MA 01904 Date Received Date to Board: Board Approval: A Brush With Kindness is

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

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

Dear Potential Applicant,

Dear Potential Applicant, Dear Potential Applicant, Thank you for your interest in Habitat for Humanity s Homeownership program. We are now accepting applications for one home in Belle Glade and one home in Pahokee. Please complete

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

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

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

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

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 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 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

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

HOMEOWNER REHABILITATION

HOMEOWNER REHABILITATION Department of Community Development P.O. Box 550 Brunswick, GA 31521 (912)267 5530 www.brunswick ga.gov HOMEOWNER REHABILITATION ASSISTANCE PROGRAM (CHIP) Community HOME Investment Program The intent of

More information

Home Repair Program. Section 1: Homeowner Information. Section 2: Special Needs. 2015 Homeowner Application

Home Repair Program. Section 1: Homeowner Information. Section 2: Special Needs. 2015 Homeowner Application Home Repair Program 2015 Homeowner Application **Applications are considered year round.** Rebuilding Together Muscatine County is a non-profit, volunteer organization that helps low-income homeowners

More information

Emergency Home Repair Program 2011-2012 Guidelines and Application

Emergency Home Repair Program 2011-2012 Guidelines and Application 609 29th St., P.O. Box 5097, Vienna, WV 26105 304.295.4541 Emergency Home Repair Program 2011-2012 Guidelines and Application Please address inquiries to: City of Vienna Emergency Home Repair Program P.O.

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

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

credit check, sex-offender database check and criminal background check . Incomplete applications will not be processed

credit check, sex-offender database check and criminal background check . Incomplete applications will not be processed Dear Applicant, Habitat for Humanity is a Christian housing ministry financed through grants, private donations, Habitat Minnesota, businesses and volunteer labor. Our purpose is to build homes with families

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

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

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

APPLICATION FOR FREE HOME REPAIRS DEADLINE EXTENDED!! Deadline: December 1 st

APPLICATION FOR FREE HOME REPAIRS DEADLINE EXTENDED!! Deadline: December 1 st P.O. Box 641250 Chicago, IL 60664-1250 312.201.1188 www.rebuildingtogether-chi.com APPLICATION FOR FREE HOME REPAIRS DEADLINE EXTENDED!! Deadline: December 1 st Dear Homeowner: Applications for free home

More information

Mail completed form to: A Brush With Kindness Habitat for Humanity in Monmouth County 935 Highway 34, Suite 3B Matawan, NJ 07747

Mail completed form to: A Brush With Kindness Habitat for Humanity in Monmouth County 935 Highway 34, Suite 3B Matawan, NJ 07747 SECTION ONE Homeowner Information Legal Name of Homeowner: SSN: Date of birth: Legal Name of Co Homeowner: Date of birth: SSN: Mail completed form to: A Brush With Kindness Habitat for Humanity in Monmouth

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

Home Equity Line of Credit Application

Home Equity Line of Credit Application Applicant s Name 322 East Main Avenue Bismarck, ND 58501 (701) 250-3000 Lender Please tell us about yourself and co-applicant, if applicable Co-Applicant s Name Home Equity Line of Credit Application Home

More information

Application For Housing Rehabilitation Assistance Stellar Communities Program

Application For Housing Rehabilitation Assistance Stellar Communities Program Application For Housing Rehabilitation Assistance Stellar Communities Program Forgivable Loans Northeast Indiana Housing Partnership, Inc. 217 Fairview Boulevard Kendallville, IN 46755 (260) 347-4714 (260)

More information

LOAN APPLICATION PACKAGE Please take a moment to review these instructions for completing this application.

LOAN APPLICATION PACKAGE Please take a moment to review these instructions for completing this application. LOAN APPLICATION PACKAGE Please take a moment to review these instructions for completing this application. To ensure that your loan will be processed in a timely manner, be sure to submit all the required

More information

Helping Hand Assistance Program Application Form & Requirements

Helping Hand Assistance Program Application Form & Requirements 1 Helping Hand Assistance Program Application Form & Requirements The Tomorrow s Home Foundation program is designed to assist low-income mobile and manufactured homeowners who need critical repairs to

More information

Homeowner Rehab Checklist

Homeowner Rehab Checklist Ohkay Owingeh Housing Authority 220 Popay Ave. P.O. Box 1059 Ohkay Owingeh, NM 87566 (505)852-0189 Office (505) 852-9801 Fax Homeowner Rehab Checklist Name: Date: Please submit/sign the following items

More information

HOMEOWNER APPLICATION National Rebuilding Day 2016

HOMEOWNER APPLICATION National Rebuilding Day 2016 HOMEOWNER APPLICATION National Rebuilding Day 2016 Homeowner(s) name & address: Home phone: Cell or work phone: Email: Date of Birth: Co-applicant s date of birth: Secondary/Emergency contact (family member

More information

Georgia Lions Lighthouse Foundation Better vision. Better hearing. Better Georgia.

Georgia Lions Lighthouse Foundation Better vision. Better hearing. Better Georgia. Georgia Lions Lighthouse Foundation Better vision. Better hearing. Better Georgia. Thank you for contacting the Georgia Lions Lighthouse Foundation Hearing Program for hearing aid assistance. The Lighthouse

More information

RICE COUNTY ENVIRONMENTAL SERVICES RICE COUNTY SUBSURFACE SEWAGE TREATMENT SYSTEM LOW INCOME FIXUP GRANT PROGRAM

RICE COUNTY ENVIRONMENTAL SERVICES RICE COUNTY SUBSURFACE SEWAGE TREATMENT SYSTEM LOW INCOME FIXUP GRANT PROGRAM (507) 332-6113 RICE COUNTY ENVIRONMENTAL SERVICES 320 Northwest Third Street Suite 9 Faribault, Minnesota 55021-6145 Toll free from Northfield (507) 645-9576 Toll free from Lonsdale (507) 744-5185 TDD

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

MANUFACTURED HOME REPAIR LOAN PROGRAM

MANUFACTURED HOME REPAIR LOAN PROGRAM MANUFACTURED HOME REPAIR LOAN PROGRAM The Habitat for Humanity of Greater Los Angeles (Habitat LA) Manufactured Home Repair Loan Program helps low-income manufactured homeowners make needed home repairs.

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

CITY OF SOLEDAD FIRST-TIME HOMEBUYER ASSISTANCE PROGRAM FIRST MORTGAGE LENDER INSTRUCTIONS 248 MAIN STREET, SOLEDAD CA 93960

CITY OF SOLEDAD FIRST-TIME HOMEBUYER ASSISTANCE PROGRAM FIRST MORTGAGE LENDER INSTRUCTIONS 248 MAIN STREET, SOLEDAD CA 93960 FIRST MORTGAGE LENDER INSTRUCTIONS Maximum Home Sales Price Home sale prices cannot exceed 95% of the area median home value for Soledad (see Table 1: Maximum Purchase Price per Unit). Maximum Loan-to-Value

More information

Lee County Central Point of Coordination Application Return Application Requested By: HIPPA Yes NO. Date of Application: / / Phone: #( )- -

Lee County Central Point of Coordination Application Return Application Requested By: HIPPA Yes NO. Date of Application: / / Phone: #( )- - Lee County Central Point of Coordination Application Return Application Requested By:_ HIPPA Yes NO Date of Application: / /Phone: #()-- Name of Applicant: Last First M.I. Current Address: City State Zip

More information

COMMUNITY DEVELOPMENT BLOCK GRANT DISASTER RECOVERY (CDBG-DR) RESIDENTIAL RESILIENCE PROGRAM APPLICATION

COMMUNITY DEVELOPMENT BLOCK GRANT DISASTER RECOVERY (CDBG-DR) RESIDENTIAL RESILIENCE PROGRAM APPLICATION Cook County Bureau of Economic Development Department of Planning and Development 69 West Washington Street, Suite 2900 Chicago, Illinois 60602 (312)603-1000 COMMUNITY DEVELOPMENT BLOCK GRANT DISASTER

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

Application for Free Home Repairs

Application for Free Home Repairs Application for Free Home Repairs Name of Homeowner: Date of Birth: Gender Male Female Is this a female headed household? Is this a grandparent headed household? Street Address: City: County: Zip Marital

More information

Our Mission. Promoting Independence by Providing Car Care

Our Mission. Promoting Independence by Providing Car Care Check List Douglas County Residents Only Our Mission Promoting Independence by Providing Car Care Please Submit the Following: FOR ALL APPLICANTS Fill out application completely and sign Sign the attached

More information

Department of Elder Affairs Emergency Home Energy Assistance for the Elderly Program (EHEAP) Application Instructions Revised April 2014

Department of Elder Affairs Emergency Home Energy Assistance for the Elderly Program (EHEAP) Application Instructions Revised April 2014 Department of Elder Affairs Emergency Home Energy Assistance for the Elderly Program (EHEAP) Application Instructions Revised April 2014 APPLICANT S CIRTS DATA The top section of the front/first page is

More information

Bridge Closing Cost Assistance Loan Program Application

Bridge Closing Cost Assistance Loan Program Application Bridge Closing Cost Assistance Loan Program Application Congratulations on taking the steps towards Bridging" the Gap to Sustainable Homeownership. NPHS, through its partnership with the High Desert Association

More information

APPLICATION FOR FREE HOME REPAIRS

APPLICATION FOR FREE HOME REPAIRS APPLICATION FOR FREE HOME REPAIRS P.O. Box 641250 Chicago, IL 60664-1250 312.201.1188 fax 312.977.3805 www.rebuildingtogether-chi.com This application is the first step of the Rebuilding Together Metro

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

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

GCHFH HOME REPAIR PROGRAM

GCHFH HOME REPAIR PROGRAM GCHFH HOME REPAIR PROGRAM The Genesee County Habitat for Humanity (GCHFH) Home Repair Program helps low-income homeowners alleviate health and safety issues in and around their home. Homeowners pay for

More information

Rialto Housing Authority Mortgage Assistance Program Application

Rialto Housing Authority Mortgage Assistance Program Application Rialto Housing Authority Mortgage Assistance Program Application Congratulations on taking steps towards homeownership. The Rialto Housing Authority, through its Mortgage Assistance Program, offers up

More information

APPLICATION FOR HOUSING REHABILITATION ASSISTANCE

APPLICATION FOR HOUSING REHABILITATION ASSISTANCE City of St. Petersburg HOUSING & COMMUNITY DEVELOPMENT DEPARTMENT (727) 893-7247 One Fourth Street North, Ninth Floor Municipal Services Building St. Petersburg, Florida 33701 COMPLETION OF THIS APPLICATION

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

Building Up Business Loan Program Overview

Building Up Business Loan Program Overview Building Up Business Loan Program Overview The Building Up Business Loan Program is sponsored and administered by Wheat Ridge 2020, Inc., with the goal of improving the economic vitality and appearance

More information

EXPERIMENT IN SELF-RELIANCE, INC. 1550 University Court PO BOX 135 WINSTON-SALEM, NC 27101

EXPERIMENT IN SELF-RELIANCE, INC. 1550 University Court PO BOX 135 WINSTON-SALEM, NC 27101 EXPERIMENT IN SELF-RELIANCE, INC. 1550 University Court PO BOX 135 WINSTON-SALEM, NC 27101 Dear Applicant, We are pleased and excited that you have inquired about the New Century IDA home ownership program.

More information

Submitting an application to Rebuilding Together Tulsa does not guarantee that repairs will be made to your home.

Submitting an application to Rebuilding Together Tulsa does not guarantee that repairs will be made to your home. REBUILDING TOGETHER TULSA 2012-2013 Application for Repairs APPLICANT CRITERIA Location: Home must be located within Tulsa City Limits Ownership: House must be in applicant s name (we do not assist rental

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

HUTCHINSON HEALTH FINANCIAL ASSISTANCE PROGRAM

HUTCHINSON HEALTH FINANCIAL ASSISTANCE PROGRAM HUTCHINSON FINANCIAL ASSISTANCE PROGRAM Thank you for your interest in Health s Financial Assistance Program. We strive to provide quality, affordable care for all of our patients and are committed to

More information

SUBJECT: CHARITY AND UNCOMPENSATED CARE 1 of 13 DEPARTMENT: BUSINESS OFFICE REVISED: 10/2012

SUBJECT: CHARITY AND UNCOMPENSATED CARE 1 of 13 DEPARTMENT: BUSINESS OFFICE REVISED: 10/2012 REFERENCE # SUBJECT: CHARITY AND UNCOMPENSATED CARE 1 of 13 DEPARTMENT: BUSINESS OFFICE REVISED: 10/2012 CHARITY AND UNCOMPENSATED CARE Purpose To provide definition of health care assistance to eligible

More information

Orlando Housing Authority

Orlando Housing Authority Orlando Housing Authority Orlando Housing Authority Primary Business Address Your Address Line 2 Your Address Line 3 Your Address Line 4 Phone: 555-555-5555 Fax: 555-555-5555 E-mail: someone@example.com

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

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

NEW JERSEY HOME ENERGY PROGRAMS. Home Energy Assistance Universal Service Fund Weatherization Assistance

NEW JERSEY HOME ENERGY PROGRAMS. Home Energy Assistance Universal Service Fund Weatherization Assistance NEW JERSEY HOME ENERGY PROGRAMS Home Energy Assistance Universal Service Fund Weatherization Assistance Home Energy Assistance (HEA)/Universal Service Fund (USF) and Weatherization Application Home Energy

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

City of Victorville Mortgage Assistance Program Application (80% AMI)

City of Victorville Mortgage Assistance Program Application (80% AMI) City of Victorville Mortgage Assistance Program Application (80% AMI) Congratulations on taking steps towards homeownership. The City of Victorville, through its Mortgage Assistance Program, offers up

More information

Application For Township Assistance

Application For Township Assistance Application For Township Assistance Phone Number Application Date Application Time AM Case Number ( ) - : PM Area ### #### MM DD YY HH MM (total ) office use only Applicant s Full Name Male Female # Last

More information

AC for Seniors/Cool Down St. Louis- Jefferson County Air Conditioner Application

AC for Seniors/Cool Down St. Louis- Jefferson County Air Conditioner Application Dear Homeowner, AC for Seniors/Cool Down St. Louis- Jefferson County Air Conditioner Application 3875 Plass Road, Bldg. A Phone: Dennis Murphy 636-465-0983 x106 Phone: Tom Rojas 636-465-0983 x112 Fax:

More information

Name Date of Birth (Last) (First) (Middle initial) Address City. State Zip County Drivers Lic/ID. Home Telephone Cell Work.

Name Date of Birth (Last) (First) (Middle initial) Address City. State Zip County Drivers Lic/ID. Home Telephone Cell Work. Christian Community Action 200 S. Mill Street, Lewisville, TX 75057 972-436-HELP www.ccahelps.org Please Print Name as it appears on picture ID. Today s Date Name Date of Birth (Last) (First) (Middle initial)

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

Overview. Our Programs» Strengthening Norfolk s Neighborhoods. One person, one home, one dream at a time.

Overview. Our Programs» Strengthening Norfolk s Neighborhoods. One person, one home, one dream at a time. Overview HomeNet, a component of the Norfolk Redevelopment and Housing Authority (NRHA) is a full-service homeownership center who partners with local lending institutions, attorneys, housing developers,

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

NEW JERSEY HOME ENERGY PROGRAMS. Home Energy Assistance Universal Service Fund Weatherization Assistance

NEW JERSEY HOME ENERGY PROGRAMS. Home Energy Assistance Universal Service Fund Weatherization Assistance NEW JERSEY HOME ENERGY PROGRAMS Home Energy Assistance Universal Service Fund Weatherization Assistance Home Energy Assistance (HEA)/Universal Service Fund (USF) and Weatherization Application Home Energy

More information

City of Alameda First-Time Homebuyer Program

City of Alameda First-Time Homebuyer Program - City of Alameda First-Time Homebuyer Program Down Payment Assistance Loan for Low to Moderate Income Households The City of Alameda is now accepting applications for its down payment assistance loan.

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

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

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

Dare to Dream of Owning your Own Home

Dare to Dream of Owning your Own Home Office and ReStore Location 1520 South Shaver Street Pasadena, Texas 77502 713-472-0997 Dare to Dream of Owning your Own Home Homeowner Letter of Interest Habitat for Humanity Pasadena, Texas online version

More information

FREE CARE APPLICATION ATTACHMENT

FREE CARE APPLICATION ATTACHMENT FREE CARE APPLICATION ATTACHMENT PLEASE REMEMBER THIS IS NOT AN INSURANCE PLAN IT IS A CHARITABLE CARE PROGRAM AND THERE IS NO ESTABLISHED FUND. THERE IS NO MONEY EXCHANGED FOR SERVICES BY ANY CMC PHYSICIAN/PRACTICE.

More information

Name Date. Address Phone. Household Size (City) (State) (Zip) How long have you lived in Louisa County? Where did you live before? How long?

Name Date. Address Phone. Household Size (City) (State) (Zip) How long have you lived in Louisa County? Where did you live before? How long? 1 LOUISA COUNTY COMMUNITY SERVICES 117 S. Main St., PO Box 294 Wapello, Iowa 52653 General Assistance Application Phone 319-523-5125 Name Date Address Phone (Street) (P.O. Box) Household Size (City) (State)

More information

AFFORDABLE RENTAL OPPORTUNITY Eastham, MA 3 Bedroom-Single Family Home COMPLETE APPLICATION DUE: FEBRUARY 16 TH, 3:00 PM

AFFORDABLE RENTAL OPPORTUNITY Eastham, MA 3 Bedroom-Single Family Home COMPLETE APPLICATION DUE: FEBRUARY 16 TH, 3:00 PM AFFORDABLE RENTAL OPPORTUNITY Eastham, MA 3 Bedroom-Single Family Home COMPLETE APPLICATION DUE: FEBRUARY 16 TH, 3:00 PM Be sure to read the directions for completing the application very carefully! Do

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

NEIGHBORHOOD STABILIZATION PROGRAM (NSP) APPLICATION FOR NSP LOAN. Program Guidelines

NEIGHBORHOOD STABILIZATION PROGRAM (NSP) APPLICATION FOR NSP LOAN. Program Guidelines APPLICATION FOR NSP LOAN Income limits per household Program Guidelines Maximum Income 1 48,150 2 55,000 3 61,900 4 68,750 5 74,250 6 79,750 7 85,250 8 90,750 Homebuyer Requirements Home Education Minimum

More information

Gaston County Family YMCA

Gaston County Family YMCA Thank you for your interest in the. A Scholarship application is attached. Please complete this entire form, and carefully note the documentation requirements when preparing your application. (Applications

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

Transportation Assistance Program Verification Checklist

Transportation Assistance Program Verification Checklist Please submit the following to the 2 nd floor reception desk at the Blaine Human Services Center, or via fax, or mail (see fax/address at bottom of the page): Car Repair, Insurance, or Vehicle Registration

More information

333 Sheridan Avenue, Albany, New York 12206 Tel. 518-463-3175 Fax 518-432-4465 www.albanycap.org

333 Sheridan Avenue, Albany, New York 12206 Tel. 518-463-3175 Fax 518-432-4465 www.albanycap.org 333 Sheridan Avenue, Albany, New York 12206 Tel. 518-463-3175 Fax 518-432-4465 www.albanycap.org Dear Albany County Resident: Thank you for your inquiry about the Weatherization Assistance Program. Attached

More information

DOES YOUR HOME NEED REPAIRS OR IMPROVEMENTS?

DOES YOUR HOME NEED REPAIRS OR IMPROVEMENTS? DOES YOUR HOME NEED REPAIRS IMPROVEMENTS? The Community Action Center (CAC) Housing Improvement Program may be able to provide you with affordable home repair and improvement financing. WHAT IS IT? The

More information

For More Information about our Homeownership Program, Please Contact:

For More Information about our Homeownership Program, Please Contact: Homeownership with Habitat for Humanity Las Vegas is a partnership. Families must demonstrate need, qualify financially, be willing to do sweat equity as Habitat volunteers and complete homeownership training

More information

Housing Assistance Programs

Housing Assistance Programs Housing Assistance Programs The Housing Division does not offer repair assistance. To help individuals obtain compliance with their housing code orders we have compiled a list of Housing Assistance Programs.

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

Weatherization & Home Repair Programs Benefits and Standards of Eligibility

Weatherization & Home Repair Programs Benefits and Standards of Eligibility Weatherization & Home Repair Programs s and Standards of Binghamton, NY 13902-1766 Phone (607) 778-2411, Fax (607) 778-2316 e-mail: ofa@co.broome.ny.us www.gobroomecounty.com/senior Updated: February 2014

More information

Weatherization & Home Repair Programs Benefits and Standards of Eligibility

Weatherization & Home Repair Programs Benefits and Standards of Eligibility Weatherization & Home Repair Programs s and Standards of Binghamton, NY 13902-1766 Phone (607) 778-2411, Fax (607) 778-2316 e-mail: ofa@co.broome.ny.us www.gobroomecounty.com/senior Updated: January 2015

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

AFFORDABLE HOUSING HOMEOWNERSHIP APPLICATION CHECKLIST

AFFORDABLE HOUSING HOMEOWNERSHIP APPLICATION CHECKLIST AFFORDABLE HOUSING HOMEOWNERSHIP APPLICATION CHECKLIST Return checklist indicating ALL applicable information included with application 1. HOMEBUYER INFORMATION WORKSHEET 2. BORROWER SIGNATURE AUTHORIZATION

More information

SENIOR CITIZEN HOMEOWNERS (SCHE) PROPERTY TAX EXEMPTION APPLICATION

SENIOR CITIZEN HOMEOWNERS (SCHE) PROPERTY TAX EXEMPTION APPLICATION FINANCE NEW YORK THE CITY OF NEW YORK DEPARTMENT OF FINANCE NEW YORK CITY DEPARTMENT OF FINANCE SENIOR CITIZEN HOMEOWNERS (SCHE) PROPERTY TAX EXEMPTION APPLICATION (A partial real estate tax exemption

More information

Swiss American Hotel 534 Broadway Street, San Francisco, CA 94133 Phone (415) 397-4338 Fax (415) 397-4334

Swiss American Hotel 534 Broadway Street, San Francisco, CA 94133 Phone (415) 397-4338 Fax (415) 397-4334 Swiss American Hotel 534 Broadway Street, San Francisco, CA 94133 Phone (415) 397-4338 Fax (415) 397-4334 An Affordable Housing Community Professionally Managed by Chinatown Community Development Center

More information

SWNCBC OOR Program Guidelines 1

SWNCBC OOR Program Guidelines 1 Southwest Nebraska Community Betterment Corporation (SWNCBC) Owner Occupied Rehabilitation Program Guidelines Amended January 20, 2011 PURPOSE : To promote safe, affordable and appropriate housing in the

More information

Mortgage Loan Application Package

Mortgage Loan Application Package Mortgage Loan Application Package REFINANCING ONLY Section 1: Application documents For loans to refinance a residential property, the following is required to be obtained with the application: Residential

More information