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

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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