REVISED 1-13
C:\Users\Kris2192\Documents\HSGFORMS\Rehab Application.wpd
HOUSING REHABILITATION PROGRAM
PROGRAM DESCRIPTION AND LOAN/GRANT APPLICATION
The City of Orem is an Equal Housing Opportunity Lender.
The Orem Housing Rehabilitation Program has been established to provide decent, safe, and sanitary housing through rehabilitation and emergency repair on existing structures. The program benefits owner-occupied residents who fall into low and moderate income categories. Income guidelines are established by the United States Department of Housing and Urban Development.
LOAN PROGRAM APPLICANT ELIGIBILITY
To be eligible for the housing rehabilitation program, the qualifications are as follows:
' City of Orem Resident
' Own and reside in a single-family unit (Single-family units include homes, condominiums, and town homes. The unit must be recorded in your name only. No relative, friend, or other entity may share ownership of the home.)
' M ust meet the following income guideline listed below, which is based on annual household gross income (If you need the income guideline for more than a 10-person household, please contact 229-7025.):
# in the household 1 person 2 person 3 person 4 person 5 person 6 person 7 person 8 person 9 person 10 person Incom e Lim it $35,750 or less $40,850 or less $45,950 or less $51,050 or less $55,150 or less $59,250 or less $63,350 or less $67,400 or less $71,500 or less $75,550 or less updated 1-13 As notification, if an applicant applying for the program has an accessory apartment, the apartment must be legal, and income from the renter is required unless the apartment has a separate address. (Note: The renter’s income is also required if the renter is benefitting from the improvements.)
Conflict of Interest – No employee or official of the City of Orem who exercises policy or decision-making functions or responsibilities in connection with the planning and implementation of the program shall be eligible to participate in the program. All other City employees shall be eligible to participate in the program upon approval of the City M anager or his designee.
W ORK ELIGIBILITY
The following improvements are eligible for rehabilitation loan assistance: electrical, plumbing, siding, windows, doors, flooring, roofing, painting, remodeling, additions (based on need), ADA improvements and more.
W ork involving carports, storage sheds, garages, fences, landscaping, or any object not directly attached and/or related to the house itself is NOT eligible. All improvements must be physically attached to the house and permanent in nature. M anufactured housing (mobile homes) are not eligible for this program.
A City Building permit is required for applicable rehabilitation loans. (If you are residing in a condominium and exterior code items are required, an approval letter from the condominium association is required.)
Applicant must submit a written description of their requested improvements along with a cost estimate and drawing (if the structure will be changed). (If you are residing in a condominium and exterior items are being completed, an approval letter from the condominium association is required.)
LOAN CONDITIONS
' M aximum Housing Rehabilitation Loan: cost of your project or up to $15,000
' Interest Rate: three percent (3% )
' Repayment Period: ten (10) years
' Grace Period ten (10) days
' Late Fee: $25
' Security: SECO ND M ORTGAGE PLACED AGAINST THE PRO PERTY
If applicant is over 62 years old, they may qualify for a zero percent deferred loan.
SYSTEM FOR APPLICANT SELECTION
Applications will be accepted year-round. Projects will be funded on a “first come-first served” basis. Emphasis will be placed on rehabilitation projects in areas of the City that are qualified as “low- and moderate-income area benefit.”
Applicants M UST submit the following with their application:
' a copy of all household members completed 1040 Federal Income Tax forms from the previous two years
' copies of all household members paycheck stubs for the previous two months or other monthly income verification
' copy of mortgage deed (trust deed, warranty deed, etc.). The deed should include the title holder and the legal description.
EM ERGENCY REPAIR GRANT
The Housing Rehabilitation Administrator shall have the authority to grant/loan funds for emergency repairs on any structure determined to be appropriate. Such funds shall be granted/loaned for the following reasons:
1) Any act of nature resulting in critical, but repairable damage to the structural condition of the home; or
2) To eliminate specific and immediate hazards to health, safety and/or sanitation.
The H ousing Rehabilitation Administrator or delegated representative shall review all applications for emergency repairs prior to approving a grant/loan.
The applicant must meet the eligibility requirements for the CDBG assistance to receive a grant/loan for emergency repairs. The Housing Rehabilitation Administrator shall have the authority to waive prior verification of eligibility in cases where an immediate danger to health, safety, or sanitation exists. The applicant shall be notified that in the event verification of eligibility should reveal the applicant does not fall within the requirements, the applicant shall be required to make full restitution, plus a penalty, to the City of Orem.
Such emergency repairs shall not prejudice the right of the applicant to make application for rehabilitation assistance loans for which he or she may be eligible.
Emergency repair grants shall not exceed three thousand seven hundred fifty dollars ($3,750) for those individuals whose income meets the following income guideline listed below. No applicant shall be entitled to more than one emergency repair grant in any three-year period. The actual amount of all emergency repair grants must be approved by the Housing Rehabilitation Administrator and the Assistant City M anager.
ACCESSIBILITY GRANT
The Housing Rehabilitation Administrator shall have the authority to grant/loan funds for accessibility improvements on any structure determined to be appropriate. The improvements will assist persons with disabilities and/or poor health conditions.
The Housing Rehabilitation Administrator or delegated representative shall review all applications for accessibility improvements prior to approving a grant/loan.
The applicant must meet the eligibility requirements for the CDBG assistance to receive a grant/loan for accessibility improvements. The applicant shall be notified that in the event verification of eligibility should reveal the applicant does not fall within the requirements, the applicant shall be required to make full restitution, plus a penalty, to the City of Orem.
The Accessibility Grant shall not exceed three thousand seven hundred dollars ($3,750) for those individuals whose income meets the following income guideline listed below. Projects such as wheelchair ramps, handrails, handicap accessible toilets/showers, and so on will be eligible for this program.
# in the household 1 person 2 person 3 person 4 person 5 person 6 person 7 person 8 person 9 person 10 person Incom e Lim it $35,750 or less $40,850 or less $45,950 or less $51,050 or less $55,150 or less $59,250 or less $63,350 or less $67,400 or less $71,500 or less $75,550 or less updated 1-13 This grant is provided in conjunction with the Americans with Disabilities Act.
Such accessibility improvements shall not prejudice the right of the applicant to make application for rehabilitation assistance loans for which he or she may be eligible.
DEPLOYED M ILITARY GRANT
The Housing Rehabilitation Administrator shall have the authority to grant/loan funds for emergency repairs on any structure determined to be appropriate. Such funds shall be granted/loaned for the following reasons:
1) Any act of nature resulting in critical, but repairable damage to the structural condition of the home; or
2) To eliminate specific and immediate hazards to health, safety and/or sanitation.
The H ousing Rehabilitation Administrator or delegated representative shall review all applications for emergency repairs prior to approving a grant/loan.
The applicant must meet the eligibility requirements for the CDBG assistance to receive a grant/loan for emergency repairs. The Housing Rehabilitation Administrator shall have the authority to waive prior verification of eligibility in cases where an immediate danger to health, safety, or sanitation exists. The applicant shall be notified that in the event verification of eligibility should reveal the applicant does not fall within the requirements, the applicant shall be required to make full restitution, plus a penalty, to the City of Orem.
Such emergency repairs shall not prejudice the right of the applicant to make application for rehabilitation assistance loans for which he or she may be eligible.
Emergency repair grants shall not exceed three thousand seven hundred fifty dollars ($3,750) for those individuals whose income meets the following income guideline listed below. The property must be owned and occupied by a deployed member of the U.S. Armed
Forces. No applicant shall be entitled to more than one grant in any three-year period. The actual amount of all grants must be
approved by the Housing Rehabilitation Administrator and the Assistant City M anager.
THE CITY O F OREM
RESIDENTIAL HOUSING REHABILITATION PROGRAM
COM M UNITY DEVELOPM ENT BLOCK GRANT/HOM E INVESTM ENT PARTNERSHIP GRANT LOAN/GRANT APPLICATION
IT IS EXTREM ELY IM PO RTANT THAT YO U CO M PLETE ALL O F TH E INFO RM ATIO N O N TH IS APPLICATIO N
RETURN TO: CITY OF OREM
KRISTIE SNYDER
56 NORTH STATE STREET #101 OREM UTAH 84057
PHONE (801) 229-7025 FAX (801) 229-7197
FOR OFFICE USE ONLY:
DATE APPLICATION RECEIVED:_________________
APPLICANT: SOCIAL SECURITY NO: SPOUSE: SOCIAL SECURITY N O : ADDRESS (include zip code): PHONE:
****************************************************************************************** H O USEH O LD CO M PO SITIO N
(List each person who lives in the home, whether they are family or not)
Family
M ember No. Name Ethnicity Birth Date Sex Relationship
1. (Applicant) 2. (Spouse) 3. 4. 5. 6. 7. 8. 9.
(List additional m em bers on separate page)
Is anyone in household age 62 or over? Is applicant the single, female head of household?
GROSS HOUSEHOLD INCOME (use additional page if necessary)
Type of Income
Family Member No.
1 2 3 4 5 6 7 8 9 Wages, Salaries, Tips, etc. Taxable Interest Tax-exempt Interest Ordinary Dividends Taxable refunds, credits, or offsets of state and local income taxes Alimony Business Income Capital Gain Other Gain IRA Distributions Pensions & Annuities Rental real estate,
royalities, partnerships, S Corps,Trusts, Etc. Farm Income Unemployment Compensation Social Security Benefits Other Income
TOTAL GROSS MONTHLY HOUSEHOLD INCOME: $
EM PLO YM ENT INFO RM ATIO N Applicant Employment Information
Employer’s Name: Address: Telephone No. Position Held: How Long There? Gross M onthly Salary/W age: Previous Employer: Telephone No: Position Held:
How Long There? M onthly Gross Pay: Reason for Leaving
Spouse Employment Information
Employer’s Name: Address: Telephone No. Position Held: How Long There? Gross M onthly Salary/W age:
Previous Employer: Telephone No: Position Held: How Long There? M onthly Gross Pay:
CREDIT INFO RM ATIO N
Complete list of all debts now owing: Include payment of alimony, separate maintenance and/or child support, if applicable, and any payment that you pay each month.
M O RTGAGE INFO RM ATIO N
EXISTING debt on property to be rehabilitated: (From Mortgage Verification).
Owned by: Date Purchased: (Name of Titleholder)
Cost: $ Total M onthly Payment: $ Payments paid to: Balance Owing: $ Year Home was Built: Type of Mortgage: FHA VA Conventional Contract
'''M UST ATTACH A COPY OF M ORTGAGE OR W ARRANTY DEED.
Do you own any real estate other than the home that you currently reside? If yes, please describe and give location.
Have you ever declared bankruptcy? If yes, give date filed and explanation.
Have you ever received any type of Federal assistance? If yes, please explain.
STATEM ENT O F TH E FAM ILY'S CURRENT FINANCIAL CO NDITIO N DATE: ASSETS M ONETARY ASSETS 1) Cash On hand Checking Savings TOTAL CASH 2) M oney loaned to others
(repayment expected) 3) Investments
Savings Bonds Stocks and Bonds M utual Funds Cash Value of
life insurance Cash val. of annuities
TOTAL INVESTMENTS 4) Accumulation in company
profit-sharing plan
TOTAL M ONETARY ASSETS
FIXED ASSETS
5) Home and Property
6) Other real estate investments
7) Automobiles
8) Ownership interests in small
businesses
9) Personal Property
TOTAL FIXED ASSETS
TOTAL ASSETS OF FAM ILY LIABILITIES 10) Unpaid Bills Taxes Due Insurance Rent Utilities Chrg Acnts
TOTAL UNPAID BILLS
11) Installment Loans (Balance Due) Auto Other
TOTAL INSTALL. LOANS
12) Loans (Balance due)
Bank Educ. Other
TOTAL LOANS
13) M ortgages (Balance due)
Home Other
TOTAL M ORTGAGES
TOTAL LIABILITIES
STAFF USE ONLY:
TO TAL ASSETS minus
TO TAL LIABILITIES Equals
'''Please include an itemized description of proposed rehabilitation w ork to be completed through the Housing Rehabilitation Program.
