• No results found

Help for Homes Application

N/A
N/A
Protected

Academic year: 2021

Share "Help for Homes Application"

Copied!
7
0
0

Loading.... (view fulltext now)

Full text

(1)

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 for Homes program is to ensure that low-income Thornton homeowners who are 55 years of age or older or disabled live in healthy and safe homes. Repair costs are limited to $3,500 per household and per property. If you have questions on the program or application, please call the Neighborhood Services Division at 303-538-7600.

Program Qualifications

All homeowners must meet the following criteria and provide proof of their eligibility:

Criteria Description

Low-Income

Based on the size or number of people in your household, you must make less than a certain amount of money each year.

Family Size / 1 person / 2 people / 3 people / 4 people / 5 people / 6 people / 7 people / 8 people /

Income less than:

$44,750

$51,150

$57,550

$63,900

$69,050

$74,150

$79,250

$84,350

Age or Disability Must be 55 years or older or have a disabled person living in the home.

Homeownership Status Must own and live in the home and be current on mortgage payments. Cannot have outstanding code violations or liens recorded with Adams County or State of Colorado.

Legal Residency Must be a legal U.S. resident.

Assets Must have less than $10,000 in assets.

Home Repair Eligibility

This program is funded through the U.S. Department of Housing and Urban Development. Therefore, repairs that directly relate to the health, safety or accessibility of the homeowner are eligible, such as:

ELIGIBLE NOT ELIGIBLE

Stabilizing steps, wheelchair ramps, door widening Roof or sewer replacement

Furnace or water heater repairs Work in or to the yard, driveways, fencing Minor electrical or plumbing repairs New windows

Minor roofing repairs Remodeling, additions, purely aesthetic improvements

(2)

Help for Homes Application

The Process

1. Submit an application and copies of required documents to the City. Once reviewed, you will receive a letter to let you know if your application is approved or denied.

2. If approved, staff from our repair contractor will perform a home inspection to determine what repairs are needed. The City staff will review the inspection report and will verify if the problems are eligible to be repaired through the program.

3. If repairs are approved, contractors will schedule a time to perform the repairs.

4. After the work is completed you will be asked to sign documents which verify that the work was performed. Also, you will receive a survey asking you to rate your experience with the program.

Applying for the Program

The following items must be submitted to Neighborhood Services in order to apply for the program:

 Completed application, signed and dated by the homeowner(s), including Immigration Affidavit

 Copies of income verification for each member of the household that is 18 years or older: o Most current tax returns; or

o 1099R or most recent statement for any retirement savings distributions (i.e. IRA, pension), showing total year to date disbursements; or

o Two most recent consecutive pay stubs; or

o Award letters for any government assistance received (Social Security, Old Age Pension, unemployment) and/or child support or alimony.

 Copy of driver’s license or state issued photo identification of homeowner(s).

 Copy of verification of physical or mental disability, if under age 55. This can be a recent Social Security Disability Insurance/Supplemental Security Income statement or letter from your doctor.

 Copy of mortgage statement indicating payments are current. If the home is paid off, provide a copy of the property title or release of deed of trust.

 Copies of any asset records for all adults living in the home: o Two most recent checking and/or savings bank statements

o Two most recent investment account statements, if you have an investment account(s) o Mortgage statement or title for other property owned other than your primary residence o Name and value of business owned and operated

If you have received home repairs through the program previously and you are approved to receive additional repairs, you may be requested to provide a copy of homeowner’s insurance or verification of speaking with a HUD-certified housing counselor about financial options to address future repairs. Submit application and all supporting documents to

MAILING ADDRESS FAX IF DELIVERING IN PERSON

City of Thornton

Attn: Help for Homes Program 9500 Civic Center Drive

Thornton, CO 80229

303-538-7518 City of Thornton, City Development (Planning front counter, one-story building behind City Hall)

9500 Civic Center Drive

(3)

Help for Homes Application

The application and supporting documentation is only seen by those that administer the program. Any personal information, such as bank account numbers and social security numbers, will be obscured

from the documents.

Homeowner Information Date:

Name of applicant(s): Property address:

Home phone #: Alternative phone #:

Email address:

Is anyone in the home currently employed?  YES  NO Is anyone in the home disabled?  YES  NO

Age of homeowners: Applicant Co-Applicant

Have you previously received assistance through the Help for Homes program?  YES  NO The following five bulleted questions are optional:

 What is your race?  White/Caucasian  Asian  African American

 American Indian/Alaskan  Native Hawaiian  Other

 What is your ethnicity?  Hispanic  Non-Hispanic

 Are you, or is anyone living in your home a veteran?  YES  NO

 Are you a female head of household?  YES  NO

 How did you hear about the Help for Homes program?

________________________________________________________________________

Home Information

Do you live in a Home Owners Association (HOA) community?  YES  NO

Do you intend to sell your home or transfer the title of your home in the next five years?  YES  NO Are you aware of any mechanical, HOA, tax or other liens on your property?  YES  NO

If yes, please explain:

Do you have homeowner’s insurance?  YES  NO

Have you contacted your insurance company to see if any of the repairs could be covered through your insurance?  YES  NO

If yes, what was the result? _______

(4)

Help for Homes Application

What health, safety or accessibility repairs does your home need (in order of priority)?

Financial and Asset Information

Total Annual Income Limits per Household Size

1 Person 2 Persons 3 Persons 4 Persons 5 Persons 6 Persons 7 Persons 8 Persons

$44,750 $51,150 $57,550 $63,900 $69,050 $74,150 $79,250 $84,350 List all occupants living at this address, including you, co-applicant, and any other adults or children.

Name Birth

Date Occupation Files IRS Tax Return?

Applicant Yes  No 

Co-Applicant Yes  No 

Other

Occupant Yes  No 

Other

Occupant Yes  No 

Other

Occupant Yes  No 

Other

Occupant Yes  No 

Is there anyone on the title to the property who does not live there?  YES  NO

If yes, provide the name of person(s) on title and an explanation: __

(5)

Help for Homes Application

List the total monthly income of all household members. Copies of documentation must be provided to verify all sources of household income listed below.

Type of Income Household Member

Applicant Co-Applicant Other

Employment 1 $ $ $

Employment 2 $ $ $

Type of Income Household Member

Applicant Co-Applicant Other

Social Security Retirement Insurance $ $ $

Social Security Disability Insurance (SSDI) $ $ $

Other Retirement/Pension $ $ $

401(k), 403(b), or 457(b) payments

withdrawn in the last year $ $ $

Child support/alimony $ $ $

Other: $ $ $

Statement of Assets

Applicants cannot have more than $10,000 in assets, which includes money in savings or checking accounts, equity in a second home, investment property or business and investment funds. It does not include your primary residence, retirement accounts, and/or vehicles.

Do you have a checking account?  Yes  No. Amount in account: $____

Do you have a savings account?  Yes  No. Amount in the account: $ ______ ___ Do you have cash savings not in bank accounts?  Yes  No. Amount of the cash on hand: $ Do you own rental property or land?  Yes  No

Value of property: $ Amount still owed: $

Do you own stocks, bonds, or other investments (not including retirement accounts)?  Yes  No Total value of stocks, bonds, or other investments: $

Do you have any other investments or assets?  Yes  No List any investment/assets and the amounts:

(6)

Help for Homes Application

Applicant’s Certifications

The applicant/co-applicant hereby certifies that he/she is the owner-occupant of the

property to be repaired and that the property is his/her principal residence. The

applicant/co-applicant also certifies that all information provided in this application is

true and correct to the best of the applicant’s knowledge and belief. The applicant

understands that any discrepancy or omission in the information provided may

disqualify him/her from participation in the Help for Homes program.

Indemnification

I/We hereby agree to indemnify and hold harmless the City of Thornton, its officers,

agents, employees, volunteers and contractors for the Help For Homes program or

Thornton Paint-A-Thon program against all liabilities, judgments, costs, and expenses

arising out of, or in consequence of, housing rehabilitation or repairs provided as part of

the City of Thornton’s Help for Homes or Paint-A-Thon programs.

Housing Education Agreement

The Help for Homes program has a maximum grant amount for each house and

homeowner so it is important that homeowners are prepared to handle expensive

repairs in the future. The applicant and co-applicant agree that he/she/they will contact

a housing counselor within the next 12 months or attend a class to learn about home

maintenance and repair costs, lifespans of home components and systems and options

to be prepared to handle future home maintenance expenses, unless he/she/they have

home insurance. A list of free, qualified counseling agencies will be provided by the

City. The applicant and co-applicant understand that if additional home repair program

assistance from the City is requested in the future, he/she/they may be asked to provide

verification of his/her housing counseling or of home insurance.

___________________________ _____________________

Applicant Signature Date

___________________________ ____________________

Co-Applicant Signature Date

(7)

Help for Homes Application

AFFIDAVIT

I, _________________________________, swear or affirm under penalty of

perjury under the laws of the State of Colorado that (check one):

______ I am a United States citizen, or

______ I am a Permanent Resident of the United States, or

______ I am lawfully present in the United States pursuant to Federal Law.

I understand that this sworn statement is required by law because I have applied

for a public benefit. I understand that state law requires me to provide proof that

I am lawfully present in the United States prior to receipt of this public benefit. I

further acknowledge that making a false, fictitious, or fraudulent statement or

representation in this sworn affidavit is punishable under the criminal laws of

Colorado as perjury in the second degree under Colorado Revised Statute 18-8-503

and it shall constitute a separate criminal offense each time a public benefit is

fraudulently received.

_____________________________________ _____________________

Signature Date

References

Related documents

An analysis of the economic contribution of the software industry examined the effect of software activity on the Lebanese economy by measuring it in terms of output and value

The number of Newton iterations (left) and MATVECs (right) required by matrix-free interior-point methods are plotted versus problem size n. The preconditioner P 1 outperforms the

The assumption that any of the other players is worst leads to a contradiction: If the woman is the worst player, her brother must be her twin and her daughter must be the

Post deployment tests confirmed that the glider and the micro-Rider turbulence probe had successfully recorded the required data during the deployment.. Data Visalizer Plots of

a) An applicant has to give an undertaking as a part of the application that he/she will join the post, if selected. If an applicant does not give such undertaking, the

a) An applicant has to give an undertaking as a part of the application that he/she will join the post, if selected. If an applicant does not give such undertaking, the

a) An applicant has to give an undertaking as a part of the application that he/she will join the post, if selected. If an applicant does not give such undertaking, the

a) An applicant has to give an undertaking as a part of the application that he/she will join the post, if selected. If an applicant does not give such undertaking, the