Home Repair Application

  • Home Repair Application

    A home repair program for low-income homeowners.

  •  Please read the enclosed information carefully and fully, and remember:

    • You must submit all requested documentation listed below.
    • You must completely fill out the repair application. All applicants must sign and date it.
    • Your repair request must be necessary for the home to remain safe, healthy, or improve accessibility.
    • All applicants must be listed on the Deed AND must be living in the home (or suitable documentation provided demonstrating why an applicant is not living in the home).
    • Turning in an application does not equal funding approval.
    • Do NOT let repair work begin until you have a letter of approval from our agency.

    To understand more about eligibility requirements that may exist, visit our Home Repair Round 2 Notice webpage here.

    Other than online, applications may be submitted in person delivery or by mail or email:

    Office Address:  1535 Sparta HWY, Crossville, TN 38572

    Email:  sarah@ccihomes.org 

    Have the following documents ready to upload:

    1. Applicants:  Proof of Identity (Driver’s License or other current ID)
    2. Applicants:  Copy of the Warranty Deed for house needing repairs
    3. Everyone:  Proof of Income for every adult member living in the household (SS letters, most recent 2 pay stubs, child support, retirement, etc.)
    4. Applicants:  Most recent 2 months bank statements on all accounts, all pages
    5. Applicants:  Current homeowner’s insurance policy
    6. Applicants:  Most recent mortgage statement, if applicable
    7. If a veteran resides in the house or you are the widow of a veteran, please turn in a copy of the DD-214 form

     

     

    Sincerely,

    Creative Compassion, Inc.
    1535 Sparta HWY 
    Crossville, TN 38572
    931-456-6654 
    www.ccihomes.org

  • Home Repair Application

  • 1. General Information

  • Date
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  • A. Applicant Information

  • Format: (000) 000-0000.
  • Applicant - Are you 60 years of age or older?*
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  • Applicant - Are you considered US active duty or a US veteran, or are you a widow of a veteran?*
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  • Applicant - Do you have any dependents?*
  • Applicant - Do you have a steady form(s) of income (employment wages, Social Security, alimony, disability, etc.)?*
  • Applicant - Please select each and every type of income you receive(s)? It is important to select all the sources you receive income from.*
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  • B. Co-Applicant Information

  • Is there a Co-Applicant?*
  • Format: (000) 000-0000.
  • Co-Applicant - Are you 60 years of age or older?*
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  • Co-Applicant - Are you considered US active duty or a US veteran, or are you the widow of a veteran?*
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  • Co-Applicant - Do you have any dependents? (Do not include dependents already claimed by the Applicant.)*
  • Co-Applicant - Do you have a steady form of income?*
  • Co-Applicant - Please select each and every type of income you receive(s)? It is important to select all the sources you receive income from.*
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  • Co-Applicant - Do you have any other bank accounts separate from the statements uploaded by the Applicant?*
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  • D. Property Information and Final Questions

  • Is the Primary Address you listed previously also the property address that needs repair?*
  • Does the Applicant or Co-Applicant have ownership proof of the property (such as a Deed in your name)? You can have a mortgage and still apply!*
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  • Is your home a manufactured home?*
  • If your home is a manufactured home, is it on a permanent foundation? (Permanent foundation means concrete blocks constructed of single, open, or closed-cell concrete blocks, with a nominal dimension of at least 8 inches x 8 inches x 16 inches, the concrete blocks must be stacked with their hollow cells aligned vertically, mortar is not required. Capped-hollow block piers must be caps of solid concrete or masonry at least 4 inches in nominal thickness, or hardboard lumber at least 2 inches nominal in thickness; or be corrosion-protected minimum one-half inch thick steel; all caps must be of the same length and width as the piers on which they rest. Any gaps that occur during installation between the bottom of the main chassis beam and foundation support system must be filled by: Nominal 4 inch x 6 inch x 1 inch shims to level the home and fill any gaps between the base of the main chassis beam and the top of the pier cap; shims must be used in pairs, as shown in Figures A and B to § 3285.306, and must be driven in tightly so that they do not occupy more than one inch of vertical height. Tie-down straps must be 1 ¼ inch x 0.035 inch or larger steel strapping. Underpinning / skirting must be around entire base of home unit.)*
  • Are you currently paying a mortgage? (It is okay if there is a mortgage!)*
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  • Do you currently have a homeowner's insurance policy?*
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  • Have you obtained a cost estimate for the repair work?*
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  • What is your credit score rating? (We do not obtain a credit report when you submit this application but it may be required later which we will ask your permission to do. Some funding programs require a certain credit score; others do not ask about credit scores, so for now this is for informational purposes only.)*
  • Have you filed bankruptcy in the last 3 years?*
  • Do you own other property or real estate?*
  • Are you the grandparent who has custody over their grandchild(ren)?*
  • Will either the Applicant or Co-Applicant be 60 years of age or older at time of application?*
  • Is anyone else in the home over the age of 60?*
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  • Is the address on the ID for the above person the same as the property needing repair?*
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  • Does anyone in the home have a documented disability?*
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  • Is anyone in the household besides the Applicant or Co-Applicant receiving income? (If you have already uploaded income being received in behalf of a dependent, you may answer "no" to this question.)*
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  • Is anyone besides the Applicant or Co-Applicant in the household a veteran of the US military?*

  • E. Applicant - The following information is requested by the Federal Government to monitor compliance with Federal Laws prohibiting discrimination against applicants seeking to participate in this program. If you do not wish to supply the information, please click the option "I do not wish to supply this information." You are not required to furnish this information but are encouraged to do so. This information will not be used in evaluating your application or to discriminate against you in any way. However, if you choose not to furnish it, we are required to note the race, ethnicity and sex of applicants based on visual observation or surname.”

  • Ethnicity:*
  • Race*
  • Sex*

  • E. Co-Applicant - The following information is requested by the Federal Government to monitor compliance with Federal Laws prohibiting discrimination against applicants seeking to participate in this program. If you do not wish to supply the information, please click the option "I do not wish to supply this information." You are not required to furnish this information but are encouraged to do so. This information will not be used in evaluating your application or to discriminate against you in any way. However, if you choose not to furnish it, we are required to note the race, ethnicity and sex of applicants based on visual observation or surname.”

  • Ethnicity:*
  • Race*
  • Sex*

  • Signatures

  • Should be Empty: