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43Questions
  • 1

    Eligibility Information for home repair:

    • The home must be located in Jefferson, Grainger, Hamblen, or Cocke County.
    • The homeowner must occupy the home and has lived in the home at least three (3) years.
    • The person applying for home repair must own the home, have a life estate, or is purchasing the home with a traditional mortgage.
    • The homeowner can't have filed a bankruptcy within the last five (5) years

    Required Documentation:

    • Copy of current mortgage statement (if there is still a mortgage)
    • Copy of the title if a mobile home
      • If the mobile home is in a mobile home park, a copy of the most current lot rent receipt
    • Copy of the deed showing the home repair applicant as property owner
      • copy of death certificate if two people are listed on the deed and one is deceased
      • A Life Estate showing the resident of the home can make decisions on the property
      • a Quit Claim showing the property has been signed over to the resident
    • Copy of current utility bill
    • Proof of Income for every person in the home
      • S.S./SSDI/SSI amount award letter received at the beginning of the year showing the monthly amount to be received for the current year
      • Child support documents
      • Retirement/survivor benefits/VA
      • Employee payroll statements for no less than one month or previous year's IRS tax return if self employed
    • Copy of Paid Property Tax receipt

    If you have any questions, please contact our office at: 865-475-5611

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  • 2

    In order to serve our clients better, we have provided an online application option.  Please complete the following application.  Download the required documents, date and sign this form, and hit submit.  If you need to submit your forms in a different way, you can fax them to us at: 865-262-9076, or mail them to:

    Appalachian Ministries of the Smokies (AMOS)

    511 Municipal Drive

    Jefferson City, TN 37760

    If you have any questions you can call us, Monday-Friday 9:00a.m. to 4:00p.m. at:

    865-475-5611

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  • 3

    IMPORTANT INFORMATION:

    • ALL REQUESTED DOCUMENTS MUST BE RECEIVED WITHIN 30 DAYS OF YOUR COMPLETED APPLICATION.
    • THE APPLICATION WILL NOT BE PROCESSED UNLESS ALL REQUIRED DOCUMENTATION IS RECEIVED.
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  • 4

    PLEASE UPLOAD THE FOLLOWING DOCUMENTS WITH YOUR APPLICATION:

    • CURRENT MORTGAGE PAYMENT STATEMENT
    • TITLE (IF A MOBILE HOME)
      • Copy of most current lot rent receipt if in a mobile home park
    • DEED (IN YOUR NAME OR WITH A LIFE ESTATE)
      • DEATH CERTIFICATE IF SPOUSE IS LISTED ON THE DEED OR A FILED QUITCLAIM IF DIVORCED
      • COPY OF WILL SHOWING THAT THE HOME HAS BEEN LEFT TO YOU
      • IF THERE IS A MORTGAGE, A COPY OF THE DEED CAN BE OBTAINED AT THE COUNTY COURTHOUSE
    • CURRENT UTILITY BILL
    • PROOF OF INCOME OF EVERY PERSON IN THE HOUSEHOLD
    • STAMPED PAID RECEIPT OF CURRENT YEAR PROPERTY TAXES
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    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
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    • UPLOADED WITH THIS APPLICATION
    • MAILED SEPARATELY
    • FAXED
    • DELIVERED IN PERSON
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  • 7
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  • 8
    Please Select
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    • Turkish Republic of Northern Cyprus
    • Northern Mariana
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    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
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    • Portugal
    • Puerto Rico
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    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
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  • 9
    • Cocke
    • Grainger
    • Hamblen
    • Jefferson
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  • 13
    Please put a 0 in non-applicable cells.
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  • 14
    If you listed information about another person in the home, other than a spouse or child, please write a brief explanation of their relationship, i.e., Aunt, Uncle, Parent, grandparent, etc.
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  • 15
    Please put a 0 in non-applicable cells.
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  • 16
    Each field must be completed and supported by documentation. List your gross Monthly income in the appropriate category/ies. If there is no income for that category, please put 0. You must provide documentation showing your total household income. For employment: provide pay stubs to show monthly income. For Disability or S.S. : provide a copy of the S.S. Amount award letter received at the end of the year showing your monthly amount for the upcoming year or a letter from the Social Security Office. For Child Support: provide a copy of the court documents showing ordered amount.
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  • 17
    If you have other Income, please list your gross amount and provide documentation
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  • 18
    If you have other income that isn't included in the previous options, please list it here and provide documentation
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  • 19
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  • 20
    and with what organization.
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  • 24
    • Traditional Mortgage
    • Land Contract
    • Rent-To-Own
    • Lease-To-Own
    • Own Property
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  • 25
    • Frame/Stick/brick built home
    • Single-Wide Mobile Home
    • Double-Wide Mobile Home
    • Manufactured Home on a permanent foundation
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  • 37
    Please provide additional information if needed or ask any questions or concerns you may have. Someone will get back to you as soon as possible. For further information about our home repair program, please contact 865-475-5611.
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  • 38

    PLEASE READ AND SIGN THE STATEMENT BELOW:

     

    I hearby understand that any work performed by Appalachian Outreach Ministries Home Repair Program is on a volunteer basis, as one neighbor helps another.  Many of the volunteers are unskilled in nature, but work together to help those in need.  I agree to not hold Appalachian Outreach Ministries, Carson-Newman University, or individual volunteers responsible for the queslity of services performed, AND, understand that all efforts will be made to achieve quality results.

    I grant Applachian Outreach Ministries, its representatives, and employees, the right to take photographs of me, my family and my property.  I aughorize Appalachian Outreach Ministries, its assignees and transferees, to copyright, use, and publish the same; in print and/or electronically.  I agree that Appalachian Outreach Ministries may use such photographs of me and/or my family with or without my name and for any lawful prupose, including for example such purpose as publicity, illustration, advertising, and web content.

    I affirm that all information I provide is truthful to the best of my knowledge and I understand that Appalachian Outreach Ministries does check public records to confirm all provided information.

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  • 39
    Clear
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  • 40
    Clear
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  • 41
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    Pick a Date
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  • 42
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  • 43
    This is the process for home repair, from submitting an application to the final stages of completing a project or providing other resources.
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