Snow Belt Housing
Rental Property Rehabilitation Pre-Application
Please enter a valid phone number.
Street Address Line 2
Postal / Zip Code
Do you have a valid deed for the property?
Are your property tax bills paid?
Do you currently have homeowner's insurance?
How many units (apartments) does your property have?
How many bedrooms per unit?
How many bathrooms per unit?
Have you ever used grant funds to repair your property in the past?
If yes, what was repaired and when?
Names of all household members that contribute to income:
Source of income for each household member:
Total monthly income for each tenant:
What is the total yearly income for everyone in the household?
How many people live in the household?
Is anyone age 60 or over?
Is anyone disabled?
Is anyone handicapped?
Are you a single parent with children aged 18 or younger?
Are you a female head of household?
Please check the boxes for the repairs that may be needed:
If other, please list here:
Should be Empty:
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