IHBG-ARP HOME REHABILITATION PROGRAM

IHBG-ARP HOME REHABILITATION PROGRAM

NPHA IHBG-ARP Home Rehabilitation Program

Application Introduction
Dear Applicant,

The purpose of the IHBG-ARP Home Rehabilitation Program is to assist four homeowners that are members of the Ponca Tribe of Nebraska residing outside of the Ponca Tribe of Nebraska Service Delivery Area, who have experienced financial hardship due to the COVID-19 health crisis, to maintain the habitability of their home and prevent homeowner displacement.

To pre-qualify for the IHBG-ARP Home Rehabilitation Program, an application must be electronically submitted to NPHA. To ensure that your application is processed in a timely manner, all requested documentation is required for submission. Applications must be received by March 31, 2023.

Before you start this application, be sure to have the following available to upload: (You will not be able to submit an application without all supporting documentation)

• Tribal Enrollment
• Income Verification: Provide proof of income for all household members, 18 years or older (one month of current pay stubs, 2022/2023 benefits letter, 2021/2022 Tax Return, etc.), NPHA will not accept bank statements.
• Warranty Deed or Deed of Trust
• Property insurance certificate
• Photos of items to be rehabbed
• Two bids/quotes for rehab from qualified contractors

Applicant Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
How many adults live in your household, including yourself?*
How many children (17 years old and under) live in your household?*

Eligibility
YesNo

Eligibility
Job lossJob furloughTemporary or permanent closure of place of employmentWage reductionReduction in self-employment compensationJob loss/wage reduction due to being quarantinedIncreased expenditures due to COVID-19

Tribal Affiliation
YesNo

Tribal Enrollment
Please upload your tribal enrollment identification/verification.*

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Income
What was your household's total income for 2022?*
What is your household's monthly income currently?*
Please upload your household's income verification. (paystubs from last 30 days, current benefits letter, unemployment benefits letter, child support, 2021/2022 taxes, etc.)*

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Proof of Ownership
Please upload your Warranty Deed or Deed of Trust.*

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Property Insurance
Please upload your Property Insurance Certificate.*

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Home Repair Information
Please explain the home rehab you are in need of.*
Please upload photos of items in need of rehab.*

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Please upload two bids/quotes from qualified contractors for the rehab of these items.*

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Attestation & Submission
It is the family’s responsibility to immediately notify NPHA of any changes in family composition, income and/or contact information.

By signing and dating below, I certify that all of my statements made herein are accurate, truthful, and complete. If they are not, then I agree to be indebted to the U.S. Treasury Department and Northern Ponca Housing Authority for any benefits that I may receive in this program, and I agree and promise to pay back such benefits.
Signature*
Date*

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Date
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