Homeowners Must:

1. Own and reside in their home.
2. Live within 10 miles of Bismarck/Mandan.
3. Have current home insurance.
4. Not owe any back taxes.
5. Meet Rebuilding Together’s income guidelines or include an older person or a person with a disability.
6. Be unable to do the repairs themselves.
7. Not have a person convicted of a felony living in the home.

SECTION 4: REPAIRS NEEDED

We concentrate on work needed to make your home safe, secure and weatherproof.

Briefly describe the work to be done. 

Section 5: House Information

SECTION 6: APPLICATION HISTORY

 

SECTION 7: INCOME & ASSETS 

In order for your application to be reviewed you must submit a copy of each adult household's members income tax return or statement of benefits. Information provided must include income of all adult household members.

Review the following before completing the section below requesting information about income.

• Gross income is defined as income before any deductions have been taken.
• Income sources include: Wages (including bonuses, commission, and overtime), Salaries, Rental Income, Benefits, Pensions, Social Security, Unemployment, Worker's Compensation, Severance Pay, AFDC, Disability, Welfare, Child Support, Alimony, Food Stamps, Medicare, Medicaid, etc. If these payments are not being received properly, applicants must still count them unless the applicant can prove that the applicant has exhausted all means of attempting to collect the money.
• Do not include income from minors or income from a full-time student unless they are the head of the household or spouse to the head of the household. 

Income Review the following before completing the section requesting information about Assets.

• Assets include: All cash held in savings and checking accounts, safe deposit boxes, stocks, bonds, treasury bills, certificates of deposit, money market accounts, home equity, retirement accounts, cash value of whole life insurance policies, any material item kept as an investment, etc. Count these assets in their entirety minus the penalty for early withdrawal.
• Assets do not include: Clothing, furniture, cars, wedding rings, interest in Indian trust land, term life insurance policies, assets that are a part of an active business, or equity in the cooperative unit in which a family lives.
• There is no limit to the amount of assets that an applicant can possess as long as the income from those assets does not cause the applicant to exceed very low, low or moderate income brackets.

All applicants MUST include copies of these REQUIRED documents to be considered for program services. 

• Proof of number of individuals in the household -number of dependents claimed by using most recent federal income tax return and one of the following: photo ID, birth certificate on which the applicant's name is listed, school records which provide the applicant's name and address, court-ordered letter of guardianship, divorce decree, letter of adoption, or social security card.
• Proof of income: Please provide a statement for all earned income including social security, disability, or other benefits; one month of payment stubs from employers; government declaration letter; court-ordered payment letter; bank statements showing monthly deposits; or any paper that documents income. For your privacy, please block out any social security numbers.
• Proof of current homeowner's insurance - showing homeowner's name, address, and dates of coverage.

 

Please mail ALL documents to ensure prompt consideration to:

Rebuilding Together Bismarck/Mandan

P.O. Box 874

Mandan, ND 58554

*The final decisions on all home repair requests are based on Rebuilding Together Bismarck/Mandan's resources and will be made at the discretion of the organization. Please allow 4-6 months for processing and final decisions from the deadline date of September 30. Once eligibility is determined, the homeowner will be contacted directly by Rebuilding Together Bismarck/Mandan to schedule a follow-up appointment to preview the site and determine further consideration of repairs. At that time, the homeowner will receive additional information regarding the program services and schedules. Please contact us with additional questions at 701-221-3232.

 

 

• I certify that I do not have the financial means to perform the repairs for which I am applying.
• I understand that | may be asked to provide documentation as proof of my answers.
• I authorize investigation and verification of all information provided, including a personal background check, as may be necessary for my involvement with Rebuilding Together Bismarck/Mandan.
• I have read the information provided by Rebuilding Together Bismarck/Mandan and understand the program and its processes.
• I give permission for Rebuilding Together Bismarck/Mandan representatives and volunteers to inspect my home for purposes of home selection and/or repair. During the inspection, the team may take pictures (still or video) to help in the selection process.
• I understand that if my home is selected, work will likely be done by volunteers (skilled and unskilled I understand that most volunteers are not professionals and they may not be able to complete all repairs on my home. Iunderstand that only part, not necessarily all, of the work may be completed even if my home is selected.
• I understand that there is no cost to the homeowner for these repairs.
• I understand that I am expected to participate with volunteers at my home to the best of my ability, and those adult family members or friends on site during workdays will also participate.
• If any of the material facts given by me on this application have changed during the selection process, I agree to update and/or communicate those changes with Rebuilding Together Bismarck/Mandan.

Homeowner(s) certify that all information on this application is accurate and that the Homeowner(s) owns the property at the address given on the application. Homeowner(s) hereby release Rebuilding Together Bismarck/Mandan and all associated with it from any and all liability whatsoever.

Preparer Signature:

If you are not the homeowner, but are assisting the homeowner(s) in completing the application, please provide the following information in addition to your signature.

Thank you for applying for our program.