Healthy Houses HVAC Program
Landlord Pre-Screening Form
Applying for multiple properties? A separate form must be completed for each one. Note: Each property is limited to a maximum of six units.
Program Goal:
To replace failing or aged HVAC systems in small-scale rental properties (6 units or fewer) serving low-and moderate-income (LMI) residents.
CURRENT HUD INCOME LIMITS
To be eligible, at least 51% of total units must be occupied by households meeting the limits below. Include all residents in the household (related or not) and all income from persons aged 18+.
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Property Eligibility
Definition of Property:
Any piece of land with its own unique Parcel Identification Number (PIN, which may include one or more buildings (such as a main house and a coach house) as long as they are on the same tax parcel and contain no more than six (6) total rental units. Essentially, one property = one tax bill.
Is property located within the City of Aurora's municipal boundaries?
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Yes
No
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Is property more than 6 units?
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Yes
No
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Is property more than 4 units and located in floodplain?
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Yes
No
Unsure
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Is property owner-occupied?
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Yes
No
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Is property registered as a rental property with the City of Aurora?
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Yes
No
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Is property owner willing to request and collect income source documentation (W-2, Paystubs, SSI Statement, Unemployment Benefits, etc.) from tenants to demonstrate that at least 51% of the units are occupied by low and moderate income households?
Yes
No
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Landlord and Rental Property Information
Property Owner/Landlord Name (Type Name(s) as it appears on the Property Deed)
*
Landlord Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Landlord Email
*
Landlord Rental License #:
*
If property is not licensed with City of Aurora, it is ineligible.
Rental Property Address (include specific unit/apt. number(s))
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Total Number of Units on Site
Please Select
1
2
3
4
5
6
Was the property built before 1978?
*
Yes
No
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Property Ineligible
Thank you for your interest. Based on the information provided, this property does not meet the eligibility criteria for participation in this program. Please submit questions to cdbginfo@aurora.il.us or call at (630) 256-3325. For assistance in Spanish, please contact (630) 256-4636.
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CURRENT HUD INCOME LIMITS
To be eligible, at least 51% of total units must be occupied by households meeting the limits below. Include all residents in the household (related or not) and all income from persons aged 18+.
Occupancy Requirement Table
Use this chart to verify the minimum number of LMI-qualified units needed to apply.
Current Occupancy
*
Fully Occupied
Partially Occupied
Vacant
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Program Requirements & Eligibility Checklist
If you answer "NO" to any item below, the property is ineligible for this program.
LMI Threshold: Does the property meet the 51% HUD LMI requirement above?
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Yes
No
Unsure
Documentation: Are you willing to collect 3rd-party income docs (e.g. tax forms, W-2s, pay stubs, SSI statements, bank statements, etc.) to demonstrate that at least 51% of household units meet LMI guidelines ?
*
Yes
No
Unsure
Bidding: Will you obtain at least 3 bids from the City’s preferred list of contractors?
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Yes
No
Unsure
Access: Will you coordinate with tenants for required City inspections?
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Yes
No
Unsure
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Project Scope
Please provide details about the current HVAC system.
Current System Manufacturer:
Estimated Install Date:
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Month
-
Day
Year
Date
Issues (Select all that apply):
System Age
High Energy Bills
Uneven Temp
Unusual Noise
R-22 Coolant
Other (Please Specify):
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Landlord Acknowledgment & Certification
Please check each statement to confirm your agreement:
Landlord Certification
I hereby certify that theinformation provided in this pre-screening form is true and accurate to thebest of my knowledge. I understand that any intentional misrepresentation may result in disqualification and potential legal action.
Signature
*
Date
*
-
Month
-
Day
Year
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