Emery County Housing Assistance Application

Emery County Housing Assistance Application

For Homeownership Assistance up to $15,000 and Home Rehabilitation Assistance up to $20,000
Program Overview

Homeownership Assistance may be used for eligible down payment and/or closing costs and is provided as a 1% deferred loan. No periodic payment is due while the property remains the applicant’s primary residence. Repayment is due upon sale, refinance, transfer, or when the property is no longer the applicant’s primary residence, subject to final loan documents. Home Rehabilitation Assistance may be structured as a loan, deferred loan, forgivable loan, or other approved form of assistance under adopted program rules. Submission of an application does not guarantee funding.
Section 1. Assistance Requested
Assistance requested
Homeownership Assistance requested $
Home Rehabilitation Assistance requested $

Section 2. Primary Applicant
Primary Applicant Full legal name

First NameLast Name
Primary Applicant Date of birth

MonthDayYear
Primary Applicant Phone
Please enter a valid phone number.Format: (000) 000-0000.
Primary Applicant Email
example@example.com
Primary Applicant Current mailing address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Primary Applicant Current housing status

Other
Primary Applicant Government-issued photo ID

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Section 4. Household Information
Total number of persons who will occupy the home
Household members

Section 6. Household Assets

The County may consider household assets when determining eligibility and financial need.
Checking account balance $
Savings account balance $
Other non-retirement liquid assets, if applicable $
Are there any other significant assets?
Describe other significant assets
Upload documentation for other significant assets

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Section 9. Other Housing Assistance
Applicant or Joint Applicant previously received Emery County housing assistance
If yes, describe the previously received assistance
Are you currently applying for or receiving assistance from another housing program?
Other program name, if yes
Other program amount requested or awarded $
Applicants authorize Emery County to coordinate with other housing programs as necessary to prevent duplication of benefits and maximize available housing resources.

Section 10. Applicant Certifications

Each applicant should initial each statement.
The information contained in this application and supporting documents is true, accurate, and complete to the best of my/our knowledge.
Primary Applicant initials
Joint Applicant initials
I/we understand that submitting an application does not guarantee approval or funding.
Primary Applicant initials
Joint Applicant initials
I/we authorize Emery County and its designated program administrator to verify information necessary to determine eligibility, including household income, employment, assets, property ownership, mortgage information, financing, insurance, taxes, and other housing assistance.
Primary Applicant initials
Joint Applicant initials
I/we understand that additional documentation may be required before the application can be approved.
Primary Applicant initials
Joint Applicant initials
I/we certify that the assisted property will be used as my/our primary residence as required by program rules.
Primary Applicant initials
Joint Applicant initials
I/we understand that Homeownership Assistance is provided as a loan bearing 1% interest, with no periodic payments required, and that repayment may become due upon sale, refinance, transfer, or when the property is no longer my/our primary residence, according to executed loan documents.
Primary Applicant initials
Joint Applicant initials
I/we understand that Home Rehabilitation Assistance may be structured as a loan, deferred loan, forgivable loan, or other form of assistance, and that any forgiveness, repayment, occupancy, lien, or affordability requirements will be stated in final assistance and loan documents.
Primary Applicant initials
Joint Applicant initials
I/we understand that County assistance may not exceed eligible documented costs or financial need and may be reduced based on other grants, loans, credits, concessions, or housing assistance.
Primary Applicant initials
Joint Applicant initials
I/we agree to notify the County or program administrator of any material change affecting eligibility before assistance is disbursed.
Primary Applicant initials
Joint Applicant initials

Section 11. Authorization and Signatures

I/we authorize employers, lenders, financial institutions, governmental agencies, housing assistance providers, contractors, title companies, insurance providers, and other relevant entities to provide information reasonably necessary for Emery County or its program administrator to verify eligibility and administer the program. This authorization is limited to information reasonably necessary for program administration.
Primary Applicant signature
Primary Applicant signature date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Joint Applicant signature
Joint Applicant signature date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Emery County Housing Assistance Application

Program Overview

Section 1. Assistance Requested

Section 2. Primary Applicant

Section 3. Joint Applicant

Section 4. Household Information

Section 5. Employment and Income Information

Section 6. Household Assets

Section 7/8. Homeownership Assistance

Cash-to-Close and Other Assistance

Requested Use of County Assistance

Maximum Home Ownership Assistance: $15,000

Section 7/8. Home Rehabilitation Assistance

Maximum Home Rehabilitation Assistance: $20,000

Section 9. Other Housing Assistance

Applicants authorize Emery County to coordinate with other housing programs as necessary to prevent duplication of benefits and maximize available housing resources.

Section 10. Applicant Certifications

The information contained in this application and supporting documents is true, accurate, and complete to the best of my/our knowledge.

I/we understand that submitting an application does not guarantee approval or funding.

I/we authorize Emery County and its designated program administrator to verify information necessary to determine eligibility, including household income, employment, assets, property ownership, mortgage information, financing, insurance, taxes, and other housing assistance.

I/we understand that additional documentation may be required before the application can be approved.

I/we certify that the assisted property will be used as my/our primary residence as required by program rules.

I/we understand that Homeownership Assistance is provided as a loan bearing 1% interest, with no periodic payments required, and that repayment may become due upon sale, refinance, transfer, or when the property is no longer my/our primary residence, according to executed loan documents.

I/we understand that Home Rehabilitation Assistance may be structured as a loan, deferred loan, forgivable loan, or other form of assistance, and that any forgiveness, repayment, occupancy, lien, or affordability requirements will be stated in final assistance and loan documents.

I/we understand that County assistance may not exceed eligible documented costs or financial need and may be reduced based on other grants, loans, credits, concessions, or housing assistance.

I/we agree to notify the County or program administrator of any material change affecting eligibility before assistance is disbursed.

Section 11. Authorization and Signatures