Pre-Qualification Form

PRE-QUALIFICATION FORM

Marquette County Housing Rehabilitation Program
Homeowners in Marquette County interested in assistance from the Marquette County Housing Rehabilitation Program MUST complete a Pre-Qualification Form (PQF) as the first step in the application process. The PQF streamlines the qualifying process by allowing a quick evaluation for the major program requirements in order to save the applicant time and expense.
Pre-qualifying DOES NOT guarantee the availability or receipt of funding. This form helps to quickly evaluate whether an applicant is eligible or not.
General Program Eligibility Criteria
- Applicant must own the home being repaired
- Applicant must live in the home as the primary residence
- Must be current on mortgage, property taxes, and property insurance
- Cannot be leased land
- Cannot be a mobile home
I. Applicant/Owner Information:
Full Name*

First NameLast Name
Mailing Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Daytime Phone No. :*

Area CodePhone Number
E-mail :*
Where the confirmation will be send to
Estimated Household Income*
Gross annual income for all person over 18 including wages, SSI, pensions, rental income, interest, and extra income you expect to receive
Household Size*
II. Property Information:
Property Address :*

Street Address

City

Township

Postal / Zip Code
Do you own the home?*

YesNo
Is this your primary residence?*

YesNo
How long have you lived in the home? *
How many adults live in the home? *
How many children live in the home? *
Is the mortgage payment current?*

YesNo
Mortgage Payment:*
Are the property taxes current?*

YesNo
If project proceeds to full application, proof of paid property taxes will be required.
Do you have homeowners insurance?*

YesNo
If project proceeds to full application, proof of insurance will be required.
Year house was built:*
Please list repairs needed at the home:*
III. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:*
This program does not discriminate on the basis of race, color, national origin, gender, age, religion, familial status, sexual orientation, or disability.
Should be Empty:

PRE-QUALIFICATION FORM

Pre-qualifying DOES NOT guarantee the availability or receipt of funding. This form helps to quickly evaluate whether an applicant is eligible or not.

General Program Eligibility Criteria

I. Applicant/Owner Information:

II. Property Information:

III. Applicant's E-Signature