Township Home Rehabilitation Grant Application

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Executive Summary

This document is an application for a Housing Rehabilitation Grant offered by the Township of Downe under the FY 2021 NJ DCA Small Cities Program. The program's objective is to provide financial assistance to low-income homeowners to address and correct dangerous code deficiencies in their residences. Eligibility requires applicants to reside at and own the property for which the grant is sought, and to provide detailed information about their household and the property's characteristics. Applicants are mandated to submit a copy of their property deed, evidence of homeowner's insurance, and, if applicable, Federal Flood Insurance. A critical requirement is the disclosure of the gross household income for 2020, supported by comprehensive documentation. This includes 2020 IRS 1040 tax returns, recent pay stubs for employed individuals, official award letters for those who are disabled, retired, or unemployed, and IRS Schedule C for self-employed persons. All income sources for household members aged 18 and over must be included. The application also requires a brief description of the specific problems needing correction. Applicants must sign a certification affirming the accuracy of their submitted information and acknowledge the potential for legal penalties if income or ownership status is fraudulently misrepresented. The document emphasizes that applications will not be processed without complete income figures and supporting documentation.

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Document Text

--- Document: Township Home Rehabilitation Grant Application Document ---
TOWNSHIP OF DOWNE
FY 2021 NJ DCA SMALL CITIES PROGRAM
HOUSING REHABILITATION APPLICATION

Name:

Street Address:

Telephone Number(s) (DAY) (EVENING)

What is your age?

Do you reside at this address? YES: NO:

If yes, for how long? Yrs Months

Do you own this property?: YES: NO:

Is part of this property rented? YES: NO:

Do you know when your home was built? YES: NO:

If "yes" please tell us the year on construction

Attach copy of your deed and evidence of homeowners insurance

If your home is located in the 100 year flood hazard area you
must also submit evidence of Federal Flood Insurance

How many persons reside in this home:
(NOTE THOSE PERSONS BY NAME, AGE AND RELATIONSHIP)

Is anyone living at your home disabled or handicapped?
If yes please describe

What was your gross household income for 2020 for all persons
living in your home?: $ (Applications are not
processed if an income figure is not provided)

Provide evidence of your income - applications that do not
provide income information cannot be processed.

Attach a copy of 2020 IRS 1040 tax return form and last four pay
stubs, if you are employed. Disabled, retired or unemployed
persons should include "award letter" from appropriate agency.
Self-employed persons must include IRS Schedule "C". Include
income documentation for all persons aged 18 years and over
living in the home. Count all sources including wages, salaries,
rents, fees, social security, disability payments, and pension
payments.

This program is limited to correcting dangerous code deficiencies
in homes owned and occupied by low income persons. Give a brief
description of the problems that you would like corrected:

I,
(print your name), hereby certify
that to the best of my knowledge and belief, the above statements
made by me are true and correct. I understand that there may be
legal penalties for fraudulently misrepresenting my income or
ownership status.

Signature of Applicant

Date

C:\Users\Mark\Documents\My Files\Dewne Fehab Applicatior. Calender 2021.wpd