You shall love your neighbor as yourself. Matthew 22:39.

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1 You shall love your neighbor as yourself. Matthew 22:39. NRI - Neighborhood Revitalization Initiative is a program created by St. Joseph Habitat for Humanity to more effectively meet the needs of the community while engaging families most in need. It is our plan to make an impact on numerous families in a concentrated area. Qualifying families would be eligible for services at a reduced cost. NRI products included but not limited to: Critical Home Repair A Brush With Kindness exterior repair and maintenance Weatherization Rehab New Home Construction Applications are processed to ensure that the applicant owns and occupies the perspective home that is being considered for the NRI program. The applicant must meet the following guidelines to qualify: Have proof of home ownership, with name listed on Deed of Trust Real Estate and Personal Property Taxes MUST be current. Have proof of homeowner s insurance Have lived in the house for at least one year. Meet Habitat s income guidelines (Income guideline chart available on the SJHFH NRI application.) Sign a credit check release form. Be willing to partner with SJHFH (sweat equity hours to be determined by the estimated time to complete the project.) Remain in the home for the extent of the LURA, following the completion of the NRI work. ($1, $14, = 5 year LURA) Be willing and financially able to pay at least 20% of the total cost of the project. The applicant will be notified in writing should they not qualify for the program, or should additional information be needed to complete the application process. Receipt of an application by St. Joseph Habitat for Humanity does not automatically qualify the applicant for the NRI Program Fredrick Ave, PO Box 6528, St. Joseph, MO

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3 3131 Frederick Avenue St. Joseph, MO fax We are pledged to the letter and spirit of U.S. policy for the achievement of equal housing opportunity throughout the nation. We encourage and support an affirmative advertising and marketing program in which there are no barriers to obtaining housing because of race, color, religion, sex, handicap, familial status, or national origin. HOUSEHOLD INFORMATION *Please provide First, Middle and Last Names *Applicant: *Co-Applicant: Date of Birth: Date of Birth: Social Security #: Social Security #: Address: Current appraised Value of home: Years at Address: Home Phone: Cell Phone: Work Phone: *Please provide First, Middle and Last Names of Applicant & Co-Applicant List the name, relationship to applicant, age and date of birth for each additional person living in the home. Name Relationship Age Date of Birth FAMILY EMPLOYMENT &/OR INCOME You must attach verification of all household income for each adult living in the house unless a full time student (provide proof of registration) and/or benefits for children. Household income may include, but is not limited to, employment income, TANF, food stamps, child support, SSI SSDI, pension/retirement/social Security and contributions from other family members not living in the home. Name Employer How long? Gross Monthly Salary List all other sources of income for all members of the household Name/s Source of Income Amount per Month Food Stamps TANF SSI SSDI Child Support Pension/retirement/Social Security Other TOTAL HOUSEHOLD COLLECTIVE GROSS MONTHLY INCOME $

4 INCOME LIMITS (To qualify for the NRI Program, your total annual income must fall within the following guidelines) INCOME 1 person 2 persons 3 persons 4 persons 5 persons 6 persons 7 persons 8 persons Minimum $12,650 $14,450 $16,250 $18,050 $19,500 $20,950 $22,400 $23,850 Maximum $25,260 $28,860 $32,460 $36,060 $39,000 $41,880 $44,760 $47,640 MONTHLY EXPENSES / PAYMENTS Mortgage payment Homeowner Insurance Homeowner insurance provider: Auto: car payment insurance gas & repairs Utilities: Electricity Gas Water Credit Cards Medical Debt Child support Food Trash Phone Other TOTAL MONTHLY EXPENSES / PAYMENTS $ CREDIT CHECK RELEASE FORM By signing below, I certify that the information provided on this form is correct and authorize St. Joseph Habitat for Humanity to obtain a credit report for the purpose of providing credit information. SIGNATURE OF APPLICANT Social Security # Date SIGNATURE OF APPLICANT Social Security # Date MEDIA AND PUBLICITY St. Joseph Habitat for Humanity often works in conjunction with corporate and/or church sponsors. These sponsors provide all or a portion of the funds for the project. In addition, they provide some of the volunteers to help complete the work on the home. In celebration, some sponsors wish to publicize the event and information about the family in different newsletters, newspapers, radio stations, television, etc. I/we consent to having information released about our family to sponsors and for internal Habitat for Humanity publications including, but not limited to, the organization s newsletters and website.

5 APPLICATION CHECKLIST The following is a checklist of the items that you must enclose with your application packet. All of the information in your application is confidential and will be kept strictly private. Only officially designated St.Joseph Habitat for Humanity staff and committee members will see it. Please use this checklist to help you in gathering the proper information. Proof of ownership Proof of current homeowner s insurance. Proof of employment and income. These documents (paycheck stubs, tax returns, receipts, etc.) must include the name of the employer or income source and the name and address of the recipient. Current checking and/or savings account statements Copy of most recent property tax receipt. CRITICAL HOME REPAIR NEEDS Please describe the most immediate needs for your home. If selected, please remember that the items listed below will be considered for repair, but the final decision on the type of repairs that will ultimately take place will be made at the discretion of the NRI committee. HOMEOWNER AGREEMENT I certify that the information provided on this application is accurate. I have no intention to move or offer my home for sale for at least three (3) years after the requested repairs have been completed. I confirm that any physically able persons residing in my home or visiting on the project day will work alongside the NRI volunteers. I confirm that, expect for the conditions listed in this application, my house and yard are safe for volunteers. I understand that the people who may work on my house are unpaid volunteers and that few, if any of them, are skilled in the building trades, and that NRI MAKES NO WARRANTIES, EXPRESSED OR IMPLIED REGARDING ANY MATERIALS USED OR WORK DONE BY ANYONE AT MY HOUSE. I hereby release St. Joseph Habitat for Humanity, it s staff and all volunteers associated with this program, from all actions, claims or demands that I, my assignees, heirs, guardians, and legal representatives now have or may hereafter have for injury or damages resulting from my participation in any St. Joseph Habitat for Humanity activities. Send completed Application and required attachments to: St. Joseph Habitat for Humanity Attn: NRI PO Box 6528 St. Joseph, MO Office Location: 3131 Fredrick Ave, St. Joseph, MO phone: fax: Drive d\nri Documents\NRI APPLICATION with Income Guidelines 11/28/16