Housing Rehabilitation Assistance Program 0% Interest Home Improvement Loans for Prince George s County Homeowners

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Housing Rehabilitation Assistance Program 0% Interest Home Improvement Loans for Prince George s County Homeowners The Prince George s County Department of Housing and Community Development has partnered with the Prince George s County Redevelopment Authority and Housing Initiative Partnership (HIP) to repair health and safety hazards in the homes of eligible homeowners in Prince George s County. Eligible Applicants Must own and occupy a home in Prince George s County Must be current on mortgage payments, property taxes and property insurance Cannot have an underwater mortgage or a reverse mortgage Total household income may not exceed the program limits Household Size 1 2 3 4 5 6 7 8 Maximum Income $65,650 $75,000 $84,400 $93,750 $101,250 $108,750 $116,250 $123,750 Source: US Department of Housing and Urban Development (www.huduser.org), effective June 15, 2017 Eligible Repairs Health Hazards: Lead, mold and asbestos abatement Safety and Code Compliance repairs: Roof, electrical systems, plumbing, flooring Energy Efficiency: Windows, insulation, air sealing, siding ADA related improvements: Ramps, grab bars, railings Other improvements considered Loan Terms 0% interest, no monthly payments Maximum Loan Amount of $60,000 Loans are repaid in full when the house is sold or transferred Maximum LTV 110% How to Apply 1. Complete the Housing Rehabilitation Assistance Program Application 2. Collect all of the supporting documents requested on the HRAP Checklist 3. Mail or deliver your completed application to: Housing Initiative Partnership, Inc. 6525 Belcrest Rd, Suite 555, Hyattsville, MD 20782 4. Applicants will receive a response by mail Questions? Call Housing Initiative Partnership at 301-699-3835

Application No.: PG BORROWER INFORMATION Housing Rehabilitation Assistance Program Application Name: DOB: Property Address: Marital Status: ( ) Married ( ) Separated ( ) Unmarried ( ) Widowed Phone 1: Phone 2: Email Address: Employer: Years at current job: Employer Address: Job Title: Type of Business: CO-BORROWER INFORMATION Name: DOB: Address, if different from above: Marital Status: ( ) Married ( ) Separated ( ) Unmarried ( ) Widowed Phone 1: Phone 2: Email Address: Employer: Years at current job: Employer Address: Job Title: Type of Business: PROPERTY INFORMATION Is anyone other than the borrower or co-borrower listed as an owner on the property deed? **If the answer is yes, call Housing Initiative Partnership at 301-699-3835 for further assistance. Year the house was built: Year you purchased property: Insurance Company: Policy Number: Agent s Name: Coverage Amount: Expiration Date: Agent s Phone No: Page 1

HOUSEHOLD OCCUPANCY: List all persons living in the home and their relationship to the borrower. If additional space is needed, please attach pages as necessary to fully disclose household occupancy. NAME RELATIONSHIP AGE SOCIAL SECURITY NO. EMPLOYMENT STATUS Self GROSS MONTHLY INCOME: Please include all sources of income that apply. Any person 18 years of age or older must provide proof of his/her employment or student status. If additional space is needed, please attach pages as necessary to fully disclose household income. ITEM BORROWER CO-BORROWER OTHER OCCUPANTS Employment Income (Gross Earnings) Overtime Pensions, Annuity Social Security Alimony, Child Support Net Rental Income Other Total $ $ $ TOTAL COMBINED MONTHLY INCOME $ PERSONAL DEBT HISTORY BORROWER CO-BORROWER Do you have any outstanding judgments? ( ) Yes ( ) No ( ) Yes ( ) No Have you declared bankruptcy in the last seven years? ** If yes, provide the discharge documentation ( ) Yes ( ) No ( ) Yes ( ) No Are you delinquent on mortgage payments or property taxes? ( ) Yes ( ) No ( ) Yes ( ) No Are you a co-maker or endorser on a note? ( ) Yes ( ) No ( ) Yes ( ) No Do you have any pending lawsuits? ( ) Yes ( ) No ( ) Yes ( ) No Page 2

MONTHLY HOUSING EXPENSES ITEM First Mortgage (Principle & Interest) (Reverse Equity Mortgages Are Not Eligible) Property Taxes AMOUNT Insurance Other Mortgages (P & I) Mortgage Insurance Condo or Homeowner Association Dues Utilities Total Monthly Payment ASSETS: If additional space is needed, please attach pages as necessary to fully disclose all assets. Cash & Cash Equivalents: Checking & Savings Accounts, Money markets, Certificate of Deposits (CD) Bank Name Last 4 Digits of Account Value Real Estate Owned (other than primary residence) Address Value Automobiles Make & Model Year Value Other Assets Description Value Page 3

REPAIR REQUESTS Please tell us what types of housing repairs you would like to see done on your property. This list will give us an idea of what may be needed but please be aware we may be forced to prioritize the work on your home. All code violations and health and safety hazards must be addressed before other repairs are considered. The scope of work will be determined by an HRAP Rehab Inspector and subject to approval by the Redevelopment Authority of Prince George s County and the Department of Housing and Community Development. Repair Requests Lead Abatement Heating / Cooling Roof Mold Electrical Insulation Windows / Doors Plumbing Siding Other Repairs: If your application is approved, you will be contacted by a HRAP Rehab Inspector and a Lead Inspector if necessary. Who should we call to schedule an inspection? Name Phone Number Office Use Only Do Not Write In This Box Page 4

NOTICES In accordance with Executive Order 01.01.1983.18, the Department of Housing and Community Development advises you as follows regarding the collection of personal information: The information requested by the Department of Housing and Community Development (the "Department") is necessary in determining your eligibility for a Special Loan Programs loan. Your failure to disclose this information may result in the denial of your application for a loan. Availability of this information for public inspection is governed by the provisions of the Maryland Public Information Act, State Government Article, Sections 10-611 et. seq. of the Annotated Code of Maryland. This information will be disclosed to appropriate staff of the Department, the staff of the local administrator for the loan, and participating mortgage lender, if any, for purposes directly connected with administration of the loan and the loan program. Such information is not routinely shared with state, federal or local government agencies, but would be made available to the extent consistent with the Maryland Public Information Act. You have the right to inspect, amend or correct personal records in accordance with the Maryland Public Information Act. Any person who knowingly makes, or causes to be made, a false statement or representation relative to this loan application shall be subject to criminal prosecution, a fine of up to $5,000 and/or imprisonment up to two years and if a loan has been made, immediate call of the loan requiring payment in full of all amounts disbursed, pursuant to Housing and Community Development Article, Section 4-933, Annotated Code of Maryland. I/We authorize the Program or its agent to obtain credit information (for which there is one-time $20.00 fee per applicant for a merged report) for the purpose of evaluating this application and disclose this same information to local agencies participating in the Program and/or a private lending institution agreeing to participate in the loan. Borrower's Signature Date Co-Borrower's Signature Date OPTIONAL STATISTICAL DATA BORROWER: I do not wish to furnish this information (Initials) ( ) Male ( ) Female ( ) American Indian or Alaskan Native ( ) Black/African American ( )Asian ( ) Native Hawaiian / Other Pacific Islander ( ) Hispanic ( )White CO-BORROWER: I do not wish to furnish this information (Initials) ( ) Male ( ) Female ( ) American Indian or Alaskan Native ( ) Black/African American ( )Asian ( ) Native Hawaiian / Other Pacific Islander ( ) Hispanic ( )White Does anyone in the household identify as: ( ) Veteran ( ) Disabled Page 5

HOUSING REHABILITATION ASSISTANCE PROGRAM APPLICATION SUBMISSION CHECKLIST 1. Proof of Income: Required for ALL household members over 18 years old If you are employed Provide 2 months of paystubs If you are self-employed. Provide 3 months Profit & Loss Statement and 2 years business tax returns If you are retired. Provide applicable award letters for SSI, Pensions, Annuities If you are unemployed and receiving benefits Provide Benefit Verification Ltr If you are unemployed and NOT receiving benefits Provide Social Security Statement and Benefits Verification Letter. If you are a full time student Provide proof of full time enrollment 2. Bank Statements: Required for ALL household members over 18 years old Provide copies of bank statements for 2 months. The statements provided should match the bank accounts described in the assets portion of the application. 3. IRS Tax Transcripts: Required for ALL household members over 18 years old 2017 2016 Note: An IRS tax transcript is an official record from the IRS and is different than a copy of the tax returns you filed. 4. Housing Documents Current Mortgage Statement (no more than 30 days old) Deed Title Insurance Policy Property Tax Bill Proof of Homeowners Insurance (Declaration Page) Utility Bill (no more than 30 days old) 5. Proof of Residency: Required for Borrower and Co-Borrower Copy of Driver s License 6. Credit Check Fee Money Order for $20.00 for each applicant paid to HIP. 7. Complete HRAP Application. Make sure it is dated and signed Need help? If you have questions about any of the information requested or if you need help collecting documentation, please call Housing Initiative Partnership, Inc. 301-699-3835. Page 6