Project for Pride in Living - Home Repair Program 1035 East Franklin Avenue, Minneapolis, MN 55404 Phone: 612-455-5221

Fax: 612-455-5101

PPL Foreclosure Prevention Repair Grants Eligibility Information

This program is designed to help prevent foreclosure by funding an important repair for homeowners who would not otherwise be able to afford the repair. It is available to homeowners in Minneapolis and St. Paul who are currently paying a mortgage and meet the eligibility criteria below. Grants of up to $7,500 will be awarded for one distinct repair, based on need and following recommendation from a PPL Financial Coach

Eligibility Criteria
1. Total household income must be at or below 80% of the area median income as defined by Minnesota Housings income standards for the Twin Cities Metro Area as defined below: Household Size 1 Person 2 Persons 3 Persons 4 Persons 5 Persons 6 Persons 7 Persons 8 Persons Income Limit $47,200 $53,867 $60,533 $67,200 $72,267 $77,600 $83,467 $88,800

2. The monthly housing costs of the household must equal 40% or more of the total household monthly income. Eligible housing costs include: mortgage payments, property taxes and homeowners insurance (if not included in the mortgage payments), and electric, gas, heat, and water bills. Telephone, cable, and internet bills are not eligible housing costs. 3. The cost of the repair must total more than the total household monthly income.

4. Total household income must be sufficient to maintain housing costs after the repair is completed. 5. The home must be in an eligible NSP2 census tract in Minneapolis or St. Paul. See the attached maps for qualifying census tracts.

Page 1

Project for Pride in Living - Home Repair Program 1035 East Franklin Avenue, Minneapolis, MN 55404 Phone: 612-455-5221 Fax: 612-455-5101

PPL Foreclosure Prevention Emergency Repair Program Application Form

Owner Information
Last Name: ___________________________ First Name: _____________________________ Street Address: ________________________________________________________________________ City, Street, Zip: _______________________________________________________________________ Phone Number: _______________________ Alternate Number: _______________________

Property Information
Building Type: ____ Owner occupied single family ____ Owner occupied duplex Repair Needs/Estimated Repair Cost: ______________________________________________________ _____________________________________________________________________________________ Any code violations or city orders? Yes No

If yes, please list: _____________________________________________________________________

Eligibility Information
Household Size: ____ Annual Household Income: $ ____________ OR Monthly Household Income: $ ____________

Please include documentation of your income according to the chart Salary or Hourly Base Pay Previous 3 consecutive of paychecks Social Security Social Security benefit letter Self-Employment Previous two years w2, 1099 or small business income tax returns Child Support Court decision or bank account statements showing payment Investment Income/Dividend 1099 forms or tax form 1040 Rental Income Copy of lease or 6 month history of cancelled rent checks Other Income? Call ppl @ 612-455-5195 for questions Are you Current on Mortgage Payments? Yes No If no, how many have you missed: ________

I swear that all information I have provided on this page and the three attached charts is as accurate as possible to my knowledge. Signed______________________________________________________ Date______________
Page 2

Please fill out the following three charts detailing your household financial situation as completely as possible. Documentation is requirement for the Housing cost chart.

Housing Costs
(Documentation Required) Monthly Mortgage Payment Please include your most recent mortgage statement. Average Monthly Electric Bill Please include your two most recent electric bills. Average Monthly Gas Bill Please include your two most recent gas bills. Average Monthly Water/City Utility Bill Please include your two most recent water bills. $ $ $ $

Personal Assets
Check Account Balance + Cash on hand Saving Accounts Combined Balance Primary Residence Market Value Other Real Estate Market Value Market Value of Vehicles Owned Investments (Stocks/Bonds/Mutual Funds/IRA/401(K)/403(b)/retirement accounts

Other Household Costs

Total Balance Owed Other Real Estate Loan Can Loan #1 Car Loan #2 Student Loans Credit Card Debt Other Loans (Continued on back)
Page 3

Due Monthly

Other Household Costs (continued)

Total Balance Owed Unpaid Bills Utilities Owed Real Estate Taxes Medical Bills Other Due Monthly

Judgments/Collections/Liens Medical Collections Child Support Areas Back Taxes Other

Other Monthly Payments Medical Insurance (if not deducted from paycheck) Medication/Prescriptions Day Care Child Support Cable/Internet Membership Dues

Page 4