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Central Grants & Community Development 999 Broad Street, Bridgeport, CT 06604 Kelly McDermott, Senior Manager 203-576-8144 Lisa Miro, Rehab Program Manager 203-394-6981
PROGRAM ELIGIBILITY To be eligible for the City of Bridgeports Homeowner Rehabilitation Program, you must meet the following qualifications: Homeowner must reside in the City of Bridgeport Household income must be within eligible HUD guidelines Total household income must be used to qualify for program participation and must include all sources of income and for all members of the household that are over the age of eighteen PROGRAM PRIORITY AREAS The City of Bridgeport has established the following program priorities. All applications that are received will be given priority consideration, should they meet one or more of the following: Emergency home repairs including but not limited to: Heating units, roof repair/replacement, extreme code violations that put the homeowners safety at risk Priority target populations: Seniors/Elderly and Persons with Disabilities Priority target neighborhoods: Hollow, East Side, East End, West Side, South End PROGRAM INFORMATION The home must be the applicants primary residence and rehabilitation activities will only be completed for residential purposes. Rehabilitation loans are capped and may not exceed $10,000 for repairs to a single family home or $15,000 to multi-family homes. The minimum rehabilitation loan will be at $5,000. Any money not used for repairs must be returned to the City of Bridgeport. The City of Bridgeport cannot unduly enrich an applicant. All reasonable assets held by an applicant must be used towards eligible rehabilitation work. The City of Bridgeport will allow $15,000 in liquid assets. Non-essential or luxury improvement items such as areas rugs, major landscaping work, pools, hot tubs, etc. will be viewed as cosmetic and not allowable. The City reserves the right to reject any rehabilitation work deemed to be cosmetic or unnecessary. All loans will be secured by a mortgage lien and deed restriction placed on the property by the City of Bridgeport. Applicants will be required to be current on all City of Bridgeport property taxes. All loans are subject to City and Federal laws, rules, regulations and program requirements. Loans are also subject to the availability of funds.
Program participants will be required to sign this application, verifying your knowledge and understanding of program requirements.
APPLICATION FORM
Information supplied by you will remain confidential and will be used only for the purpose of determining eligibility for participation in the program. You must complete all sections of the application. Incomplete applications will be returned. Name of Applicant: Applicant Address: Home Telephone: ______________________________________ _______________________________________ ___________________ Yes ____ Yes ____ No ____ No ____ If Yes, how long? _____ Multi-Family _____ Work Telephone: _________________
Do you own this property? Do you reside at this property? Type of Building: Household Size:
Additional Family Members in Household Name: Name: Name: Name: Name: Name: Age Age Age Age Age Age Sex Sex Sex Sex Sex Sex
Approximate Annual Income $ _____________ Describe work desired: ____________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________
Please list all assets including savings accounts, stocks, bonds, money market funds, profit sharing or stock option plans, and IRAs. Provide the following for all members of your household. 3
Total Assets
NOTE: Submission of an application does not guarantee that there will be assistance available for you, nor does certification of income eligibility automatically qualify you. All loans are subject to City, State and Federal laws, rules, regulations and requirements. All loans are subject to the availability of funds. Applications will not be considered complete until all information and statements have been documented to the satisfaction of the Central Grants and Community Development Department of the City of Bridgeport.
Notice This notice is provided to you pursuant to the requirements of the Right to Privacy Act of 1978. As a result of your request and/or receipt of financial assistance under the City of Bridgeport Rehabilitation Program, the United States Department of Housing and Urban Development will have access to financial records held by the City of Bridgeport in connection with the consideration and/or administration of assistance to you. The Division of Housing Assistance Representatives responsible for administrative, financial and/or fiscal matters associated with the citys Rehabilitation Program will have a right of access to these financial records. Pursuant to theses rights of access, financial records involving your transaction will be available to these authorized officials without further notice or authorization from you. However, your financial records and information as contained therein will not be disclosed or released to any other persons; government agency or department, without your prior written consent, except as may be permitted and or required by law. ACKNOWLEDGEMENT I have read the Right to Financial Privacy Act Notice presented above and by my signature below, acknowledge and accepts the terms and conditions set forth therein.
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