Please read the following carefully before beginning your application:

Please be aware we will require the following documentation: photo ID, proof of home ownership, income verification, and proof of homeowner's insurance. Please make sure to have these documents prepared to make the application process as easy for you as possible. You will not be able to save your progress along the way.
Please fill in the application below to the best of your ability. We will follow up with any questions we may have while reviewing your application.

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* 1. First name (as shown on ID card)

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* 2. Middle name (as shown on ID card)

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* 3. Last name (as shown on ID card)

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* 4. Email Address

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* 5. Phone Number

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* 6. Address

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* 7. City

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* 8. County

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* 9. State

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* 10. Zip Code

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* 11. Different Mailing Address?

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* 12. If yes, what is your mailing address?

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* 13. Applicant lives at property?

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* 14. Applicant owns property?

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* 15. Have you owned this property for at least 12 months?

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* 16. Is your home single family and owner occupied?

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* 17. Have you ever received assistance from MSHDA (Michigan State Housing Development Authority)?

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* 18. If yes, when and how much money did you receive?

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* 19. Is there home owners insurance on the property?

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* 20. Do you own a property that is currently violating any state or local codes (including anything that can be fixed by this grant)?

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* 21. Have you been the prior owner of a property transferred to the Wayne County Treasurer as a result of tax foreclosure?

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* 22. Are you an individual with limited English proficiency?

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* 23. If yes, please provide your preferred language

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* 24. Are you in active bankruptcy?

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* 25. Do you have any outstanding property taxes owed?

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* 26. If yes, are you currently on a tax repayment plan?

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* 27. How many adult household members (≥18)?

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* 28. How many minor household members (<18)?

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* 29. Please list all household member names and dates of birth. Example: First Last (month/day/year).

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* 30. Total Household Income (yearly).

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* 31. Repair Needs. Please click all that apply.

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* 32. Photo ID of Homeowner

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* 33. Proof of Home Ownership

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* 34. Income Verification for All Household Members

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* 35. Income Verification for All Household Members

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* 36. Income Verification for All Household Members

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* 37. Income Verification for All Household Members

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* 38. Income Verification for All Household Members

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* 39. Income Verification for All Household Members

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* 40. Proof of Homeowner's Insurance

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