Application

The information collected in this application will be used to determine whether you qualify for the Multifamily Rehabilitation Grant Program. This information may be disclosed as a Freedom of Information Act. You do not have to provide the information, but if you do not, your application may be delayed or rejected.
Applicant Information
Primary Applicant / Owner Name*
First Last
Phone:*
Email:*
Preferred way for us to reach you?*
- Email
- Phone
Are there any other owners of this property?*
All owners must apply.
- Yes
- No
How many applicants / owners?*
Second Applicant / Owner Name:
First Last
Second Applicant Phone:
Second Applicant Email:
Third Applicant / Owner Name:
First Last
Third Applicant Phone:
Third Applicant Email:
Fourth Applicant / Owner Name:
First Last
Fourth Applicant Phone:
Fourth Applicant Email:

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Property Information
Property Address:*
Street Address City State ZIP Code
Number of units in the property:*
Number of units available to rent:*
Length of ownership:*
Year of building construction:*

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Additional Housing Information
Are you and other owner(s), if any, current on all mortgage payments on the above referenced property?*
- Yes
- No
Are you and other owner(s), current in town, federal and state taxes, fees and assessments, if any, on the property?*
- Yes
- No
Have you or any other owner(s) filed for bankruptcy protection within the past five (5) years?*
- Yes
- No

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Applicant Authorization and Certification
I (we) certify that the statements made in this application are true, complete and correct to the best of my knowledge and belief, and are made in good faith to obtain rehabilitation assistance. I (we) further understand that any willful misstatement of material fact will be grounds for disqualification.

I (we) understand that any information provided in this application may be given to other agencies in order to coordinate rehabilitation and financial assistance.

I (we) further certifies that I (we) am the Owner of the property described in this application, and that the rehabilitation financing proceeds will be used only for the work and materials necessary to meet the code standards, as applicable, energy conservation improvements and general improvements which are described in this application.

I (we) covenant and agree I (we) will comply with all requirements imposed by or pursuant to regulations of the Secretary of Housing and Urban Development effectuating Title VI of the Civil Rights Acts of 1964 (87 Stat. 252). I (we) agree not to discriminate upon the basis of race, color, creed, national origin, ancestry, sex, gender identity or expression, marital status, age, lawful source of income, familial status, learning disability or physical/mental disability or sexual orientation in the sale, lease, rental, use or occupancy of the real property rehabilitated with assistance of the loan.

I (we) agree that the Town of Windsor Community Development Office, or any other person authorized by it, may use photographic or videotaped images of the rehabilitated home as it relates to the Community Development Program.

By submitting this application, I agree to the Program Criteria and the Funding Guidelines, and that the proposal meets the criteria of eligibility. If I receive funding, I understand that unless otherwise informed, invoices or receipts for the project will be submitted to the Town of Windsor in a timely fashion before receiving the award.
Applicant Name*
Applicant Signature*
Date*
MM slash DD slash YYYY
Co-Applicant Name*
Co-Applicant Signature*
Date*
MM slash DD slash YYYY
Co-Applicant Name*
Co-Applicant Signature*
Date*
MM slash DD slash YYYY
Co-Applicant Name*
Co-Applicant Signature*
Date*
MM slash DD slash YYYY

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Application Form

Multifamily Rehabilitation Grant Program

Applicant Information

Property Information

Additional Housing Information

Proposed Rehabilitation Work

UNIT(s) INFORMATION

Applicant Authorization and Certification