Home Owner Grant Type of Assistant Mortgage Assistance Are you a U.S. citizen or legal resident? Yes No Are you the homeowner? Yes No Do you meet the income requirements for the grant? Yes No Have you applied for any other grants or financial assistance programs? Yes No Have you ever been convicted of a felony? Yes No Are you currently in bankruptcy or foreclosure proceedings? Yes No Preferred Contact Method Email Address Phone Number Type of Assistance Requested Home Repairs Utility Bills Property Taxes Other Household Income Under $25,000 $25,000-$50,000 $50,000-$75,000 Over $75,000 Please provide the following documents (if applicable): Proof of income (e.g., pay stubs, tax returns) Recent mortgage statement Proof of property insurance Recent utility bills Estimate or invoice for repairs or other needs Submit
