REGION 6 HOUSING TRUST FUND MISSION STATEMENT: Region 6 Housing Trust Fund seeks to improve the supply of quality affordable housing across Hardin, Marshall, Poweshiek, and Tama Counties. WHO QUALIFIES New homebuyers, existing homeowners, rental property owners, and other affordable housing projects may qualify for Region 6 Housing Trust Fund assistance. Region 6 Housing Trust Fund, Inc. was organized in 2009 to assist Hardin, Marshall, Poweshiek, and Tama Counties expand the supply of quality affordable housing. The Iowa Finance Authority, Region 6 Planning, MICA, Counties, and others have provided financial support for this regional initiative. ELIGIBILITY GUIDELINES All households shall have incomes under 80% of the current county median family income, as determined by HUD. The current amount is listed below, and is subject to change at any time. The Region 6 Housing Trust Fund Board of Directors will review the applications and may amend the program eligibility rules at any time. Any applicant can use only one form of the assistance listed below. Assistance is only available to individuals with verified immigration status. Applicants shall be current on taxes, utilities, mortgage payments, and housing insurance. The property shall be clear of junk and any nuisances. All projects shall sign a mortgage that can be properly recorded locally. All assistance will require some no-cost homebuyer counseling. TYPE OF ASSISTANCE All assistance will be provided in the form of a 5-year loan. Some of the loan amount will be forgivable and some repayable, depending upon income. Rental property owners will qualify for a 2% APR 5-year mortgage. HOMEBUYER ASSISTANCE Up to $2,500 of downpayment and closing cost assistance is available. This assistance will be provided at the time of closing. This assistance cannot be provided for any subprime, balloon, or any predatory loan. EXISTING HOMEOWNER AND RENTAL PROPERTY OWNER ASSISTANCE Up to $10,000 of housing improvement assistance is available. All projects shall be inspected by Region 6 Planning staff and the applicants are expected to get at least 2 quotes. If work is done by an applicant, only materials are eligible. Improvements are limited to – Roofing, and Emergency repairs. Construction materials shall meet U.S. Department of Energy “Energy Star” standards where such products are available. Rental property owners shall contribute 10% of the rehabilitation project cost. The maximum rent limit for 5 years shall be the most recent published HUD Fair Market Rent. All new tenants for 5 years shall also meet the program income guidelines. A rental property owner is only eligible for one parcel or up to $10,000 over a 2-year time period.
NEW CONSTRUCTION, HOMELESS, OR HOMELESS PREVENTION The Region 6 Housing Trust Board of Directors will review applications for these projects and determine whether any assistance will be provided. INCOME LIMITS In order to be eligible for the Region 6 Housing Trust Fund assistance, the anticipated verified income of the applicant household over the next 12 months shall be at or below the levels specified as follows:
County Hardin & Tama
Marshall
Poweshiek
# of People in 80% Household MFI 1 2 3 4 5 6 7 8 1 2 3 4 5 6 7 8 1 2 3 4 5 6 7 8
$31,950 $36,500 $41,050 $45,600 $49,250 $52,900 $56,550 $60,200 $32,950 $37,650 $42,350 $47,050 $50,850 $54,600 $58,350 $62,150 $33,900 $38,750 $43,600 $48,400 $52,300 $56,150 $60,050 $63,900
30% MFI $12,000 $13,700 $15,400 $17,100 $18,500 $19,850 $21,250 $22,600 $12,400 $14,150 $15,900 $17,650 $19,100 $20,500 $21,900 $23,300 $12,750 $14,550 $16,350 $18,150 $19,650 $21,100 $22,550 $24,000
HOW TO APPLY Applications will be available starting May 1, 2011. Applications will be accepted continuously and will be reviewed on a first-come, first-served basis. Application forms will be available on www.region6planning.org or by contacting Donna Sampson at Region 6 Planning Commission, 641-7520717 or dsampson@region6planning.org or from any Region 6 Housing Trust Fund board member.
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REGION 6 HOUSING TRUST FUND AFFORDABLE HOUSING ASSISTANCE PROGRAM
APPLICATION FOR PROGRAM ASSISTANCE 2011
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REGION 6 HOUSING TRUST FUND APPLICATION FOR PROGRAM ASSISTANCE In submitting this application, I agree to and acknowledge the following: 1. I acknowledge that all income and asset information received from the verification of information concerning this application will be kept confidential by Region 6 Planning Commission. 2. I allow access to my home to representatives of Region 6 Planning Commission, the State of Iowa, Region 6 Housing Trust Fund, and Iowa Finance Authority.
3. I agree to provide a certification of completion to Region 6 Planning Commission, as administrator of the Region 6 Housing Trust Fund. I understand that work cannot be started on my home, nor can any funds be committed for down payment assistance, until I have taken this course and have provided a certificate of completion from MICA to Region 6 Planning Commission. For Owner-Occupied Housing Repair/Rehabilitation Category ONLY: 1. I allow inspection of my home to determine eligibility and probable cost. If the Program Administrator determines my property not to be clean and sanitary, he will give me two weeks notice to clean my property prior to his/her initial inspection. If after those two weeks, I have not cleaned my property, I will be determined ineligible for assistance. 2. There will be no rehabilitation work done unless I authorize it in writing. 3. Any rehabilitation work done that is not authorized by Region 6 Planning Commission will be done at my expense and Region 6 Planning Commission will not be responsible for the workmanship of any unauthorized rehabilitation work.
4. If at anytime during the application process or the construction period, there is a change in my household income, or family or household composition, I agree to report this change to Region 6 Planning Commission. The penalty for false or fraudulent statements: USC Title 18, Section 1001, provides: “Whoever, in any matter within the jurisdiction of any department or agency of the United States knowingly or willfully falsifies… or makes any false, fictitious or fraudulent statements or representation, or makes or uses any false, fictitious or fraudulent statement or entry shall be fined not more than $10,000 or imprisoned not more than 5 years, or both.” 5. I reserve the right to withdraw from this program at any time prior to contract signing.
_________________________________ Homeowner
__________________ Date
_________________________________ Homeowner
__________________ Date
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Complete the enclosed application (answering all questions). Answer “Not Applicable” or “N/A” if the question does not pertain to you. Applicants are expected to be honest in all areas or risk disqualification. Return the completed application to: Region 6 Planning Commission, 903 E. Main, Marshalltown, IA 50158.
HOUSEHOLD INFORMATION HEAD OF HOUSEHOLD NAME:____________ __________________________________ ADDRESS: ________________________________________________________________ CITY / STATE / ZIP CODE: __________________________________________________ TELEPHONE: _____________________________________________________________ EMAIL: _____________________________________________ SOCIAL SECURITY #: ______________________________________________________ AGE:_______ RACE:__________________ OTHER PERSONS LIVING AT THIS ADDRESS: NAME AGE SOCIAL SECURITY # ____________________ _____ ___________________ ____________________ _____ ___________________ ____________________ _____ ___________________ ____________________ _____ ___________________ ____________________ _____ ___________________ ____________________ _____ ___________________ ____________________ _____ ___________________
RACE _______ _______ _______ _______ _______ _______ _______
Do any of these people have a diagnosed handicap or disability? YES / NO If yes, please explain:______________________________________________________ ________________________________________________________________________ ________________________________________________________________________
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INCOME AND ASSET INFORMATION Please provide total gross income (the amount prior to any deductions) from all people living in the household. Full time student dependents are exempt. Income includes any rental income, welfare benefits received, Veteran’s Administration benefits, Social Security benefits, pension(s) payment(s), retirement fund(s) payment(s), unemployment compensation, child support, alimony, etc.): HOUSEHOLD MEMBER’S NAME ________________________ ________________________ ________________________ ________________________ _______________________ ________________________
MONTHLY INCOME ___________ ___________ ___________ ___________ ___________ ___________
SOURCE OF INCOME
ASSETS OR INVESTMENTS
AMOUNT
INTEREST RATE
NAME OF BANK / SOURCE AND THEIR ADDRESS
Savings Account Savings Account Checking Account Stocks / Bonds CD’s / Other
_________ _________ _________ _________ _________
__________ __________ __________ __________ __________
______________________________ ______________________________ ______________________________ ______________________________ ______________________________
_______________________ _______________________ _______________________ _______________________ _______________________ _______________________
If you are self-employed, please provide a copy of last 3 years income tax returns and Schedule C or business expense.
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HOUSING INFORMATION Age of Home:______
Date of Purchase:_________
Do you have a mortgage on the home?
YES / NO
If yes, what is the name and address of your mortgage lender? _____________________________________________________________________________ _____________________________________________________________________________ Do you have a land sales contract on the home? YES / NO If yes, what is the name and address of the land sales contract seller? ______________________________________________________________________________ Is your home a manufactured home?
YES / NO
Do you own any other real property other than your home? YES / NO If yes, where is it located? _____________________________________________________________________________ In order to be eligible for assistance, your home must be insured. Please list the name and address of your housing (property) insurer. If you are awarded funding, you will be required to provide a copy of your proof of insurance: _____________________________________________________________________________ _____________________________________________________________________________ Signature of Head of Household: Signature of Spouse:
_____________________________ Date: __________ _____________________________ Date: __________
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RELEASE OF INFORMATION To determine eligibility for assistance through the Region 6 Housing Trust Fund, the Region 6 Planning Commission will need to verify income of the applicants. I
authorize
to release the information required by Region 6, and agree that photocopies of this form may be used for purposes stated above. Date: SS#
SS#
Signature of Applicant
Signature of Co-Applicant
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Region 6 Planning Commission
REGION 6 HOUSING TRUST FUND DECLARATION AND RELEASE
903 E Main Street, Marshalltown, IA 50158 641-752-0717 phone, 641-752-9857 fax
DECLARATION AND RELEASE In order to be eligible to receive Region 6 Housing Trust Fund Assistance, a member of the household must be a citizen, non-citizen national or qualified alien ofthe United States. Please read the form carefully, sign the sheet and return it to the Region 6 Planning Commission, and show him/her a current form of photo identification. Please feel free to consult with an attorney or other immigration expert if you have any questions. I hereby declare, under penalty of perjury that (check one): I am a citizen or non-citizen national of the United States. I am a qualified alien of the United States I am the parent or guardian of a minor child who resides with me and who is a citizen, non-citizen national, or qualified alien of the United States. Print full name and age of minor child Child's Full Name
Age
By my signature I certify that: * Only one application has been submitted for my household * All information I have provided regarding my application for Region 6 Housing Trust Fund assistance is true and correct to the best of my knowledge. * I will return any Region 6 Housing Trust Fund funds which was not used for the purpose for which it was intended.
I authorize all custodians of records of my insurance employer, any public or private agency, bank financial or credit data service to release information to Region 6 Housing Trust Fund, Region 6 Planning Commission, and/or the State upon request.
NAME (Print)
SIGNATURE
DATE OF BIRTH
DATE SIGNED
ADDRESS OF ASSISTED PROPERTY
CITY
STATE
ZIP CODE IA
PRIVACY ACT STATEMENT
The primary use of this is to determine your eligibility for Region 6 Housing Trust Fund assistance.
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FINANCIAL EDUCATION AGREEMENT As a recipient of funding through the Region 6 Housing Trust Fund, if I am awarded funding, I agree to complete a financial education course provided by my local MICA office. I understand that it is my responsibility to contact MICA to set up a time to attend this course* and, as a requirement of receiving assistance, I must provide a certification of completion to Region 6 Planning Commission, as administrator of the Region 6 Housing Trust Fund. I further understand that work cannot be started on my home, nor can any funds be committed for downpayment assistance, until I have taken this course and have provided proof of completion to Region 6 Planning Commission.
_____________________________________ Applicant Signature
______________________________ Date
_____________________________________ Co-Applicant Signature
______________________________ Date
*MICA offices: Marshall County Mid Iowa Community Action Family Development Center, 6 S. 2nd Street, Marshalltown, 753-5523 Hardin County Mid Iowa Community Action Family Development, 637 S. Oak Street, Iowa Falls, 641-648-5036 Poweshiek County Mid Iowa Community Action Family Development, 927 4th Avenue, Second Floor of Community Center, Grinnell, 641-236-3923 Tama County Mid Iowa Community Action Family Development, 105 S. State Street, Tama, 641-484-4713
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