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If the person completing this form is not the homeowner, please provide your name, address, and relationship to the owner.
Communication regarding program applications can only be made with the homeowner or authorized representative.
Is this application related to hurricane or storm damage?
i.e., Is your name on the deed?
NOTE- THIS PROGRAM IS NOT FOR LEASED PROPTERIES.
This includes Supplemental Security Income (SSI), social security benefits, retirement pension, workers' comp, alimony, child support, unemployment benefits, and wages.
This includes all sources of income from all household members.
Rehabilitation Program- provides a loan up to $75,000 for homes requiring moderate repairs to bring them up to minimum housing standards.
Energy Efficiency and Weatherization Program - provides a loan up to $40,000 for homes requiring minimal improvements to make the home more energy efficient and weather resistant for Florida climate.
Select the program you are most interested in.
Please explain the repairs you believe are needed for the program you have selected. Please be advised that the program only provides repairs that make the home meet minimum Housing standards or improves its energy efficiency; it does not address cosmetic issues that do not affect the safety or welfare of the occupants.
This field is not part of the form submission.
* indicates a required field
Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity.
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