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2. Pre- Application Instructions
   You must read and acknowledge the information in the link provided.
3. CDBG Loan Frequently Asked Questions
   Required reading click here
4. Acknowledgement*

   By checking this box, it indicates you (as well as any other residents) have read and understand the program description.

   1. Yes
5. If yes, please continue with the application
8. Note
   This is not a quick program. Average applications take four to six months to complete.
11. 
12. City of Taylor Community Development Block Grant Rehabilitation Loan
    This application is for quality of life home repairs for low income residents within the City of Taylor. It is a soft second mortgage, meaning that payments will only need to be made if the primary resident converts the worked-on home as a rental unit, moves out, passes away, or the home changes ownership in any way. Please fill out the information below to the best of your abilities and read the policies before completing.
14. To Qualify*

    You must be able to check off all the following questions to qualify. If you cannot check off the complete list, you do not qualify.

    1. Are all applicant names are on the house deed?
    2. You do not have any outstanding code violations preventing occupancy to your home? (e.g. tall grass violation, concrete violation, etc).
    3. Are you the primary resident? (City Assessor's office records must show residency at 100%)
    4. Is your mortgage paid off or are your payments current?
    5. Your property tax and assessments are current.
    6. You have home owners insurance.
    7. You do not own more than one home.
16. Checklist of Paperwork Copies Needed to be Delivered to Taylor City Hall

    Once you have obtained all the required paperwork copies that are needed for your application, please check them off. Some of these documents will not apply. Note that this paperwork must be submitted for ALL household residents.

    1. Most recent tax return (for all applicants)
    2. Copy of Social Security card
    3. Copy of Social Security benefits (if applicable)
    4. Home Insurance Declarations Page (as written on the front page).
    5. Copy of current paid mortgage statement or deed
    6. Copy of at least four pay stubs or bank statement including at least three income deposits
    7. Copy of school, college, or university documents for full time student residents over the age of 18
    8. Copy of drivers license (all applicants)
    9. Copy of most recent utility bill.
18. Applicant Information
20. Name(s)*
21. Email Address
22. Phone Number(s)*
24. Address*
26. City*
27. State*
28. Zip Code*
32. Ethnic Statistical Information*

    Check only one box.

    1. Asian
    2. Native American/ Alaskan Native
    3. Hispanic
    4. Black/African American

    1. Caucasian
    2. Native Hawaiian/ Pacific Islander
    3. Other
    4. Prefer not to say
36. Relevant Household Data
    List all persons living in the home along with all persons with ownership interest or Dower rights to the property. All persons included in the title search must be listed and sign the Mortgage Note. Their income will be counted in the total household income. Incomes for full time students and persons younger than 18 years of age are not required to sign.
38. First Name*
39. Last Name*
41. First Name
42. Last Name
44. First Name
45. Last Name
47. Income
    If full time student, do not state income.
48. Income
    If younger than 18, do not state income.
49. Income
51. Number of people over the age of 18 residing in the home:*
53. Total household income:*
    As estimated and recorded on IRS tax forms in the Adjusted Gross Income line.
57. CDBG HUD 2018 Income Limit "Wayne County Median Income"
    Write the total income listed below that MOST CLOSELY matches the total listed persons from the previous section. If total household income is more than the income limit selected, STOP HERE. You do not qualify.
59. Median Income Limit: $70,900
61. Household Income Based on Income Limit Area*
    Insert income limit based on graph above.
63. 
65. Do you receive or have you received any workers compensation within the past month? If so, please provide the amount.
    Please not that these additional numbers are a part of your household income. The number inserted should be the combined amount between all residents over the age of 18 if applicable.
69. Are you an employee / elected official / appointed official or consultant or contractor of the City of Taylor?*
    -- Select One --YesNo
70. Are you related to an employee / elected official / appointed official or consultant or a contractor of the City of Taylor?*
    -- Select One --YesNo
72. If yes, state name, relation, and occupation.
76. Name of Applicant*
    Single or corresponding applicant names
78. Description of requested repairs:*
79. Date Applied
    Date Applied

    Date Applied
81. Agreement*
    -- Select One --Yes

    The information that I have provided is to the best of my knowledge. Any false information will forfeit home rehab eligibility.
82. -- Select One --
86. Complete this form for every household and persons on house deed, only if NO IRS Tax forms.
88. Income Conclusions as stated in the Code of Federal regulations.
    1. Income from wages, salaries, tips, etc. The full amount before any payroll deductions of wages, salaries, overtime pay, commissions, fees, tips, and bonuses, or other compensation for personal services.
89. Business income
    2. Net income from the operation of a business or a profession. Any withdraw of cash or assets from the operation of a business or profession will be included in income, except to the extent the withdraw is reimbursement of cash or assets invested in the operation by the family.
91. Interest & Dividend income
    3. Interest, dividends, and other net income of any kind from real or personal property. Any withdrawal of cash or assets from an investment will be included in income, except to the extend the withdrawal is reimbursement of cash or assets invested by the family. Where the family has net family assets more than $5,000, annual income must include the majority of the actual income derived from all net persons assets based on the current passbook savings rate as determined by HUD.
92. Retirement & Insurance Income
    4. The full amount of periodic amounts received from Social Security, annuities, insurance policies, retirement funds, pensions, disability or death benefits, or any other periodic receipts. Including lump-sum amount or prospective monthly amounts for the delayed start of a periodic amount.
94. Unemployment & Disability Income
    5. Payments in lieu of earnings such as unemployment, disability compensation, worker's compensation, and severance pay.
95. Welfare Assistance
    6. Welfare assistance payments made under the Temporary Assistance for Needy Families (TANF) program are included in annual income or are otherwise excluded from the calculation of annual income per 24 CFR 5.609(c). The amount of the allowance or grant exclusive of the amount specifically designated for shelter or utilities.
97. Alimony, Child Support, & Gift Income
    7. Periodic and determinable allowances such as alimony and child support payments. Regular contributions or gifts received from organizations or from persons NOT residing in the dwelling.
98. Armed Forces Income
    8. All regular pay, special day and allowances of a member of the Armed Forces.
100. Total Income
104. Information and Agreements
     You have reached the end of the online submission for a rehabilitation loan. To fully complete this application, you must visit the Community Development Department located on the second floor in the Development Services office at Taylor City Hall. The address is 23555 Goddard Road, Taylor, Michigan, 48180. The remaining paperwork include: 1) Rehabilitation Work Fees Agreement 2) Lead Paint Agreement 3) A Short Form Request for Individual Tax Return Transcript (4506T-EZ). 4) Informative Reading: Program Guidelines. 5) Copies of documents as stated above. If you have any questions regarding this application or the remaining paperwork required for eligibility, please call (734) 552-0064.
106. Electronic Signature Agreement*

     By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide traditional signature(s) at a later date.

     1. I agree.
108. Electronic Signature
Leave This Blank:


110. Submit Submit and Print

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