City of New London Lead Hazard Reduction Program (L-HARP)
City of New London Lead Hazard Reduction Program (L-HARP)
Owner Application
For further information or assistance call the L-HARP office at 437-6327
DATE: APP. #
Part 1: Property Information
Application for (check one): Single Multi-family Is building owner occupied? Yes No
Property Address: # of Dwelling Units:
How did you hear of the Lead Hazard Reduction Program?
No. of Children under the age of 6 (list below): Approximate year of initial construction:
Name Age Name Age
Name Age Name Age
Name Age Name Age
Part 2: Applicant Information
NAME OF APPLICANT AGE SS#
Individual, Partnership, Trust or Corp. (circle one)
APPLICANTS ADDRESS HOME PHONE
No. and street
RACE BUSINESS PHONE
City, State, Zip
If more than one Owner, complete the following section.
SECOND APPLICANT AGE SS#
Individual, Partnership, Trust or Corp. (circle one)
APPLICANTS ADDRESS HOME PHONE
No. and street
RACE BUSINESS PHONE
City, State, Zip
If additional owners please attach a separate sheet or continue on back and check here.
Part 3: Financial Information
Name & Address of Mortgage Co.
Are you and other owner(s) current (up to date) on all mortgage payments on the subject property?
If not, please explain:
Are you and other owner(s) current on all municipal taxes and assessments levied on the property?
If not, please explain:
Are you and other owner(s) current on all State and Federal Taxes and assessments on the property?
If not, please explain:
Have you or any other owner(s) filed for bankruptcy during the past 5 years?
If yes, please explain:
Are you or any other owner(s) willing to contribute your own funds to the abatement effort?
Part 4: Resident Information Property address App #
Unit |# of
Bed
rms |
Name of Resident
(or Vacant) |
Race |# in
House
hold |# of
Child
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- texas general land office community development and
- hud u s department of housing and urban
- swot analysis weebly
- intake form first home alliance
- city of new london lead hazard reduction program l harp
- home affordable modification trial period plan notice
- berkeley haas
- excel realty mortgage
- part ii pbra housing assistance payments contract rad
Related searches
- city of new york benefits
- city of new york employee benefits program
- city of new york health benefits program
- city of new haven public school
- city of new haven board of education
- city of new haven benefits
- welcome to city of new haven ct
- city of new york payroll
- fisa city of new york
- city of new york retiree health benefits
- city of new york employment verification
- city of new haven ct