Cuyahoga County Home Repair Program

Eligibility Screening

Complete this form as soon as possible to see if you are eligible to apply!

Program Details:

Up to a $20,000 loan in health and safety repairs for single family (1 unit) or two-family owner-occupied Cuyahoga County residents. Income restrictions apply.

Eligible repairs may include roof, driveway, gutters, exterior paint and siding, porch, windows, furnace/HVAC. Eligible repairs must meet certain health and safety standard in accordance with program guidelines.

Loan eligibility and loan type is based on household income. Household income must be less than 120% Area Median Income ("AMI"). All loans result in a lien on the property. See income levels and loan types below.

Eligible homeowners must have valid homeowner's insurance and are current on property taxes or active on a payment plan.

Table showing loan maximums by household size. For forgivable loans (30% AMI), the limits are: 1 person – $20,900; 2 people – $23,850; 3 people – $26,850; 4 people – $32,150; 5 people – $37,650. For deferred loans (120% AMI), the limits are: 1 person – $83,475; 2 people – $95,400; 3 people – $107,325; 4 people – $119,250; 5 people – $128,850.

Forgivable Loan - Household income at or below 30% of Area Median Income ("AMI"): forgivable if household applicant remains in home for 5 years or if head of household passes away.

Deferred Loan - Household income between 30% AMI and 200% Federal Poverty Level ("FPL"): loan is deferred at 0% interest and repayable upon the sale of the home or a refinancing.

Eligibility Screening

Homeowner First Name

Homeowner Last Name

Street Address

City

State

Zip Code

Homeowner Phone Number (###-###-####)

Homeowner E-Mail Address

Homeowner Date of Birth (##-##-####)

Do you currently own and occupy a home in Cuyahoga County, OH?

Is this property a single family (1 unit) or two-family (2 units) residential home?

Is there valid homeowners insurance coverage on this property?

Do you believe you are below the maximum household income levels listed below?

Are you or were you referred to the Cuyahoga County Home Repair Program from your local Community Development Corporation (CDC)?

YesNo

If yes, Referral Point of Contact Name

If yes, Referral Point of Contact Phone Number

If yes, Referral Point of Contact email address

I certify that the information contained in this preliminary eligibility screening form is correct to the best of my knowledge and understand this does not guarantee acceptance into any CHN Housing Partners administered program. I am aware entries will be reviewed in the order received and that the formal application process will require verifiable documentation to be submitted. CHN Housing Partners has the sole discretion to deem an applicant or property ineligible.

I acknowledge the above statement

Contact Information