donotreply@auroragov.org
15151 E Alameda Pkwy, Aurora, CO, 80012, US
303-739-7000
COMMUNITY DEVELOPMENT DIVISION HOUSING REHABILITATION PROGRAMS PROGRAM APPLICATION
Co-Applicant Name
Address
Dwelling Type
Home Purchase Date
Do you have a mortgage on this property
Do you have a 2nd mortgage on this property
Do you have property insurance
Is there anyone on the Title to the property who does not live there
Have you ever filed Bankruptcy
Bankruptcy file date
Have you ever received a Community Development Loan, Grant or repair assistance before
Community Development assistance date received
Have you ever received down payment assistance, 2nd mortgage loan from city of Aurora, HOAP (Home Ownership Assistance Program)
Down payment assistance date received
Are you or anyone in your household a current employee of the City of Aurora
List all persons (children and adults) living in the home, along with their gross annual income. By signing the bottom of this application, you certify, that you are the owner(s) of the property and the current gross annual income of all persons living in the home are listed below.
Occupant 1 Name
Occupant 1 date of birth
Occupant 2 Name
Occupant 2 date of birth
Occupant 3 Name
Occupant 3 date of birth
Occupant 4 Name
Occupant 4 date of birth
Occupant 5 Name
Occupant 5 date of birthday
Occupant 6 Name
Occupant 6 date of birth
Estimated Gross annual income for the household (Occupants 1 thru 6)
Marital Status
Female Head of Household
What is your gender
Are you a Veteran of the United States Armed Services
Are you a:
Is any household member disabled
Ethnic Categories
Racial Categories
Racial Categories: (Note: This information is for Federal Data collection reporting only and not for determination for assistance)
IMPORTANT – READ BEFORE SIGNING: The applicant/co-applicant undersigned does hereby certify ownership and occupancy of the above property and that all information above is true, accurate and complete; and does hereby authorize the City of Aurora to verify and make independent investigations to determine ownership, income and financial standing. The undersigned hereby releases the City, its employees, agents and any firm or person supplying them with information from any liability whatsoever concerning the release or use of the information and will hold them harmless from any suit or reprisal whatsoever. All holders of any such information are hereby authorized to release any such information they may have concerning the undersigned.
Applicant signature
