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City of Aurora

15151 E Alameda Pkwy, Aurora, CO, 80012, US



Co-Applicant Name


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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

Requested Services


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)

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

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