Pre-Application Owner-Occupied Rehabilitation

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Please correct the field(s) marked in red below:

1
Please provide the following information:
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Please provide the following information:
2
List all household members. Start with yourself.
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List all household members. Start with yourself.
3
Do you anticipate any changes in your household composition within the next 12 months?
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Do you anticipate any changes in your household composition within the next 12 months?
4
If yes,
5
What type of home do you own?
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What type of home do you own?
6

 Year built

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7
How long have you owned and lived in this home as your principal residence?
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8
Do you own the real property on which your home is located?
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Do you own the real property on which your home is located?
9
Do you have homeowners insurance?
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Do you have homeowners insurance?
10
Do you own or have interest in any other home or other real estate?
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Do you own or have interest in any other home or other real estate?
11
If yes,