Event Calendar

DEKALB COUNTY SPECIAL PURPOSE HOME REPAIR PROGRAM

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PRE-APPLICATION CARD
DEKALB COUNTY SPECIAL PURPOSE HOME REPAIR PROGRAM
DEKALB COUNTY COMMUNITY DEVELOPMENT DEPARTMENT

THIS PROGRAM IS FUNDED BY THE U.S. DEPARTMENT of HOUSING & URBAN DEVELOPMENT
COMMUNITY DEVELOPMENT BLOCK GRANT 

 

Name
Name
Address
Are You Disabled
Have You Ever Received A Grant Or Loan To Repair Your Home From Us?
(EXAMPLES Social Security, Pensions, Annuities, VA Benefits, Employment, Income from Assets, Checking, Savings and Any other source of income)
(include total income of ALL persons 18 and over living in the home)

*HOMEOWNER’S WHO PREVIOUSLY RECEIVED HOMEOWNER REPAIR OR REHABILITATION ASSISTANCE, ARE NOT ELIGIBLE FOR THIS PROGRAM *

Section 1001 of Title 18 of U.S. Code makes it a criminal offense to make willful false statements or misrepresentation to any Department or Agency in order to receive federal funds.

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