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NIDC Application for Housing Rehabilitation Programs

Neighborhood Improvement Development Corporation Programs (NIDC)

Programs include: STRONG Homes Loan, Home Rehabilitation Targeted Investment Neighborhood, Homebuyer Assistance Program, and Tax Incremental District.

Are you submitting an application for the Homebuyer Assistance Program? *

Yes

No

Upload, or submit, the following documents with your NIDC application:

Proof of Income
- Include 2 months of recent consecutive paycheck stubs and a copy of your most-recent Federal Income Tax Returns. Documented proof of income is required for everyone living in your home.
- If any applicant, or co-applicant, is self-employed, provide most recent profit and loss statement from beginning of year to present date and 2 years of most recent Federal Income Tax Returns, including all schedules.
- If receiving Social Security, SSI, pension or other types of income please include the recent award letters or income statements for all family members.
- If receiving Child support please include a court ordered 12-month payment history.
Most recent WE Energies Bill
Most recent Mortgage Statement
Proof of Home Insurance (copy of policy declaration page)
If the property has rental units, such as a duplex, provide most recent lease agreement for rental units.

Disclaimer: The above list of documents will help you initiate the application process. An NIDC Loan Officer will review your application. If your application is deemed preliminarily financially eligible additional documents may be requested. This list does not guarantee your eligibility for a loan. Should you need to reference NIDC program information please visit: Housing Resources (milwaukee.gov)

Upload, or submit, the following documents with your NIDC application:

Proof of Income
- Include 2 months of recent consecutive paycheck stubs and a copy of your most-recent Federal Income Tax Returns. Documented proof of income is required for everyone living in your home.
- If any applicant, or co-applicant, is self-employed, provide most recent profit and loss statement from beginning of year to present date and 2 years of most recent Federal Income Tax Returns, including all schedules.
- If receiving Social Security, SSI, pension or other types of income please include the recent award letters or income statements for all family members.
- If receiving Child Support please include court ordered 12-month payment history.
Completion certification of 8 hours of homebuyer counseling from an eligible agency
A copy of your pre-approval letter or evidence of funds
Your accepted offer to purchase

Disclaimer: The above list of documents will help you initiate the application process. An NIDC Loan Officer will review your application. If your application is deemed preliminarily financially eligible additional documents may be requested. This list does not guarantee your eligibility for a loan. Should you need to reference NIDC program information please visit: Housing Resources (milwaukee.gov)

Please list the address of the property under contract to purchase *

How will property be purchased *

Source of funds *

Savings

Checking

Retirement

Gift

Amount *

Lender *

Lender contact name *

Lender phone number *

Lender e-mail address *

Homebuyer Counseling Agency Name *

Counselor's name *

Counselor's phone number *

Upload documents here *

Applicant and Co-Applicant Information

APPLICANT INFORMATION

First Name *

Last Name *

Date of Birth (mm/dd/yyyy) *

Social Security Number (xxx-xx-xxxx) *

Primary Phone Number *

Secondary Phone Number

Email Address *

Applicant's Address *

Zip Code *

Number of years living at this address *

Are you (select one): *

Do you have a co-applicant/co-owner of the property/spouse? *

Yes

No

How many co-applicants/co-owners are there (including yourself)? *

Two

Three

Four

CO-APPLICANT INFORMATION

Section to be completed by any co-applicants, this includes co-owners of the property and spouses.

First Name *

Last Name *

Date of Birth (mm/dd/yyyy) *

Social Security Number (xxx-xx-xxxx) *

Primary Phone Number *

Secondary Phone Number

Email Address *

Number of years living at this address *

Applicant's Address *

Zip Code *

Is the co-applicant (select one): *

ADDITIONAL CO-APPLICANT INFORMATION

Section to be completed by any co-applicants, this includes co-owners of the property and spouses.

First Name *

Last Name *

Date of Birth (mm/dd/yyyy) *

Social Security Number (xxx-xx-xxxx) *

Primary Phone Number *

Secondary Phone Number

Email Address *

Applicant's Address *

Zip Code *

Number of years living at this address *

Is the co-applicant (select one): *

ADDITIONAL CO-APPLICANT INFORMATION

Section to be completed by any co-applicants, this includes co-owners of the property and spouses.

First Name *

Last Name *

Date of Birth (mm/dd/yyyy) *

Social Security Number (xxx-xx-xxxx) *

Primary Phone Number *

Secondary Phone Number

Email Address *

Applicant's Address *

Zip Code *

Number of years living at this address *

Is the co-applicant (select one): *

Authorized Representative

Complete if there is an organization or person helping you complete this application.

Name of Authorized Representative

Relationship to Applicant

Organization

Phone Number

Email Address

I, [pipe:5] [pipe:15], received assistance in completing this application. I certify providing information to our authorized representative that is true and complete. I herby authorize the City of Milwaukee to request, receive and share information with my authorized representative to verify the accuracy and completeness of my application. Furthermore, I authorize my personal representative to request, receive and share information with the City of Milwaukee to verify the accuracy and completeness of my application.

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I, [pipe:5] [pipe:15] & [pipe:19?] [pipe:20?], received assistance in completing this application. We certify providing information to our authorized representative that is true and complete. I herby authorize the City of Milwaukee to request, receive and share information with my authorized representative to verify the accuracy and completeness of my application. Furthermore, I authorize my personal representative to request, receive and share information with the City of Milwaukee to verify the accuracy and completeness of my application.

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I, [pipe:5] [pipe:15] & [pipe:19?] [pipe:20?] & [pipe:159?] [pipe:160?], received assistance in completing this application. We certify providing information to our authorized representative that is true and complete. We herby authorize the City of Milwaukee to request, receive and share information with my authorized representative to verify the accuracy and completeness of my application. Furthermore, we authorize my personal representative to request, receive and share information with the City of Milwaukee to verify the accuracy and completeness of my application.

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I, [pipe:5] [pipe:15] & [pipe:19?] [pipe:20?] & [pipe:159?] [pipe:160?] & [pipe:180?] [pipe:181?], received assistance in completing this application. We certify providing information to our authorized representative that is true and complete. We herby authorize the City of Milwaukee to request, receive and share information with my authorized representative to verify the accuracy and completeness of my application. Furthermore, we authorize my personal representative to request, receive and share information with the City of Milwaukee to verify the accuracy and completeness of my application.

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Household Members

Please list all people who live in the home at least 50% of the time (including children):

	Name	Birth Date	Relationship to You
1	Name	Birth Date	Relationship to You
2	Name	Birth Date	Relationship to You
3	Name	Birth Date	Relationship to You
4	Name	Birth Date	Relationship to You
5	Name	Birth Date	Relationship to You
6	Name	Birth Date	Relationship to You

Do you have more than 6 household members? *

Yes

No

Please list additional household members *

+-

Has any household member recently passed away? *

Yes

No

Please list the name of the deceased (list one person per box, click the green plus sign to add more boxes):

+-

Is any member of your household disabled? *

Yes

No

Please list the names of all members of your household who are disabled (list one person per box, click the green plus sign to add more boxes):

+-

Is any member of your household a full-time student? *

Yes

No

Please list the names of all members of your household who are full-time students (list one person per box, click the green plus sign to add more boxes):

+-

Household Income

APPLICANT INCOME

Employer *

Employer Address *

Position *

Length of employment *

Gross Income Amount (indicate per month or per year) *

Do you have additional sources of income? *

Yes

No

	Source of Income	Gross Income Amount (indicate per month or per year)
Source 1	Source of Income	Gross Income Amount (indicate per month or per year)
Source 2	Source of Income	Gross Income Amount (indicate per month or per year)
Source 3	Source of Income	Gross Income Amount (indicate per month or per year)
Source 4	Source of Income	Gross Income Amount (indicate per month or per year)
Source 5	Source of Income	Gross Income Amount (indicate per month or per year)
Source 6	Source of Income	Gross Income Amount (indicate per month or per year)

CO-APPLICANT INCOME

Employer *

Employer Address *

Position *

Length of employment *

Gross Income Amount (indicate per month or per year) *

Do you have additional sources of income? *

Yes

No

	Source of Income	Gross Income Amount (indicate per month or per year)
Source 1	Source of Income	Gross Income Amount (indicate per month or per year)
Source 2	Source of Income	Gross Income Amount (indicate per month or per year)
Source 3	Source of Income	Gross Income Amount (indicate per month or per year)

HOUSEHOLD MEMBERS INCOME

Please list all sources of income for other household members below.

Example:

Household Member Name: Jane Smith

Source of Income: Johnson Controls Salary

Income Amount: $25,342 per year

	Household Member Name	Source of Income	Gross Income Amount (indicate per month or per year)
Source 1	Household Member Name	Source of Income	Gross Income Amount (indicate per month or per year)
Source 2	Household Member Name	Source of Income	Gross Income Amount (indicate per month or per year)
Source 3	Household Member Name	Source of Income	Gross Income Amount (indicate per month or per year)

Does your household have additional sources of income? *

Yes

No

Please list any additional income information here

+-

Please answer the questions below. A "yes" answer may require NIDC to request additional information to determine eligibility. *

	Applicant
	Yes	No
Do you file Federal and State Income taxes?	Yes	No
Do you receive pension or annuity income?	Yes	No
Are you a partner in any business?	Yes	No
Are you self-employed?	Yes	No
Do you receive child support?	Yes	No

Please answer the questions below. A "yes" answer may require NIDC to request additional information to determine eligibility. *

	Applicant		Co-Applicant
	Yes	No	Yes	No
Do you file Federal and State Income taxes?	Yes	No	Yes	No
Do you receive pension or annuity income?	Yes	No	Yes	No
Are you a partner in any business?	Yes	No	Yes	No
Are you self-employed?	Yes	No	Yes	No
Do you receive child support?	Yes	No	Yes	No

Please answer the questions below. A "yes" answer may require NIDC to request additional information to determine eligibility. *

	Applicant		Co-Applicant 1		Co-Applicant 2
	Yes	No	Yes	No	Yes	No
Do you file Federal and State Income taxes?	Yes	No	Yes	No	Yes	No
Do you receive pension or annuity income?	Yes	No	Yes	No	Yes	No
Are you a partner in any business?	Yes	No	Yes	No	Yes	No
Are you self-employed?	Yes	No	Yes	No	Yes	No
Do you receive child support?	Yes	No	Yes	No	Yes	No

Please answer the questions below. A "yes" answer may require NIDC to request additional information to determine eligibility. *

	Applicant		Co-Applicant 1		Co-Applicant 2		Co-Applicant 3
	Yes	No	Yes	No	Yes	No	Yes	No
Do you file Federal and State Income taxes?	Yes	No	Yes	No	Yes	No	Yes	No
Do you receive pension or annuity income?	Yes	No	Yes	No	Yes	No	Yes	No
Are you a partner in any business?	Yes	No	Yes	No	Yes	No	Yes	No
Are you self-employed?	Yes	No	Yes	No	Yes	No	Yes	No
Do you receive child support?	Yes	No	Yes	No	Yes	No	Yes	No

Is your property a duplex? *

Yes

No

Do you receive rental income from this property? *

Yes

No

How much rental income do you receive per month? *

Financial Obligations

Please list all of your financial obligations below (including first and second mortgages, auto loans, credit cards, student loans, etc.):

For example:
Creditor: Student loan- Nelnet
Monthly Payment: $50.00
Total Amount Owed: $25,000

	Creditor	Monthly Payment	Total Amount Owed
1	Creditor	Monthly Payment	Total Amount Owed
2	Creditor	Monthly Payment	Total Amount Owed
3	Creditor	Monthly Payment	Total Amount Owed
4	Creditor	Monthly Payment	Total Amount Owed
5	Creditor	Monthly Payment	Total Amount Owed
6	Creditor	Monthly Payment	Total Amount Owed

Please answer the questions below. A "yes" answer may require NIDC to request additional information to determine eligibility. *

	Applicant
	Yes	No
Are there any outstanding judgements against you?	Yes	No
Have you had property foreclosed upon or given deed in lieu thereof in the last 3 years?	Yes	No
Are you party to a lawsuit?	Yes	No
Do you currently have homeowner's insurance?	Yes	No
Has your homeowner's insurance recently been cancelled?	Yes	No
Are you late or behind on any debt?	Yes	No
Have you been declared bankrupt within the past 7 years?	Yes	No

*

	Applicant
	Yes	No
Are you currently in an active (non-discharged) bankruptcy?	Yes	No

Please answer the questions below. A "yes" answer may require NIDC to request additional information to determine eligibility. *

	Applicant		Co-Applicant
	Yes	No	Yes	No
Are there any outstanding judgements against you?	Yes	No	Yes	No
Have you had property foreclosed upon or given deed in lieu thereof in the last 3 years?	Yes	No	Yes	No
Are you party to a lawsuit?	Yes	No	Yes	No
Do you currently have homeowner's insurance?	Yes	No	Yes	No
Has your homeowner's insurance recently been cancelled?	Yes	No	Yes	No
Are you late or behind on any debt?	Yes	No	Yes	No
Have you been declared bankrupt within the past 7 years?	Yes	No	Yes	No

*

	Applicant			Co-Applicant
	Yes	No		Yes	No
Are you currently in an active (non-discharged) bankruptcy?	Yes	No		Yes	No

Please answer the questions below. A "yes" answer may require NIDC to request additional information to determine eligibility. *

	Applicant		Co-Applicant 1		Co-Applicant 2
	Yes	No	Yes	No	Yes	No
Are there any outstanding judgements against you?	Yes	No	Yes	No	Yes	No
Have you had property foreclosed upon or given deed in lieu thereof in the last 3 years?	Yes	No	Yes	No	Yes	No
Are you party to a lawsuit?	Yes	No	Yes	No	Yes	No
Do you currently have homeowner's insurance?	Yes	No	Yes	No	Yes	No
Has your homeowner's insurance recently been cancelled?	Yes	No	Yes	No	Yes	No
Are you late or behind on any debt?	Yes	No	Yes	No	Yes	No
Have you been declared bankrupt within the past 7 years?	Yes	No	Yes	No	Yes	No

*

Please answer the questions below. A "yes" answer may require NIDC to request additional information to determine eligibility. *

	Applicant		Co-Applicant 1		Co-Applicant 2		Co-Applicant 3
	Yes	No	Yes	No	Yes	No	Yes	No
Are there any outstanding judgements against you?	Yes	No	Yes	No	Yes	No	Yes	No
Have you had property foreclosed upon or given deed in lieu thereof in the last 3 years?	Yes	No	Yes	No	Yes	No	Yes	No
Are you party to a lawsuit?	Yes	No	Yes	No	Yes	No	Yes	No
Do you currently have homeowner's insurance?	Yes	No	Yes	No	Yes	No	Yes	No
Has your homeowner's insurance recently been cancelled?	Yes	No	Yes	No	Yes	No	Yes	No
Are you late or behind on any debt?	Yes	No	Yes	No	Yes	No	Yes	No
Have you been declared bankrupt within the past 7 years?	Yes	No	Yes	No	Yes	No	Yes	No

*

Housing Improvements Needed

Please list repairs needed below *

0/200 characters

Is this a major emergency? *

Yes

No

Please specify the type of emergency *

No Heat

No Water

Sewer backup

Assets

Please answer the questions below. A "yes" answer may require NIDC to request additional information to determine eligibility. *

	Applicant
	Yes	No
Do you own real estate other than the address listed above?	Yes	No

Please answer the questions below. A "yes" answer may require NIDC to request additional information to determine eligibility. *

	Applicant			Co-Applicant
	Yes	No		Yes	No
Do you own real estate other than the address listed above?	Yes	No		Yes	No

Please answer the questions below. A "yes" answer may require NIDC to request additional information to determine eligibility. *

Please provide the addresses below (list one address per box, click the green plus sign to add more boxes):

+-

Equal Credit Opportunity and Fair Housing Law Questions

The following information is requested by the Federal Government in order to monitor the lender's compliance with equal credit opportunity and fair housing laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may neither discriminate on the basis of the information, nor on whether you choose to furnish it. If you choose to not furnish it, under Federal regulations this lender is required to note race and sex on the basis of visual observation or surname.

Applicant: *

Co-Applicant: *

Co-Applicant 2: *

Co-Applicant 3: *

Conflict of Interest Statement

*

	Applicant
	Yes	No
Are you an employee of the City of Milwaukee, the Department of City Development (DCD), or one of its affiliate agencies?	Yes	No
Are you married to an employee of the City of Milwaukee including DCD or one of it's affiliate agencies?	Yes	No
Are you the brother, sister, parent or child of an employee of the City of Milwaukee, DCD, or one of its affiliate agencies?	Yes	No

*

	Applicant		Co-Applicant
	Yes	No	Yes	No
Are you an employee of the City of Milwaukee, the Department of City Development (DCD), or one of its affiliate agencies?	Yes	No	Yes	No
Are you married to an employee of the City of Milwaukee including DCD or one of it's affiliate agencies?	Yes	No	Yes	No
Are you the brother, sister, parent or child of an employee of the City of Milwaukee, DCD, or one of its affiliate agencies?	Yes	No	Yes	No

*

	Applicant		Co-Applicant		Co-Applicant 2
	Yes	No	Yes	No	Yes	No
Are you an employee of the City of Milwaukee, the Department of City Development (DCD), or one of its affiliate agencies?	Yes	No	Yes	No	Yes	No
Are you married to an employee of the City of Milwaukee including DCD or one of it's affiliate agencies?	Yes	No	Yes	No	Yes	No
Are you the brother, sister, parent or child of an employee of the City of Milwaukee, DCD, or one of its affiliate agencies?	Yes	No	Yes	No	Yes	No

*

	Applicant		Co-Applicant		Co-Applicant 2		Co-Applicant 3
	Yes	No	Yes	No	Yes	No	Yes	No
Are you an employee of the City of Milwaukee, the Department of City Development (DCD), or one of its affiliate agencies?	Yes	No	Yes	No	Yes	No	Yes	No
Are you married to an employee of the City of Milwaukee including DCD or one of it's affiliate agencies?	Yes	No	Yes	No	Yes	No	Yes	No
Are you the brother, sister, parent or child of an employee of the City of Milwaukee, DCD, or one of its affiliate agencies?	Yes	No	Yes	No	Yes	No	Yes	No

If you answered "yes" to any of the questions, please explain below:

Additional Notes

Add your notes or comments here

Signatures

I certify that the information provided herein is true and complete. I authorize the Department of City Development (DCD), the Neighborhood Improvement Development Corporation (NIDC) to review this application, to request, receive and share information with lender(s), the above-named authorized representative, and others to verify its accuracy and completeness. I understand that my project may be funded all or in part utilizing Federal funds and City agencies may review the information contained in this application to verify its accuracy. By signing this application, I am authorizing the DCD/NIDC/ to pull a credit report and, if deemed appropriate by DCD/NIDC staff, to refer all personal information contained within this application, and information obtained during the underwriting process, to other loan programs or homeowner education counseling for which I may be eligible, as well as provide said personal information to a third-party loan servicing online software provider and/or third-party loan servicing online software platform.

Please read the two statements below and acknowledge by clicking the checkboxes: *

I understand that I am submitting an application to help me fix my home. A representative from NIDC will complete a thorough review of my application and determine the program that would best address my housing rehabilitation needs.

Staff may request additional documentation based on program funding requirements to complete a financial eligibility assessment of your application.

Applicant Signature *

clear

Date * +

Co-Applicant Signature *

clear

Date * +

Co-Applicant 2 Signature *

clear

Date * +

Co-Applicant 3 Signature *

clear

Date * +

Black/African-American	Hispanic	White
Asian	Black/American-American and White	American Indian/Alaska Native
Native Hawaiian/Other Pacific Islander	American Indian/Alaska Native and White	American Indian/Alaska Native and Black/African-American
Asian and White	Other/Multi-racial	I do not wish to furnish this information

Black/African-American	Hispanic	White
Asian	Black/American-American and White	American Indian/Alaska Native
Native Hawaiian/Other Pacific Islander	American Indian/Alaska Native and White	American Indian/Alaska Native and Black/African-American
Asian and White	Other/Multi-racial	I do not wish to furnish this information

Black/African-American	Hispanic	White
Asian	Black/American-American and White	American Indian/Alaska Native
Native Hawaiian/Other Pacific Islander	American Indian/Alaska Native and White	American Indian/Alaska Native and Black/African-American
Asian and White	Other/Multi-racial	I do not wish to furnish this information

Black/African-American	Hispanic	White
Asian	Black/American-American and White	American Indian/Alaska Native
Native Hawaiian/Other Pacific Islander	American Indian/Alaska Native and White	American Indian/Alaska Native and Black/African-American
Asian and White	Other/Multi-racial	I do not wish to furnish this information