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About
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Homeownership Program
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Homeownership
Volunteer
Donate
*
First name
*
Last name
*
Email
*
Phone
Multi-line address
*
Country/Region
*
Address
*
City
*
Zip / Postal code
*
Is your home located in St. Joseph County?
Yes
No
*
Names of all household members 18 or older
*
Number of children under 18 in the household
*
Can you provide documentation to prove identity, age, income, and residency for yourself and everyone who lives in your home?
Yes
No
*
Gross household income
*
Are there any liens or judgements against either you, or your home?
Yes
No
*
Is your home held in a trust or estate?
Yes
No
*
Please explain the condition of your roof, include the age if you know it
*
Do you own your single-family, detached home full-time?
Yes
No
*
Have you lived in your home full-time for at least the past 18 months?
Yes
No
*
Is at least one homeowner 60 years of age or older?
Yes
No
*
Are your property taxes current and paid?
Yes
No
*
Is the mortgage on your home current?
Yes
No
*
Is your homeowners insurance in place and current?
Yes
No
*
Do you plan to stay in your home for at least the next 5 years?
Yes
No
*
Are you working with any other organization to assist you in obtaining funding for home repairs?
Yes (see below)
No (skip to next)
If yes, who?
*
Are you aware of any animal or insect activity in your attic?
Yes
No
*
Is anyone living in your home a veteran of the US Military?
Yes
No
How did you hear about the Aging in Place Program?
Submit
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