Restore Program Pre-Application

Applicant Name (required)

Applicant Name

Mailing Address

Home Phone

Work Phone

Property Tax ID Number (required)

Assessed Value of the property: (required)

Household Composition Family Size

Please list all persons living in the home including yourself along with income, if any. (required)

Previous Assistance from HomeFront

If Yes, What Year?

Previous Assistance from Weatherization

If Yes, What Year?

Current Mortgage Financing

List any problems in your home and proposed improvements to be
considered for assistance. (required)

I understand that additional documentation will be required when my application is accepted and the funds become available. At that time, I give permission for HomeFront to verify this information.

This pre-application is being submitted to establish eligibility for assistance under the HOME Program administered by HomeFront.