HEALTHY HOMES

Proof of income is required for all household members over 18
A Certification of Zero Income should be completed by any household members 18 years or older who do not have income and returned with your completed application.

Traditional Employment:

• Check stubs for the last 30 days with a minimum of two consecutive check stubs
• Statement from your employer that includes
  • Rate of Pay
  • Length of employment
  • Gross Pay (before taxes) for the last 30 days
  • Name, point of contact, address, and phone number for employer

Self Employed (One of the following):

• Most recent 2 years of federal income tax return
• Profit/loss statement
• Your books with income for work completed for the last 30 days

Benefit/Award letter (All members of the household receiving benefits)

• Most current award letter for benefits such as Social Security, SSI, Veterans Benefits, Unemployment, etc.
• Include award letters for children under 18 for these programs

Proof of any other income such as child support (if receiving) or alimony

• Proof of Private Pension: letter or statement from the Pension Plan confirming the current gross monthly pension amount

Please provide one of the following:

• Deed or Title (even if it has not been recorded)
• Title to physical structure (home or mobile home) and current Land Lease
• Title to physical structure (home or mobile home) and current Land Purchase Contract
• Local property tax statement showing applicant or household member as owner of the property in question

Quotes or estimates are not required for the application process but may be used in identifying acceptable repair requests and expediting work for approved applicants.