Current Monthly Mortgage $______ Payment. Does this include Property taxes and Yes _____ No_____ Insurance? If not, how much are Property taxes and insurance? $________Property Taxes *Documentation of current mortgage $__________Insurance payment, property taxes and property insurance is required. Acceptable documents could be: Cancelled checks or receipts or electronic print out showing current payment. Utility Allowance (Gather information necessary to calculate the utility allowance). $____________ Utilities paid by the homeowner at the Current Residence. Number of Persons living in Household Number of rooms with furniture: Living room, bedroom, family room(excludes the bathroom and hallways) $_______ Moving Allowance Cost Allowance: (*Refer to the Federal Uniform Moving Calculator See next page) – Household Income: $________ Gross Monthly Income
Current Monthly Mortgage Payment. Does this include Property taxes and Insurance? If not, how much are Property taxes and insurance? *Documentation of current mortgage payment, property taxes and property insurance is required. Acceptable documents could be: Cancelled checks or receipts or electronic print out showing current payment. $______ Yes _____ No_____ $________Property Taxes $__________Insurance Utility Allowance (Gather information necessary to calculate the utility allowance). Utilities paid by the homeowner at the Current Residence. $____________ Number of Persons living in Household Number of rooms with furniture: Living room, bedroom, family room(excludes the bathroom and hallways) Moving Allowance Cost Allowance: (*Refer to the Federal Uniform Moving Calculator – See next page) $_______ Household Income: Gross Monthly Income $________
Final-DHRA-Client-Application.docx