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u 1 � ,. <br />� � � �� � i����� �������� ������,� <br />R.ese:ille I�o.csi�io� a�ad ILe3e�.-=_irF�=:.s _i��.::�:�r«�: A Program of the Greater Metropolitan Housing Corporation <br />Roseville Home Improvement Loan Application <br />I. APPLICANT INFORMATION <br />Applicant Name: <br />APPLICATION DATE: <br />Applicant Birthdate: Applicant Social Security Number: <br />Co-Applicant Name: <br />Co- Applicant Birthdate: Co-Applicant Social Security Number: <br />Street Address: , Roseville, MN 55113 <br />Home Telephone: Work Telephone(s): <br />How did you hear about this program? <br />II. OTHER HOUSEHOLD MEMBERS EXCLUDING APPLICANT AND CO-APPLICANT <br />NAME: DOB RELATIONSHIP: Student: Social Security Number: <br />(MM/DD/YY) (Child, Friend, Parent) (Y/N) <br />III. INCOME INFORMATION <br />(Sources of income include: wages, salaries, overtime, tips, bonuses, commissions, self-employment, workers compensation, <br />unemployment, pension, child support, alimony, disability/social security payments, annuities, net income from rental property) <br />" Include all full time, part time, sporadic, and/or seasonal income from all household members aged 18 and older <br />Name <br />IV. IMPROVEMENTS <br />Employer: <br />Briefly describe the improvements to be made: <br />Occupation: Gross Annual Income: <br />$ <br />SWEAT EQUITY: Do you intend to do any of the work yourself? ❑Yes ❑No <br />" Sweat Equity labor cannot be induded in the loan amount. Call the HousingResource Center to discuss the Sweat Equity process. <br />Requested Loan Amount $ <br />