City of West Allis TID
Housing Rehabilitation Loan Program
Eligible Properties: Owner occupied single-family dwellings and duplexes located in the TID Targeted
Lending Area (Refer to Map on page 2).
El
igible Households: Borrowers with adjusted gross household income above 80% of the Milwaukee County
Median Income per their family size may receive a TID Rehabilitation Loan at 2.5%
interest, with an option of deferred payments for the first two (2) years. Equal monthly
installment payments would begin in year three and continue for a period of thirteen
years. A loan servicing fee of ½ of 1% will be applied to the outstanding loan balance
each month.
IN
COME LIMITS * FOR HOUSING REHABILITATION LOANS
Ho
usehold Size 80% County Median Income
1
$ 46,950+
2
$ 53,650+
3
$ 60,350+
4
$ 67,050+
5
$ 72,450+
6
$ 77,800+
7
$ 83,150+
8
$ 88,550+
*Income includes that of all family members 18 years and over and includes wages, pensions, social security benefits,
rents, and interest from all assets. (Unearned income must be included regardless of age.)
New income limits effective 7/20
Maximum Loan:
Conditions:
$25,000.00
Loan approval is contingent upon a number of factors including:
- In
come eligibility
- Equity in the property
- Credit score
- Type of work to be completed
All work that disturbs a painted surface must be completed in a lead-safe manner by a
state certified contractor. All contractors working with the TID Rehabilitation Loan
Program must be insured.
For more information: Contact Robert Ahlm, Rehabilitation Specialist at (414) 302-8426 or
rahlm@westalliswi.gov
Department of Development
Housing Division
414.302.8430
D
ear Applicant:
T
hank you for inquiring about the City of West Allis TID Housing Rehabilitation Program. We are happy to provide you
with assistance in making improvements to your home. Attached is an application to be filled out and returned to the
Housing Division. These forms include:
1. H
ousing Rehabilitation Program application
2. Authorization for Release of Information
3. Agreement to Repay Fees
Please read and keep the following items attached to this application for your information:
S
tep by step approach to process your loan application
Terms and Conditions of loan
W
hen returning your completed application, please include a copy of last year’s Federal Income Tax forms.
I
f you have any difficulty in filling out this application form or if you have any questions, please do not hesitate to call me
at 302-8426.
Thank you.
R
obert Ahlm
Rehabilitation Specialist
rahlm@westalliswi.gov
C
ity of West Allis • 7525 West Greenfield Avenue • West Allis, WI 53214 www.westalliswi.gov
CITY OF WEST ALLIS TID
HOUSING REHABILITATION PROGRAM
You must meet the following terms and conditions in order to qualify for a Home Repair Loan from the City of
West Allis Housing Division:
1. Home must be a single-family or two-family residence occupied by the owner.
2. Applicant must be the owner as registered with the Milwaukee County Register of Deeds Office.
3. Applicant must be within the income limits as set by the City of West Allis Housing Division.
4. The Housing Division will assume that all housing built before January 1, 1978 contains lead-based
paint. The owner will agree to correct all lead based paint hazards, according to program regulations, in
these properties.
5. Applicants may opt to hire certified contractors to perform paint testing and risk assessment. Results
must be given to the Housing Division before a property will be considered exempt from lead based
paint regulations. The cost of paint testing and risk assessment can be added to the applicant’s loan.
6. In most cases, work that disturbs painted surfaces must be completed by a lead certified contractor. This
work will also have to pass lead clearance testing.
7. Applicant must pay for title search, lien recording, $75.00 annual loan servicing fee and credit check.
These charges are added to the loan (Total $191.00 to $500.00).
8. Applicant must sign a lien and promissory note on the property. If house was purchased on a Land
contract, the vendor must also sign the loan papers.
9. Eligible repairs include correction of code violations or incipient violations, weatherization work, repairs
necessary for the safety and welfare of the occupants and repairs that increase the value or enhance
the marketability of the property.
10. Loan requests can not exceed $25,000.00.
11. If applicant is delinquent on any present mortgages, real estate taxes or at risk of foreclosure, the loan
will not be approved.
12. The City of West Allis Housing Division reserves the right to refuse to issue, or to cancel the loan if the
condition of the house is unworkable. This includes dirt, infestation, excessive debris in the house or
basement, or any other condition that hinders a proper inspection of the property.
13. Applicant must make the house accessible to the City of West Allis Housing Inspector, Building
Inspectors, and to all contractors and workmen.
14. Upon completion of construction, the applicant agrees not to unreasonably or arbitrarily withhold his or
her signature of approval. If such approval is unreasonably or arbitrarily withheld, the City of West Allis
Housing Division will pay the contractor upon the approval of the inspector. Such paid bill will then be a
debt of the applicant.
15. The City of West Allis Housing Division may not subordinate its loan position. If you are
planning on refinancing your mortgage, do it before you apply for this loan.
C
ITY OF WEST ALLIS
LOAN APPROVAL PROCESS
Fr
om the time you submit your application, it takes approximately 6 to 8 weeks before contractors can begin
working on your house. To help you understand the steps involved in our approval process, we have listed our
procedures below:
1. H
omeowner submits completed application and income taxes.
2. T
he Housing Division verifies applicant income and assets to determine eligibility. This normally takes
2 to 3 weeks.
3. A
n inspection appointment is scheduled with the homeowner. This inspection determines the feasibility
and priority of needed improvements.
4. The Housing Division sends the homeowner a letter of eligibility and itemized specifications for the work
to be done.
5. T
he homeowner contacts contractors for estimates.
6. T
he homeowner submits all bids to the Housing Division no later than sixty (60) days from receipt of the
specification sheets. Two (2) bids are required for each work item. Bids must be submitted on th
e
Housing Division’s specification sheets or on contractor company letterhead. Contractors are selected
bas
ed on homeowner preference.
7. T
he Housing Division orders credit and title reports.
8. Fi
nal loan approval / denial is determined after a review of both credit and title reports has been
completed.
9. T
he Housing Division prepares loan documents.
10. C
ontractors sign contracts prepared by the Housing Division.
11. T
he homeowner signs loan documents. A three (3) day waiting period is required.
12. Proceed notices are sent to contractors.
13. A
n inspection is performed when work is completed. The homeowner signs an authorization form
releasing funds to the contractor at this time.
14. T
he Housing Division pays the contractor.
15. A letter is sent to the homeowner indicating when payments will
begin.
C
ity of West Allis TID Rehabilitation Loan
Check List
This checklist will assist you in expediting our loan process.
S
ubmit your loan application to the Housing Division. Make sure you include all of the information listed below
that pertains to you, your spouse or any household member over the age of 18.
Signed City of West Allis Rehabilitation Loan Application
Signed Release of Information form
Signed “Agreement to Repay Fees” form
Photocopy of most recent copy of Federal Income Tax return for all household members over the age
of 18.
If a child over the age of 18 is living in the household and is also a full time student, please provide
verification of full time status from the school registrar and you will not be required to submit income
verifications for that person.
If your household income has changed since filing your most recent Federal Income Tax Return, or if
you do not file a Federal Income Tax Return, please submit the following:
Provide income verification 3 most recent and consecutive pay stubs
Provide bank or financial institution verification - most recent monthly statement for each account.
Submit most recent monthly, quarterly or yearly statement regarding any investments
Submit most recent property tax bill for any property owned (other than current residence)
Submit Federal Social Security and/or Federal and State Social Security Disability award letters for the
current year. If you do not have your award letter, Federal Social Security verifications can be obtained
by calling 1-800-772-1213. State Social Security verifications can be obtained by calling 1-800-362-
3002. Ask them to fax the verification to the Housing Division at 414-302-8417.
Submit pension information (year end statement from previous year or letter from pension provider
showing monthly disbursements for the current year)
If a child over the age of 18 is living in the household and is also a full time student, please provide
verification of full time status from the school registrar and you will not be required to submit income
verifications for that person.
Submit verifications for any other income not listed above.
A
fter receiving the above documents, we can begin processing your loan.
I
f you have any questions regarding this process, please call the Housing Division at 414-302-8426. Our
office hours are Monday Friday, 8:00 a.m. to 4:00 p.m.
City of West Allis
TID Rehabilitation Loan Application
The information collected below will be used to determine whether you qualify as a borrower under the City of West Allis Housing Rehabilitation Loan
Program. It will not be disclosed outside the City of West Allis Housing Division without your consent except to your employer for verification of income
and employment and to financial institutions for verification of information, and as required and permitted by law. You do not have to provide the
information requested, but if you do not, your application for a loan
may be delayed or rejected.
PROPERTY INFORMATION
Address of Property to be Rehabilitated / Purchased:
Number of Bedrooms
APPLICANT INFORMATION
Applicant’s Name
Last
First
MI
Home Phone
Present Street Address
City
State Zip Code No. of Years
Own Rent
Former Street Address (If @ current address less than 2yrs)
City
State
Zip Code
No. of Years
Own Rent
Marital Status
Married Unmarried (Single, Divorced, or Widowed)
Separated
violations by the Building Inspection
Department?
Yes No
e-mail address
Name and address of employer
Self-Employed?
Yes No
Business Phone No. Position/Title
Type of Business
No. of Yrs on
Job
WI Driver License Number
Name and address of previous employer (if @ current position less than 2 yrs)
No. of Yrs on
Job
Business Phone
Are you a Citizen of the United States?
Yes
No
If No, Explain:
CO-APPLICANT INFORMATION
Co-Applicant’s Name
Last
First MI
Home Phone
Present Street Address
City State
Zip Code
No. of Years
Own Rent
Former Street Address (If @ current address less than 2yrs)
City State
Zip Code
No. of Years
Own Rent
Marital Status
Married Unmarried (Single, Divorced, or Widowed)
Separated
Are you a Citizen of the United States?
Yes No
If No, Explain:
Name and address of employer
Self-Employed?
Yes No
Business Phone No. Position/Title Type of Business
No. of Yrs on
Job
WI Driver License Number
__
__
__
__
Name and address of previous employer (if at current position less than 2 yrs)
No. of Yrs on
Job
Business Phone
HOUSEHOLD COMPOSITION: List the head of your
household and all members who live in your home. Give relationship of each family
member to the head of household.
Member No. Full Name Relationship
Date of birth
Social Security No.
1
2
3
4
5
6
7
REHABILITATION INFORMATION: Briefly describe the home improvements you wish to make.
ANNUAL INCOME: Provide income information for all household members 18 or older
Source Applicant Co-Applicant
Other household
member 18 or older
Total
Salary
Overtime Pay
Commissions
Tips
Interest and/or Dividends
Net Income from Business
Net Rental Income
Social Security, Pensions, Retirement Funds, Etc.
Unemployment Benefits/Workers Compensation
Alimony, Child Support
Other
TOTAL
ASSETS: List any assets you own. Please include account numbers and location of the main offices for each.
Type
Cash Value
Annual Income
From Assets
Bank Name
Address
Account Number
Other:
Other:
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
Estimated Value of Home:
LIABILITIES: List outstanding obligations (your debts) including
auto loans, credit cards, charge accounts, credit union loans, personal
loans, real estate loans (except for
the home you live in), and all other loans.
Type Creditor’s Name Monthly Payment Unpaid Balance Due Date
If a “yes” answer is given to any question below please explain on an attached sheet:
1. Do you have any outstanding unpaid judgements? Yes
No Amount (if applicable):
2. In the past 7 years, have you been declared bankrupt? Yes No
3. Are you a party in a law s
uit? Yes No
4. Do you pay child support? Yes No
Amount (if applicable):
West Allis is able to offer this service/program through a grant from the federal government. One requirement of this grant is that the City keep track of
all the individuals this program assists by family size and income level. To help with this requirement, we ask for your assistance. Please complete the
information required below so that we may track the individuals we are assisting through this program. Please be aware the information is completely
confidential and will not be released but is for record keeping and required federal reporting purposes only. Thank you for your cooperation.
ETHNICITY: Hispanic Non-Hispanic
RACE: (Please mark one)
Black/African American
Black/African American & White
Native Hawaiian/Other Pacific Islander
White
Other
Am
erican Indian/Alaskan Native
American Indian/Alaskan &
Black/African
American
American Indian/Alaskan Native &
White
Asian
Asian
Pacific
Islander
Asian & White
MONTHLY HOUSING EXPENSE
Item
Monthly
Payment
Unpaid Principal
Balance
Balloon Payment
Yes No
Amount Balloon
Due Date
a. First Mortgage (P&I)
List the amount of fire insurance coverage you have on your home:
Name and address of your insurance agent:
b. Other financing
secured by property (P&I)
c. Hazard & Flood Insurance
d. Real Estate Taxes
e. Other (please specify)
g. TOTAL
The information provided above is true and complete to the best of my/our knowledge and belief. I/we consent to the disclosure of such information for
purposes of income and verification related to my/our application for financial assistance. I/we understand that any willful misstatement of material fact
will be grounds for disqualification.
Applicant Date
Co-Applicant Date
L:\TEMPLATES\REHAB LOAN DOCUMENTS\HOUSING REHAB APPLICATION
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signature
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signature
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Authorization for the Release of Information/
Privacy Act Notice
to the U.S. Department of Housing and Urban Development (HUD)
and the Housing Agency/Authority (HA)
P
HA requesting release of information: (Cross out space if none) IHA requesting release of information: (Cross out space if none)
(Full address, name of contact person, and date) (Full address, name of contact person, and date)
City of West Allis Department of Development
Housing Division
7525 West Greenfield Avenue
West Allis, WI 53214
Authority: Section 904 of the Stewart B. McKinney Homeless
Assistance Amendments Act of 1988, as amended by Section
903 of the Housing and Community Development Act of 1992
and Section 3003 of the Omnibus Budget Reconciliation Act of
1993. This law is found at 42 U.S.C. 3544.
This law requires that you sign a consent form authorizing: (1)
HUD and the Housing Agency/Authority (HA) to request
verification of salary and wages from current or previous
employers; (2) HUD and the HA to request wage and
unemployment compensation claim information from the state
agency responsible for keeping that information; (3) HUD to
request certain tax return information from the U.S. Social
Security Administration and the U.S. Internal Revenue Service.
The law also requires independent verification of income
information. Therefore, HUD or the HA may request
information from financial institutions to verify your eligibility
and level of benefits.
Purpose: In signing this consent form, your are authorizing
HUD and the above-named HA to request income information
from the sources listed on the form. HUD and the HA need
this information to verify your household’s income, in order to
ensure that you are eligible for assisted housing benefits and
that these benefits are set at the correct level. HUD and the
HA may participate in computer matching programs with these
sources in order to verify your eligibility and level of benefits.
Uses of Information to be Obtained: HUD is required to
protect the income information it obtains in accordance with the
Privacy Act of 1974, 5 U.S.C. 522a. HUD may disclose
information (other than tax return information) for certain
routine uses, such as to other government agencies for law
enforcement purposes, to Federal agencies for employment
suitability purposes and to HA’s for the purpose of determining
housing assistance. The HA is also required to protect the
income information it obtains in accordance with any applicable
State privacy law. HUD and HA employees may be subject to
penalties for unauthorized disclosures improper uses of the
income information that is obtained based on the consent form.
Private owners may not request or receive information
authorized by this form.
Who Must Sign the Consent Form: Each member of your
household who is 18 years of age or older must sign the
consent form. Additional signatures must be obtained from new
adult members joining the household or whenever members of the
household become 18 years of age.
O
riginal is retained by the requesting organization
Persons who apply for or receive assistance under the
following programs are required to sign this consent form:
PHA-owned rental public housing
Turnkey III Homeownership Opportunities
Mutual Help Homeownership Opportunities
Section 23 and 19(c) leased housing
Section 23 Housing Assistance Payments
HA-owned rental Indian Housing
Section 8 Rental Certificate
Section 8 Rental Voucher
Section 8 Moderate Rehabilitation
Failure to Sign Consent Form: Your failure to sign the
consent form may result in the denial of eligibility or termination
of assisted housing benefits, or both. Denial of eligibility or
termination of benefits is subject to the HA’s grievance
procedures and Section 8 informal hearing procedures.
Sources of Information To Be Obtained
State Wage information Collection Agencies. (This consent is
limited to wages and unemployment compensation I have
received during period(s) within the last 5 years when I have
received assisted housing benefits.)
U.S. Social Security Administration (HUD only) (This consent
is limited to unearned income {i.e., interest and dividends).
Information may also be obtained directly from: (a) current and
former employers concerning salary and wages and (b)
financial institutions concerning unearned income (i.e. interest
and dividends). I understand that income information obtained
from these sources will be used to verify information that I
provide in determining eligibility for assisted housing programs
and the level of benefits. Therefore, this consent form only
authorizes release directly from employers and financial
institutions of information regarding any period(s) within the
last 5 years when I have received assisted housing benefits.
Ref. Handbooks 7420.7, 7420.8 & 7465.1 form HUD-9886 (7/94)
U.S. Department of Housing and
Urban Development
Office of Public and Indian Housing
Consent: I consent to allow HUD or the HA to request and obtain income information from the sources listed on this form for
the purpose of verifying my eligibility and level of benefits under HUD’s assisted housing programs. I understand that HAs
that receive income information under this consent form cannot use it to deny, reduce or terminate assistance without first
independently verifying what the amount was, whether I actually had access to the funds and when the funds were received.
In addition, I must be given an opportunity to contest those determinations.
This consent form expires 15 months after signed.
S
ignatures:
Head of Household Date
Social Security Number (if any) of Head of Household Other Family Member over age 18 Date
Spouse Date Other Family Member over age 18 Date
Other Family Member over age 18 Date Other Family Member over age 18 Date
Other Family Member over age 18 Date Other Family Member over age 18 Date
P
rivacy Act Notice. Authority: The Department of Housing and Urban Development (HUD) is authorized to collect this
information by the U.S. Housing Act of 1937 (42 U.S.C. 1437 et. seq.), Title VI of the Civil Rights Act of 1964 (42 U.S.C.
2000d), and by the Fair Housing Act (42 U.S.C. 3601-19). The Housing and Community Development Act of 1987 (42
U.S.C. 3543) requires applicants and participants to submit the Social Security Number of each household member who
is six years old or older. Purpose: Your income and other information are being collected by HUD to determine your
eligibility, the appropriate bedroom size, and the amount your family will pay toward rent and utilities. Other uses: HUD
uses your family income and other information to assist in managing and monitoring HUD-assisted housing programs, to
protect the Government’s financial interest, and to verify the accuracy of the information you provide. This information
may be released to appropriate Federal, State, and local agencies, when relevant, and to civil, criminal, or regulatory
investigators and prosecutors. However, the information will not be otherwise disclosed or released outside of HUD,
except as permitted or required by law. Penalty: You must provide all of the information requested by HA, including all
Social Security Numbers you, and all other household members age six years and older, have and use. Giving the Social
Security number of all household members’ six years of age and older is mandatory, and not providing the Social Security
Numbers will affect your eligibility. Failure to provide any of the requested information may result in a delay or rejection of
your eligibility approval.
Penalties for misusing this Consent:
H
UD, the HA and any owner (or any employee of HUD, the HA or the owner) may be subject to penalties for unauthorized disclosures or improper uses
of information collected based on the consent form.
Use of the information collected based on the form HUD 9886 is restricted to the purpose cited on the form HUD9886. Any person who knowingly or
willfully requests, obtains or discloses any information under false pretenses concerning an applicant or participant may be subject to a misdemeanor
and fined not more than $5,000.
A
ny applicant or participant affected by negligent disclosure of information may bring civil action for damages, and seek other relief, as may be appropriate, against the
officer or employee of HUD, the HA or the owner responsible for the unauthorized disclosure or improper use.
O
riginal is retained by the requesting organization. Ref. Handbooks 7420.7, 7420.8, & 7465.1 form HUD-9886 (7/94)
AGREEMENT TO REPAY FEES
I, , agree to repay the City of West Allis Department of
Development, Housing Division for the cost of the Credit Report and Title Search ($191.00 – $500.00) in
the event that I do not proceed with my approved loan.
SIGNED:
WITNESS:
DATE:
L:\TEMPLATES\REHAB LOAN DOCUMENTS\E-MAIL PACKET-HOUSING REHABILITATION LOAN
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rahlm@westalliswi.gov
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