Fillable QUALIFICATION 1. Are you a resident of Fort (City of Weston Lakes)

Fill Online, Printable, Fillable, Blank QUALIFICATION 1. Are you a resident of Fort (City of Weston Lakes) Form

Use Fill to complete blank online CITY OF WESTON LAKES (TX) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

QUALIFICATION 1. Are you a resident of Fort (City of Weston Lakes)

On average this form takes 8 minutes to complete

The QUALIFICATION 1. Are you a resident of Fort (City of Weston Lakes) form is 2 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 30 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Weston Lakes

BROWSE CITY OF WESTON LAKES (TX) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Weston Lakes COVID-19
Rental, Mortgage and Utility Assistance Program
QUALIFICATION
1. Are you a resident of Fort Bend County, Texas?
a.
b. If NO, you do not qualify for this grant
2. Is your prim
ary residence within the community of Weston Lakes in Fort Bend County?
a.
b. If NO, you do not qualify for this grant
3. Have you receiv
ed rental or mortgage assistance from any other government programs in the
past 3 months? (this does not include the stimulus check received)
a.
4. Have you been subject to a lay-off or termination
from employment due to COVID-19 (i.e. after
March 1, 2020)?
a.
5. Are you requesting assistance for your monthly lease or rent payment?
a.
6. Are you requesting assistance for your monthly utility(ies) payment?
a.
7. Is you
r inability to pay rent or mortgage due to financial hardship resulting from the economic
impact of COVID-19 as indicated by a loss or reduction of employment?(required)*
PERSONAL INFORMATION:
Applicant must be the Lessee/Borrower
8. Applicant Name:
Address:
City a
nd County:
State:
Zip:
9. Spouse’s or co-lessee’s or Co-borrower’s Name:
10. Driver’s License Information:
DL Number:
Date issue:
Expiration Date:
11. Date of Birth:
Age:
12.Sex (M/F)
13.
Ra
ce (Black, African/American, Hispanic, Native Indian, ….)
14. Phone Number – Primary, Secondary, Cell:
15. Applicant’s Current Monthly In
come:
MORTAGE/LEASE INFORMATION
16. Monthly mortgage/lease amount (Principal and Interest only): $
17. Landlord/ Mortgage Company Information
a. Company:
b. Account Number:
c. Contact Person:
d. Address, City, St, Zip:
e. Phone Number:
Select
Select
Select
Select
Select
Select
Select
Select
Weston Lakes COVID-19
Rental, Mortgage and Utility Assistance Program
UTILITIES INFORMATION
22. REQUIRED DOCUMENTATION (UPLOAD/ATTACH Scanned Document
s with this Application)
1. Copy of a valid state or government issued photo ID
2. Lease Agreement or Mortgage statement
3. Most recent Utility bill(s); (if applicable)
a. Electric
b. Gas
c. Water
4. Prior Rental assistance provided, (if applicable)
5. Signed and completed W9 Form
6. Texas Workforce Commission (TWC) documentation of unemployment or documentation that
provides unemployment status due to COVID (e.g. letter from employer, etc).
Please submit (via email) this completed application along with your required documents to the
following email address:
Covid.Westonlakes@fortbendcountytx.com
In the Subject line please type: Weston Lakes RMU Program Application_YOUR LAST NAME
Once submitted you will get a response within 3- 4 business days.
18. Is utility assistance needed?
19. Water
a. Company:
b. Account number:
c. Amount owed: $
20. Electricity
a. Company Name:
b. Account number:
c. Amount owed: $
21. Gas
a. Company:
b. Account number:
c. Amount owed: $
*Please describe any extenuating circumstances, i.e. loss of 50% of my salary or income; lay-off due to
COVID-19; etc. Insert comment bel
ow:
Select
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

QUALIFICATION 1. Are you a resident of Fort (City of Weston Lakes)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 22 January 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document