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CATHOLIC <br />CHARITIES <br />OF ORANGE COUNTY <br />Paebh Potnl*try - —� <br />Safely Home in Santa Ana <br />Eviction Prevention Program <br />Process: <br />After a preliminary interview, we will contact the Owner/Landlord to confirm your place of <br />residence and rental amount, explain the rental assistance process, and verify the acceptance of a <br />payment or partial payment from our organization. <br />If the Owner/Landlord agrees, he/she must sign our Rental Assistance Agreement letter (once <br />they have received your portion of the rental payment) and complete the W-9 form before <br />payment processing can begin from our organization. This entire process may take up to 7-10 <br />business days. <br />(PERSONALLY IDENTIFIABLE INFORMATION WILL REMAIN CONFIDENTIAL with <br />participating agencies): <br />1. Picture ID (Head of household — must match name on the lease agreement). <br />2. Names of all children in the household (if applicable) <br />3. Current rental lease agreement* including Landlord/Owner's name, phone number, <br />address and email <br />4. Eviction notice OR proof of financial crisis <br />5. Proof of all current household income including current paystubs and public benefits <br />(SSI/SSDI, Social Security Retirement, CalFresh, VA benefits General Relief, Child <br />Support, Unemployment, current bank statements, etc.). If deemed acceptable by the <br />nonprofit organization, an Income Verification Affidavit form may be provided as proof <br />of income. <br />6. Proof of financial crisis or emergency situation (i.e. unexpected auto repairs, unexpected <br />medical bills, job loss or hours decrease (prior and current pay stubs that show change in <br />monthly earned income, pending EDD benefit for SSl/SSDI, etc.) <br />7. Proof of your portion of rental payment, such as a copy of a personal or cashier's check <br />money order, or a receipt of partial payment from Owner/Landlord (if assistance is not <br />for the entire monthly rent amount). <br />Please complete the attached Application Form <br />*agreement between tenant and Landlord. Acceptable documentation of the agreement will be determined by TSA or CCOC and will include <br />signatures of both parties to the agreement. <br />