PAINT YOUR HEART OUT (3) - 2010 - Laserfiche WebLink

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DOCUMENT CHECK LIST In order for the City to comply with Community Development Block Grant Program regulations, subrecipients must provide the City with the following documents. At any time the U.S. Department of Housing and Urban Development may require the City to collect and examine documents not included on this list. Should this occur, the list will be revised. In such cases, subrecipients may be required to immediately begin providing the additional documents. Please use this checklist to ensure all applicable items are submitted. Please do not submit originals of tax returns, insurance certificates, bank statements or other such personal documents. The City cannot be responsible for their return. Due From Subrecipient Within Thirty Days of Effective Contract Date ❑ Anticipated Work Plan and Schedule Including: ❑ Time period during which applications will be solicited and processed ❑ The procedures that will be used to solicit and process applications ❑ Copy of the application to be used ❑ Signed statement indicating how the subrecipient will comply with the HUD Fact Sheet, entitled Federal Requirements for Volunteer Paint and Rehabilitation Programs, and the Renovation, Repair and Painting Rule ❑ Copies of appropriate certificates from persons or firms who will supervise lead related work Environmental Process Documentation. ❑ A complete list and detailed description of repairs to be made on both the inside and outside of the home. This list should include both repairs that will be made, and those that might be made. ❑ For mobile homes, a copy of the State registration form or other documentation showing the year of manufacture. This information may be found on the homeowners insurance certificate. ❑ For any home located in a flood zone, including mobile homes, evidence of flood insurance. Propertv Ownership and Low Income Verification Documentation ❑ Completed and signed application using a form approved by the City ❑ Copy of a current property tax bill or other document demonstrating that the home to be repaired is owned by members of the household currently in residence and completing the application ❑ For all household members required to file, copy of 2009 federal or state income tax statement with W -2 ❑ Last two months savings account statements (All Pages) ❑ Last two months checking account statements (All Pages) ❑ For all employed adults, copies of check stubs covering the last two months. ❑ Other required income documentation may include, but is not limited to the Exhibit D Page 1 of 4