Mobile Home Replacement

Mobile Home Replacement/New Construction Program Pre Application

A program to assist low- and moderate-income homeowners to replace dilapidated mobile or manufactured homes that are sited on land owned by the homeowner with a new manufactured, modular or site-built home

Own or Rent *
Active Military?
Veteran?
Are you a single parent with minor children? *

HOUSEHOLD COMPOSITION

(Please list ALL income! Examples: wages (include allowances such as BAH if military, child support, social security, pensions, alimony, etc.)

Add another income source?
Click "yes" to add additional household members and their income. Income must be provided for anyone over 18 who resides in the home
Add another income source?
Click "yes" to add additional household members and their income. Income must be provided for anyone over 18 who resides in the home
Add another income source?
Click "yes" to add additional household members and their income. Income must be provided for anyone over 18 who resides in the home
Add another income source?
Click "yes" to add additional household members and their income. Income must be provided for anyone over 18 who resides in the home
Do you have a mortgage? *
What style home do you have? *
Do you own the property that the home sits on? *
Septic system or public sewer? *
What is your water supply? *
Please specify

This Pre-application is being submitted to establish eligibility for assistance under the Mobile Home Replacement/New Construction Program through North Country Affordable Housing. I undestand that additional documentation will be reuquired. I understand that this information may be shared with other agencies that might be able to assist with improvements to my housing situation.