Rental Rehabilitation Program

Applicant Information

First Name *

Last Name *

Address *

Phone *

Email *

Property Information

Address *

Number of Housing Units *

Occupied *

Vacant *

Section/Block/Lot Number *

Current Assessment

Equalization Rate

Calculated Full Value

Tenant Information

List the names of all tenants who occupy apartments in this property and provide documentation of Tenant Eligibility for each household.

Apartment Number

Name 1

Phone Number

Apartment Number

Name 2

Phone Number

Apartment Number

Name 3

Phone Number

Apartment Number

Name 4

Phone Number

Apartment Number

Name 5

Phone Number

Apartment Number

Name 6

Phone Number

Apartment Number

Name 7

Phone Number

Apartment Number

Name 8

Phone Number

Apartment Number

Name 9

Phone Number

Apartment Number

Name 10

Phone Number

Proposed Improvements

List any problems in the property and other improvements proposed for inclusion in the project to be considered for assistance under the Rental Rehabilitation Program in Watertown

Comments

This Pre-application is being submitted to establish eligibility under the Rental Rehabilitation Program in Watertown. I understand that additional documentation will be required and give permission for representatives of Neighbors of Watertown to contact the employers listed above to verify information

Signature *

Date *

Rental Rehabilitation Program - Preapplication

Applicant Information

Property Information

Tenant Information

Proposed Improvements