Home Repair Application

Habitat for Humanity of the River Valley helps current homeowners who are struggling to

maintain the integrity of their home, due to age, disability, or family circumstances. We

offer affordable home repairs and energy efficient upgrades to homeowners in Madison,

Limestone, and Jackson Counties. This program aims to bring community together as we

restore owner-occupied homes to a state of safety and accessibility.

TO APPLY, FOLLOW THESE DIRECTIONS

1.     Read all instructions before starting your application.

2.     Complete the application fully and honestly; all information is confidential.

3.     Applications must include all required documents, income verification, and the fee to be considered complete—no exceptions.

4.     Submit your application with a non-refundable fee: $35 per applicant (money order or cashier’s check) or $36.40 online via PayPal (includes fee). Use your full name as the account number.

 You must submit the following items to complete an application!  Failure to bring required documents will result in your application being denied.  We are unable to make copies at our office at this time.

□ Government issued photo identification

□ Social Security or Form I-551 Card

□ Proof of Income:

□ If working, two months of pay stubs. For example if paid biweekly, submit your last 4 paystubs, if paid monthly, your last 2 paystubs.

□ If you are self-employed, please provide your last two years of federal tax returns (IRS Form 1040) including all schedules.  Tax returns must be signed.

□ Child Support: Bring court order  and proof of payment for the last six months

□ Alimony: Bring court order and proof of payment for the last six months

□ Social Security Income/Disability Award Letter

□ Last two month’s bank statements for all accounts. Please ensure you submit bank statements for any accounts bearing your name. Statements must have bank’s information on it.  Be careful when printing statements from on-line source.

□ Proof of Homeowner’s Insurance

□ Application fee is $35 per applicant if paid in person (money order or cashier’s check only) or $36.40 per applicant if paid online via PayPal (includes 4% processing fee) (When asked for account number put your full name).