Assistance Loan Submission

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HouseCharlotte Homeowner
Assistance Loan Submission
City of Charlotte Housing Subsidy Program
Please fill in all information completely
Date:
_____________________________________________________
Lender Name:
_____________________________________________________
Lender Address:
_____________________________________________________
Contact Name(s): _____________________________________________________
_____________________________________________________
Phone Number:
_____________________________________________________
_____________________________________________________
Fax Number:
_____________________________________________________
Email Address(s): _____________________________________________________
_____________________________________________________
In conjunction with the City of Charlotte’s Housing Subsidy Programs, we are hereby making
application for one of the following programs (See HouseCharlotte Program Overview):
Program
1-A.
Criteria: 80 percent or below of Median Income is $52,100 or less for a family of four.
1-B.
Criteria: Above 80 to 110 percent of Median Income is $52,100.01 to $70,500 for a
family of four.
2.
Criteria: 60 percent or below of Median Income is $39,100 or less for a family of four;
specialized neighborhoods only.
5.
Program will be used to provide Police Officers with subsidy to purchase a house in
transitioning or challenged neighborhoods.
1
If there are any questions on the completion of this form, please call HouseCharlotte at 704-705-3999 or email
us at . Submit completed forms and related documents to HouseCharlotte/The
Housing Partnership via SharePoint or to 4601 Charlotte Park Drive, Suite 350 Charlotte, NC 28217

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