HomeMy WebLinkAboutHELP program Rental Property-final
Rental Property Application
H. E. L. P.
(Housing Exterior Loan Program)
City of Iowa City Housing Rehabilitation 410 E. Washington St., Iowa City, IA 52240-1826
Phone: (319) 356-5246 FAX: (319) 356-5217 TDD: (319) 356-5493
Date: ____________________________
Property Owner: __________________________________
Mailing Address:__________________________________
_______________________________________________
Phone #:________________________________________
Email address:___________________________________
Property Address: ________________________________
Project description -- Attach estimates:
The applicant further certifies that he/she/it is the owner of the property located at the project address.
I understand that all information submitted to the City relating to this application is subject to the Open Records Law
(Chapter 22 of the Iowa Code). I hereby certify that all representations, warranties or statements made or furnished to
the City in connection with this application are true and correct in all material respects. I understand that it is a criminal
violation under Iowa law to engage in deception and knowingly make, or cause to be made, directly or indirectly, a false
statement in writing for the purpose of procuring financial assistance from a state agency or political subdivision.
Property Owner Date
.
RETURN COMPLETED APPLICATION TO:
Liz Osborne
Housing Rehab, City of Iowa City
410 E. Washington St., Iowa City, IA 52240