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Home Improvement Loan Program Application

  1. Preferred Method of Contact*
  2. Resident Address
  3. Mailing Address
    Please fill out only if different from above.
  4. Fair Market Value
    Please show the Estimated Fair Market Value of your home as stated on your most recent property tax bill. If your property tax bill is sent to your mortgage holder, you may obtain this information by calling the City Assessor’s Office at 920-448-3066.
  5. Current balance of 1st Mortgage, current balance of 2nd Mortgage, and Down Payment Assistance Loan.
  6. Example: Conventional mortgage or 2nd mortgage, 75,000, XYZ Bank
  7. Have you ever received a loan from a city or county agency to improve your property?*
  8. Income Of All Persons
  9. These questions are for Census data purposes. They are not required.
  10. Sex of Applicant
  11. Marital Status of Applicant
  12. Handicapped
  13. Improvement List
    Following is a list of the most commonly made improvements under our loan programs. If you need one or more of the listed improvements, add a brief explanation in the lines provided after each item. If an improvement you wish to make is not listed here, please describe it in the last category under "Other."
  14. Leave This Blank:

  15. This field is not part of the form submission.