Landlord Fund | Connected Communities

Landlord Fund Application

This application and document checklist will instruct you on which documents to include with your application.

Please complete the application and attach all of the documents as indicated below. Do not submit original documents; please make copies.

Application Document Checklist

1. Copy of unit lease(s: Please indicate when the lease term ends for occupied units or when the unit is vacant for unoccupied units.

2. Copy of photo ID for the applicant. Acceptable forms of ID such as driver’s license, stat-issued ID, military ID, D, or passport.

3. Completed W9 form.

4. Copy of rental property insurance.

5. Copy of current mortgage statement. Owner must be current with their mortgage and not subject to mortgage foreclosure at the time of application.

6. Property must be in overall good condition.

Sign and date the application and include all of the above-required documentation.

INCOMPLETE applications cannot be processed.

Landlord First Name

Landlord Last Name

Property Owner Home Address or PO Box (as listed with the City of Rochester)

Phone

Birthday

Day

Month

Year

Total Estimated Annual Household Income

Rental Property Questions

1. How many rental properties do you own?

2. How many total units do you own across all properties?

3. How many rental properties and units are in the EMMA and Beechwood neighborhoods?

4. Are any of these properties commercial rental spaces?

Yes

A. If yes, please indicate the number of properties and units of commercial space

5. What is the maximum total amount of rental income collected per month from all units assuming 0% vacancy?

6. How many, if any, units do you own that are vacant or unable to collect rent? Please indicate each unit's address, listed rental price, if the unit is vacant, and if any other factors are preventing the collection of rent (ex. needs repairs).

A. Name of all Corporations, LLCs, or Organizations under which you own properties:

B. Employer

C. If the owner is a corporation, name of all officers with home addresses:

D. Address of all real estate property owned in the city of Rochester:

E. Address of all properties currently cited for code violations:

Grant Questionnaire

1. Property Address:

2. Number of Units Included in application:

3. Number of Bedrooms/Bathrooms in Unit(s):

4. Is/are unit(s) occupied or unoccupied?

5. Are utilities included in the monthly lease? If so, please list which are included.

6. Name of Current Tenant(s) on Lease(s) (if applicable):

7. Number of People Living in Unit(s):

8. Current Monthly Rent Charged for Unit(s):

9. Scope of work proposed for rehabilitation grant:

Estimated Cost

1. Please list each item, where you will purchase/contract the item from, and the item cost. Include copies of quotes, items, contractors/suppliers/stores, the number of items, cost per item, and the total cost.

2. If the project cost is greater than the requested grant, please list other sources of funding (i.e., bank funding, self-financing, another grant). If applicable, please indicate whether these other sources of funding have been secured.

Please reflect on your role with respect to your tenants and the EMMA and Beechwood neighborhoods by answering the following questions in 3-5 sentences.

3. How do you and your properties contribute positively to the EMMA and/or Beechwood neighborhoods?

4. How do you maintain positive and open relationships with your tenants?

5. How will your project have a lasting impact on the quality of life for your tenant(s)?

Please read the following grant application terms and sign at the bottom to indicate your understanding and desire to have your application processed.

I/We understand that receiving a grant depends, in part, on

whether I/we are eligible, the availability of funds, and when my application is considered complete.

• I /We acknowledge that additional information and/or documentation may be requested from me/us.

• I /We authorize the Connected Communities to verify the accuracy of the information provided with the application.

• I/We will submit to a free energy assessment if applicable.

• I /We agree to allow Connected Communities and its consultants reasonable access to the property to verify rehabilitation and/or maintenance work related to the program.

• I/We understand that this program involves a forgivable loan and that if the terms of the agreement are not met, all or a portion of the grant may be recaptured with interest.

• I /We certify under penalty of law that all the information and documents I/we provided for this application are true, accurate, and complete to the best of my/our knowledge. It will be grounds for denial of my/our

application if it is found that I/we have falsified information or provided misleading information.

• I /We understand my responsibilities as a landlord participating in this grant program, should I/we be awarded this grant.

Date

Day

Month

Year

Submit Required Documents