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2. Full Name (First and Last Name)*
3. Property Address*
5. Phone Number**
6. Email Address*
8. What work do you want to do to the outside of the home?*
10. Is the property within the boundaries of the East Village TIF?*

    1. Yes
    2. No
11. Are you 55 or older?*

    1. Yes
    2. No
13. Do you owe the City any money?*

    1. Yes
    2. No
14. Are you current on your property taxes?*

    1. Yes
    2. No
16. Do you own the home?*

    1. Yes
    2. No

    You must own the home to apply for the program. 

18. By submitting an application, you are confirming that you have read the program's eligibility requirements and understand submitting an application does not guarantee selection in the program.
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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field