Montclair

Montclair Rehabilitation Intake

Property and household information for the Montclair Township rehabilitation program.

Property information

Property Information *Is this a single- or multi-family house?Does this property include a rental apartment(s)?Is this property occupied year-round?Is the property a deed-restricted affordable home?Is the property located in a flood zone?

Applicant

First Name *Last Name *Phone *Email *

How many people live in your household? *What is the gross annual income combined for all adult household members? *Are your property taxes paid up to date?Do you have an active bankruptcy?What major systems in your house are in need of repair (i.e., weatherization, roof, structural, heat)? *

Certification

I Agree to the Above Certification — I certify that the information provided is true and complete.Applicant Signature *Select Current Date