HomeMy WebLinkAbout10-05-2020 VAB Agendaalga
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HOME OF PELICAN ISLAND
1225 MAIN STREET, SEBASTIAN, FLORIDA 32958
TELEPHONE )772) 228-7052 FAX )772) 228-7077
AGENDA
CITY OF SEBASTIAN
VETERANS ADVISORY BOARD MEETING
MONDAY. OCTOBER 5'". 2020
3:00 PM
1) CALL TO ORDER
2) PLEDGE OF ALLEGIANCE
3) ROLL CALL
4) MEETING CHAIR MAKE ANNOUNCEMENTS
5) AGENDA MODIFICATIONS
Modifications and additions require unanimous vote of members. Deletions do not apply.
6) APPROVAL OF MINUTES:
March 2"a, 2020 Meeting Minutes
7) UNFINISHED BUSINESS:
8)PUBLIC INPUT
9) NEW BUSINESS:
Item A: CDBG Grant Housing Rehab Assistance Program
Item B: Veteran's Day Event Plan and Responsibility
Item C: Pearl Harbor Day Planning and Responsibility
Item D: Wreaths Across America Discussion
10)STAFF MATTERS
11) BOARD OR COMMITTEE MEMBER MATTERS
22) ITEMS FOR THE NEXT AGENDA AND DATE: December 7th, 2020 @ 3:OOpm
13) ADJOURN
ANY PERSON WHO DECIDESTO APPFALANY DEOSHM MAOE WFTH RESPECTTOANYMATTER CONAOERED ATTHIS MEETING (OR HEARING) WILL NEED A RECORD
OFTHE PROCEEDINGSAND MAY NEEDTOENSURETHATA VERBATIM RECORD OF THE PROCEEDINGS 15 MADE, WHICH RECORD INCLUDESTHETESTMONVAND
EVIDENCE UPONWHICH THEAPPFALIS To BE HEARD. (286.0105 F.S.)
IN COMPLIANCEWITH THEAMERICANS WITH DISABIU BACT(ADA), ANYONEWHO NEEDSA SPECIALACCOMMODATION FORTHIS MEEPNG SHOULD CONTACT
THE CPYE ADA COORDINATOR AT589-5330 ATLFAsr48 HOURS INADVANCE OF THIS MEETING.
CITY OF
5SEBAa m
HOME OF PELICAN ISLAND
VETERANS ADVISORY BOARD
AGENDA TRANSMITTAL FORM
Board Meetina Date: October 5". 2020
Aaenda Item Title: Meeting Minutes from March 2ntl, 2020
Recommendation: Approval of Meeting Minutes from the March 2"d
meeting.
Background:
If Agenda Item Requires Expenditure of Funds:
Total Cost: n/a
Attachments:
Veterans Advisory Board Meeting Minutes from March 2ntl, 2020
VETERANS ADVISORY COMMITTEE
MINUTES
MONDAY, MARCH 2, 2020, 3:00 P.M.
CITY COUNCIL CHAMBERS
1225 MAIN ST., SEBASTIAN FL
Acting Chairman John Kinlen called the Veterans Advisory Committee meeting to
order at 3:00 p.m.
2. The Pledge of Allegiance was recited by all.
3. Present
David Spooner, President of the VFW Auxiliary, Post 10210
John Kinlen, Member of the American Legion, Post 189
Neil Baumgartner, Member of the VFW
Kim Paskiewioz, VFW Auxiliary Member
Randy Moyer, American Legion Member
Barney Giordan, Member of the American Legion
Not Present
John Haskins, Past Commander of the VFW, Post 10210 - Absent
Also Present
Brian Benton, Leisure Services Director
Janet Graham, Technical Writer
4. MEETING CHAIR MAKES ANNOUNCEMENTS -- Acting Chairman Kinlen
announced that John Haskins is absent..
5. AGENDA MODIFICATIONS — None
6.. APPROVAL OF MINUTES — December 2, 2019 Minutes
Acting Chairman Kinlen asked if there were any corrections or changes to the Minutes of
the December 2, 2019 meeting as presented. Hearing none, he called for a motion.
Motion to accept the Minutes of the December 2, 2019 meeting as presented was made
by Mr. Moyer, seconded by Mr. Baumgartner, and passed unanimously via voice vote.
Unfinished Business
VETERANS ADVISORY COMMITTEE PAGE 2
MEETING OF MARCH 2, 2020
A. Pearl Harbor Day Event Review
Mr. Benton asked if any of the committee members had any feedback from the Pearl
Harbor Day event. He reviewed that a new sound system has been purchased for park
events.
B. Four Chaplains Event Review
Mr. Benton stated there was a minor issue with the sound system at this event. When
the wind is blowing from the north, it still provides a little bit of feedback. In past events,
even with the new sound system, there would be some feedback if you were touching the
podium or somebody was tapping it. The City did purchase a device that separated the
microphone from the podium, so this should solve that problem.
8. Public Input
Steve Betancourt stated regarding the microphone issue, there was an issue when the
past Veterans Day event was held.
Mr. Benton stated there have been a couple of events since Veterans Day. A new sound
system has been purchased since that event, so that should not be a problem anymore.
9. New Business
A. Memorial Day Event Plan
Mr. Kinlen announced that he has a retired colonel from the US Army who will be the
keynote speaker. Her name is Patty Ryan. He will have everything else in place by the
next committee meeting.
He related that the cameraman had recorded the Veterans Day event, and he said for
Memorial Day he may be able to record the event live.
Mr. Benton stated he will get with that department to see if they will be ready to go by the
Memorial Day event. The plan for the recordings is to eventually get to where the City
can run those events similar to how the City Council meetings are run on Channel 25.
VETERANS ADVISORY COMMITTEE PAGE 3
MEETING OF MARCH 2, 2020
Mr. Kinlen stated on Memorial Day both the American Legion Post and the VFW will be
doing open houses, which were also done for Veterans Day. The service for Memorial
Day will start at 11:00 a.m. with open houses to follow.
Mr. Moyer stated his group will be donating towards the cost of the food.
Mr. Kinlen brought up the subject of the grave markers at the Sebastian Cemetery. He
was notified by someone from the cemetery stating that there were problems with leaving
the markers up, and Mr. Kinlen is asking for information on whom he should contact
regarding this. Mr. Benton stated he will follow up on that.
Mr. Giordan announced that Indian River County has just finished a Teacher of the Year
program here in the County, and the VFW and some of the people who were in that
program have gone forward to the national program. That program included not only a
Teacher of the Year throughout the County, but also a Patriots program. Particularly in
Sebastian Middle School there was a great response to that. There were three winners
from Sebastian Middle School in that particular program.
A program for Police Officer of the Year has also been completed. There are awards to
go to Sebastian, to the Sheriff's Office, and to the City of Vero Beach. He will have more
information on that in the future.
Mr. Giordan also stated the Veterans Council is being approached to contribute 50
percent to the money that is given to veterans here in Sebastian. The Veterans Council
is looking into this possibility.
10. Staff Matters
Mr. Benton gave an update on the CDBG process, that was mentioned back in October.
A portion of that money is dedicated to veterans and seniors for housing rehabilitation.
Presently they are not ready to accept applications. They have a consultant who is going
through the process. Since it is a federally funded program, there are certain
requirements that must be met. When those requirements are completed, applications
will begin to be accepted for this program.
Mr. Kinlen asked for clarification on possible reimbursement for a new door at the Post,
VETERANS ADVISORY COMMITTEE
MEETING OF MARCH 2, 2020
PAGE 4
since it is an organization that serves veterans. Mr. Benton stated it is his understanding
that the answer is no; it has to be for an individual's housing rehabilitation.
11. Board or Committee Member Matters
Mr. Kinlen announced that by the next meeting he will have the handouts prepared that
will be handed out on Memorial Day. That day is also the American Legion Auxiliary
Poppy Drive weekend, and auxiliary members will be handing out poppies.
12. Items for the Next Aaenda and Date: May 4, 2020 @ 3:00 p.m.
13. Adiourn
There being no further business, Acting Chairman Kinlen called for a motion to adjourn.
Motion to adjourn the meeting was made by Mr. Moyer, seconded by Mr. Baumgartner,
and passed unanimously via voice vote. The meeting was adjourned at 3:17 p.m.
0
jg
Date:
CnC*
SEBASTIU_%
HOME OF PELICAN ISLAND
VETERANS ADVISORY BOARD
AGENDA TRANSMITTAL FORM
Board Meetina Date: October 5", 2020
Aaenda Item Title: Item A: CDBG Grant Housing Rehab Assistance
Program
Recommendation: Discussion on any possible ways that the Veterans
Advisory Board can assist with the promotion of this
program to residents that qualify and are in need of this
assistance.
Background: City staff, along with a representative from Guardian
CRM, Inc., the City's CDBG Consultant, will be at the
meeting to discuss and answer any questions that the
Board may have.
If Agenda Item Reauires Expenditure of Funds:
Total Cost: n/a
Attachments:
1) Public Comment Period Notice
2) City of Sebastian's Homeowner Rehabilitation Assistance (CDBG) Application
CITY OF SEBASTIAN, FLORIDA
PUBLIC COMMENT PERIOD NOTICE
2020/2021 CDBG ACTION PLAN
The City of Sebastian is adopting the Annual Action Plan for entitlement Community Development
Block Grant (CDBG) requirements. The City is seeking input from potential stakeholders and the
public on the needs of low-income citizens. Approximately $127,114 of regular CDBG and $91,600
of CARES Act CDBG funding is available to the City for improvements that benefit low income
citizens of the City and to respond to the COVID 19 outbreak. These funds must be used for one of
the following purposes:
1. To benefit low income persons; or
2. To aid in the prevention or elimination of slums or blight; or
3. To meet other community development needs of a particular urgency because existing
conditions pose a serious and immediate threat to the health or welfare of the community
A public hearing will be held on October 14th 6:00pm or as soon as may be heard thereafter, for
community organizations and the public to provide input into the action plan after the comment
period ends. A draft plan has been developed based upon those comments. Activities proposed
include housing repairs for veterans, elderly and special needs, and sidewalks and pedestrian malls
within the Community Redevelopment Area.
The public is invited to review the draft amended action plan posted on the web at
www.cityofsebastian.org or to view hard copy by contacting Ms. Lisa Frazier, Community
Development Director at phone: (772) 388-8228 or email: lfrazier(d4tvofsebastian.ore. Written
comments can be provided to Ms. Lisa Frazier by October 14'.
City of Sebastian
City Council
Fair Housing/Disability Access Jurisdiction and Equal Opportunity Employer
EOWL OPPORTUNITY
HOMEOWNER REHABILITATION ASSISTANCE (CDBG) APPLICATION
City of Sebastian
1225 Main Street, Sebastian, FL 32958 Phone: 772-589.5330
Date: Application Reviewed By: Reviewer Signature:
This program will assist eligible homeowner(s) who are interested in seekino to remedv code and
Housino Duality Standard deficiencies in their owner-occuoied residence In the City of Sebastian by
providing Homeownership Rehab Assistance as a part of the 201912020 Community Development Block
Grant (CDBG) Housing Rehabilitation Program.
The following requirements and activities apply under this CDBG funded housing rehab assistance
program:
A. Potential recipients must be a primary resident of the City of Sebastian, Florida.
B. Funding can only be used to assist in rehab of an ownerloccupied primary residence
(homestead).
C. All applicants must meet the minimum Section 8 HUD approved income limits and provide
documentation to prove eligibility.
D. A second mortgage, note and deferred payment lien will be required for the assistance (no
Interest, no payments if requirements are met).
E. A minimum of 2 units per funding year will be rehabilitated through assistance to income
eligible applicants (less than 80% of Area Median Income).
F. Rehabilitation assistance of up to $50,000.00 for single family homes and up to $20,000 for
mobile homes (mobile homes must have been built on or after January 1, 1997).
G. Focus shall be on units that require repair.
All applications must be submitted to the City of Sebastian Housing ServIceslCDBG:
1225 Main Street, Sebastian, FL 32958
APPLICATIONS WILL NOT BE ACCEPTED BY FAX OR E-MAIL
101
— Equal Housing Opportunity Statement: We are pledged to the letter and spirit of U.S. policy for the
achievement of equal housing opportunity throughout the Nation. We encourage and support an affirmative
advertising and marketing program in which there are no barriers to obtaining housing because of race, color,
religion, sex, handicap, familial status, or national origin.
Page 1 of 13
APPLICANT AUTHORIZATION FOR DATA COLLECTION AND VERIFICATION FOR
HOUSING ASSISTANCE
The applicant understands that the intent of this application is for purposes of certification only. It does not
guarantee acceptance or approval, and no commitment is hereby made on the part of any party.
City of Sebastian is authorized to verify any of the information provided below. I/We hereby waive any
and all claims for defamation, violation of privacy, or other claims against any person, firm, or corporation
by reason of any statement or information released to the City in its verification of the subject Information.
PENALTY FOR FALSE OR FRAUDULENT STATEMENTS: U.S.C. Title 18, Sec. 1001, provides that
whoever, in any matter within the jurisdiction of any department or agency of the United States knowingly
and willfully falsifies... or makes false, fictitious or fraudulent statements or entries shall be fined not more
than $10,000.00 or imprisoned not more than five years or both.
Any intentionally false or fraudulent statements or supporting documents can constitute cancellation of
my/our application.
APPLICANT CERTIFICATION
Please Initial each:
_ The application information, which I have provided, is true and complete to the best of my
knowledge.
I consent to the disclosure of any information for the purpose of verification of income and
expenses related to making a determination of my eligibility for program assistance.
I agree to provide any documentation needed to assist in determining my eligibility for program
assistance.
I understand that this application will only be valid through the Grant Application Fiscal year that
runs through 9/30/2021. If this application for assistance is approved, such approval Is
conditioned upon my eligibility on the day that assistance is provided.
I understand that my application and supporting documentation, including income documentation,
are open to the public in accordance with Florida's Public Records Law, Chapter119, Florida
Statutes (however those items which are expressly exempt from the public record by statute,
such as your social security number, will be separately maintained).
I understand that if I am found to be qualified to participate in the City CDBG program and am
eligible to receive assistance from either of the said programs that I and any member of my family
or any person that will benefit from this assistance may be subject to a background check
consisting of a criminal history check and a sex offender registry check to be used solely to
ensure that the person or persons are eligible to receive assistance from programs that are HUD
funded.
(Note: Only certain criminal convictions may result In a denial of your application depending upon the type of
ass/stance applied for and the applicable federal regulations)
_ My/Our signature below indicates that I/We am/are obligated to advise the City of Sebastian
CDBG Program Administrator of all changes in my/our income and household size. A change in
household size and/or income may disqualify melus from receiving housing rehab assistance.
Applicant's Signature Co -Applicant's Signature Date
Page 2 of 13
City of Sebastian
HOUSEHOLD AUTHORIZATION FOR THE RELEASE OF INFORMATION
The undersigned hereby authorizes you to release without liability, information regarding employment,
credit, income and/or assets to the City of Sebastian Community Development Block Grant (CDBG)
Administrator for purposes of verifying collected data and information provided as part of the Housing
Rehab Assistance under the CDBG Housing Rehab Program.
The undersigned also authorizes and understands that if he/she is found to be qualified to participate in
the City Community Development Block Grant (CDBG) program and is eligible to receive assistance or
benefit from this assistance from either of the said programs that they will be subject to a background
check consisting of a criminal history check and a sex offender registry check to be used solely to ensure
that the person or persons are eligible to receive assistance from programs that are HUD funded.
INFORMATION COVERED:
I/We understand that previous or current information regarding me/us may be needed. Verfcations and
inquiries that may be requested include, but are not limited to; personal identity, employment, credit,
income and assets, criminal history, medical or child-care allowances. I/We understand that this
authorization cannot be used to obtain any information about me/us that is not pertinent to my/our
eligibility for the City of Sebastian CDBG Program.
GROUPS OR INDIVIDUALS THAT MAY BE ASKED:
The groups or individuals that may be asked to release the above information include, but are not limited
to:
Past and Present Employers
Welfare Agencies
Banks and Financial Institutions
Veterans Administration
Internal Revenue Service
Support & Alimony Provisions
Credit Reporting Agencies
Unemployment Agencies
Retirement Systems
Background Check Agencies
Public Housing Agencies
Social Security Administration
CONDITIONS:
INve agree that a photocopy of this authorization may be used for the purposes stated above. The
original of this authorization is on file and will stay in effect for one year and one month from the date
signed. I/We understand that I/We have a right to review this file and correct any information that [Nye
can provide is incorrect.
Household Member 1 Signature Date
Household Member Signature Date
Household Member 3 Signature Date
Household Member 4 Signature Date
Page 3 of 13
FY 2020 HUD INCOME LIMITS SUMMARY SEBASTIAN, FLORIDA
(HOUSEHOLD SIZE(
w zozo FY 2020
Median Income
Income Income Limit 1 2 3 4 5 6 7 8
Limit Area Category
r it
i
�I i '7
Sebastian Low 8
-Vero Moderate
Beath, FL $69,600 90°0 $39,000 $44,800 $50,150 E55,700 $60,200 $64,650 $69,100 $73,560
MSA Income
Limits
APPLICANT/CO-APPLICANT GENERAL INFORMATION
Applicant Name
D.O.8 / /
Street Address
City, State and Zip Code:
Phone
Alternate Phone (Cell/Other)
Email:
Check One: Single:_ Married
_ Divorced _ Widow
Co -Applicant Name
D.O.B
Street Address
City, State and Zip Code,
Phone
Alternate Phone (Cell/Other)
Email:
Check One: Single:_ Married
Divorced —Widow
Page 4 of 13
Other Household Members/Dependents Ilvina in the home (under 18 vears of ace or lecally
disahledldeDendent with Drool):
Proof of number of dependents claimed -Bring your Federal Tax return AND one of the following:
-Birth Certificate on which parents/applicants name is listed
School records that provide the parents/applicants name and address
-Court ordered letter of guardianship
-Divorce decree that list dependents
-Letter of adoption
-Social Security Card
-Child Support Documentation
HOUSEHOLD COMPOSITION:
(LIST EVERY PERSON THAT IS CURRENTLY LIVING IN YOUR HOME)
NAME AGE SEX RACE FULL TIME STUDENT DISABLED
(M/F) (Y/N) (YIN)
1
2
3
Please answer the following:
Are any HH member active Duty Military or Active Military Reserve? Yes () or No ( )
-If yes please list the names of all active Duty HH members:
Are any HH member retired or discharged from Military or the Military Reserves? Yes () or No ( )
-If yes please list the names of all active Duty HH members:
Page 5 of 13
INCOME AND EMPLOYMENT:
Applicants Employer:
Employer Address:
City/State/Zip:
Phone Number:
Pay Rate: Pay Frequency:
Annual Income (Gross Pay including but not limited to Tips, Bonuses, etc.)
Co -Applicant Employer:
Employer Address:
City/State/Zip:
Phone Number:
Pay Rate. Pay Frequency:
Annual Income (Gross Pay including but not limited to Tips, Bonuses, etc.)
(If Applicable) Additional HH Member Employer:
Employer Address:
City/State/Zip:
Phone Number:
Pay Rate, Pay Frequency:
Annual Income (Gross Pay including but not limited to Tips, Bonuses, etc.)
(If Applicable) Additional HH Member Employer:
Employer Address,
City/State/Zip:
Phone Number:
Pay Rate: Pay Frequency:
Annual Income (Gross Pay including but not limited to Tips, Bonuses, etc.)
Page 6 of 13
ETFO
MINORS)ALL MEMBERS OF THE HOUSEHOLD
SOURCE OF INCOME APPLICANT CO -APPLICANT OTHER TOTAL
(PER MONTH) Household Members
Total Income
1. Employment
2. Soc. Sec./S.S.I
3. Unemployment Wages
4. Retirement/Pension(s)
5. Public Assistance
6.
Rental Income
7.
Interest/Dividends
8.
Support Payments/Alimony
9.
Disability Wages
10.
Other
TOTAL MONTHLY
INCOME
LISTED TOTAL HOUSEHOLD COMBINED ANNUAL INCOME: S
NOTES:
Page 7 of 13
CITY01'
CBIASTIAN
HOME OF PELICAN ISLAND
CITY OF SEBASTIAN
COMMUNITY DEVELOPMENT BLOCK GRANT (CDBG)
UNEMPLOYMENT AFFIDAVIT
[1] I, , verify that I am presently unemployed and that I am receiving
unemployment benefits at this time
[2] I, . verify that I am presently unemployed and have no other source
of income at this time.
[311, verify that I am presently unemployed and have other source(S)
of income OTHER THAN UNEMPLOYMENT BENEFITS at this time.
If box 2 is signed please list other sources of income. And provide all official supporting documentation
that verifies the sources of the stated income.
SOURCE(S) OF INCOME DERIVED FROM MEANS OTHER THAN UNEMPLOYMENT
1.
2.
3.
APPLICANT SIGNATURE
PRINT NAME
WARNING: Florida Statute 817 provides that willful false statements of misrepresentation ocnceming Income, asset or liability
Information relating to financial condition is a misdemeanor of the first degree, punishable by fines and Imprisonment under Statutes
775.082 or 775.83.
Subscribed and sworn before me this
(SEAL)
Notary Public, State of Florida
_Personally Known
Type of Identification
Commission Expires
Page 8 of 13
day of .2020.
Print Name of Notary Public
_Produced Identification
ASSETS:
(_) Checking (_)
Savings: Bank
Balance:
$
(_) Checking (_)
Savings: Bank:
Balance:
$
(_) Checking (_)
Savings: Bank:
Balance:
$
Other
Describe:
Balance:
$
Other
Describe:
Balance:
$
Other
Describe:
Balance:
$
LIABILITIES / DEBTS (FOR ALL HOUSEHOLD MEMBERS 18 AND OVER):
List Credit Card Debt, Auto, Real Estate and Mortgage Loans, etc. (For ALL Household Members 18+)
Creditor's Name I Company Type Balanced Owed Monthly Payment
2. /
3.
4.
List Additional Liabilities / Debts on back of this page, include in total.
Total: Liabilities $
Page 9 of 13
HOME AND APPLICANT INFORMATION:
Handicap Status (Please lists any household member(s) who has a physical or mental
disability and provide a brief description of each listed disability)
2.
Ri
CONFLICTS OF INTEREST:
Are you related to any member of the City Council, Advisory Committee, City employees?
Yes _ No (If yes, please list the names of all that you are related:)
3.
4.
Page 10 of 13
CONFIDENTIAL SHEET —ADDENDUM PAGE
COLLECTION AND USE OF SOCIAL SECURITY NUMBERS
Notice of Privacv Act
"The Privacy Act regulates the use of Social Security Numbers by government agencies. When a
Federal, State, or local government agency asks an individual to disclose his or her Social
Security number, the Privacy Act requires the agency to inform the person of the following: the
statutory or other authority for requesting the information; whether disclosure is mandatory or
voluntary,, what uses will be made of the information; and the consequences, if any, of failure to
provide the information."
City of Sebastian Disclosure Statement
The City of SEBASTIAN COLLECTS YOUR SOCIAL SECURITY NUMBER, OR A PORTION
THEREOF, FOR ONE OR MORE OF THE FOLLOWING PURPOSES: VERIFICATION OF
FINANCIAL; IDENTIFICATION AND VERIFICATION; CREDIT WORTHINESS; BILLING AND
PAYMENTS; DATA COLLECTION, RECONCILIATION, AND TRACKING; PAYROLL AND
BENEFIT INFORMATION; TAX, UTILITY ACCOUNT INFORMATION; BANK INFORMATION;
FOR BACKGROUND CHECKS; AND VERIFICATION OF IDENTITY.
Applicant's Name:
Applicant's Social Security Number
Co -Applicant's Name:
Co -Applicant's Social Security Number. --
Other household member:
Other household member Social Security Number.
Other household member:
Other household member Social Security Number: -
Other household member:
Other household member Social Security Number:
Other household member:
Other household member Social Security Number:
(Please attach a second sheet if necessary)
THIS SHEET SHALL BE KEPT IN A NON-PUBLIC PORTION OF THE APPLICATION FILE
Page 11 of 13
OFFICIAL USE ONLY
The undersigned has examined this application for assistance as described herein. The
application meets the requirements for eligibility for the local housing program.
Initial Reviewer: Sebastian Housing Specialist Signature Date
Guardian Reviewer Signature Date
Page 12 of 13
Copies of the following documents must be submitted
for your application to be complete.
Checklist of Important Documents:
€ Completed application and disclosures with signatures and date.
E Picture Identification for applicant and any co -applicants.
E Social Security Card for applicant, any co -applicants, all household members
E Birth Certificate for Minor Children
E Proof of Ownership: Recorded Copy of Property Deed
€ Property Tax Receipt (if applicable for current home)
E Most current year's Tax Returns or year's Tax Transcripts from IRS.
E Paycheck Stubs (Last 3 pay stubs for each working member) or most current
Social Security Verification (Statement of Benefits).
E Child Support Documentation, divorce decree,
E Most current documentation for other assets - 401(k), retirementipension, IRA,
CDs, annuities, etc.
E If applicable, Self-employment income statement with schedule C, E, or F.
E Three months current bank statements for all open checking, savings, or other
interest -bearing accounts at the time of application and contract signing.
E Third party contact information and release to obtain third party verification of
employment signed by employer and notarized. This documentation must be
received for every employed adult and minor in the household to obtain eligibility.
Page 13 of 13