City of Torrance, Community Services Department

Application for Home Improvement Program 

Applicant Information

 *

Applicant Information

Full Name	Age	E-Mail
Phone (Primary)	Phone (Cell)	Address
City	Zip

Gender

Gender

Female

Male

Type of Residence: (select one)

Type of Residence: (select one)

Single family Home	Condo/Co-Op
Mobile/Manufactured Home	Other If other, type text here.

Property Ownership Information

Property Ownership Information

Owner

Renter *

Other * If other, type text here.

*If applicant is not the owner, please provide owner’s contact information

*If applicant is not the owner, please provide owner’s contact information

Name

Phoneext.

Household Information

 *

Household Information

Total number of occupants

Number Disabled *

*If disabled, please describe

(Total) Household Income

 *

(Total) Household Income

Prior year’s wages and salaries:

Social Security:

Other*: (pension, welfare, County aid, etc.)*

*Please describe:

Annual Income Total:

 Proof of Income

You must submit your proof of income,  and provide a copy of your most recent IRS tax form to the Home Improvement Program.

Proof of Income You must submit your proof of income, and provide a copy of your most recent IRS tax form to the Home Improvement Program.

Proof of Income Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

Most Recent IRS Tax Form Click button for uploading file Clear Maximum size allowed: 5 MB Allowed types: .gif, .jpg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

Description of Improvements requested

 *

Description of Improvements requested

                                           HUD INCOME LIMIT GUIDELINES FY 2017/2018

 

HOUSEHOLD SIZE	INCOME LIMIT		HOUSEHOLD SIZE	INCOME LIMIT
1	$54,250		5	$83,700
2	$62,000		6	$89,900
3	$69,750		7	$96,100
4	$77,500		8	$102,300

 

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