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Appointment Inquiry - Housing Rehabilitation Program
This form has been modified since it was saved. Please review all fields before submitting.
What days work best for you
What is the best time to contact you?
9:00 am. - 11:30 am.
9:30 am. - 12:00 pm.
1:00 pm. - 3:30 pm.
1:30 pm. - 4:00 pm
2:00 pm. - 4:30 pm
2:30 pm. - 5:00 pm
Any specific dates?
Any specific dates? Start Date
Any specific dates? End Date
What property condition motivated you to contact us?
Check all that apply
Sewer & Water Line
Do these conditions pose a serious and immediate threat to the health or welfare of the family and occured recently without warning?
Estimate repair costs
How many people are living in the home?
-- Select One --
What is the total income before taxes of all household members?
Are you current on your mortgage?
N/A - I own my home free & clear.
Name of your 1st lien holder (mortage)
Current loan balance
Do you have a 2nd lien on the property?
Name of 2nd lien holder (if any)
Current loan balance (2nd lien)
Have you received any assistance from the City of Plano's Housing Rehabilitation program in the past?
If yes, please explain
Do you currently have a citation or lien from the City for property code violations?
If yes, please describe
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