Pre-Screening Questionnaire

Is your home in Utah?

Yes No

Is the home your current primary residence? (Dwelling that the Household Applicant(s) resides in for a minimum of 183 days or more per calendar year)

Yes No

Do you own the home and are the individual(s) listed on the mortgage statement(s) and/or County real property tax records for the primary residence?

Yes No

Are behind on your mortgage, HOA, or taxes and have an outstanding balance, or are facing immediate foreclosure(s)?

Yes No

Have you experienced a financial hardship associated with the COVID-19 pandemic after January 21, 2020? ¹

Yes No

¹ Financial hardships associated with the COVID-19 pandemic, which may look like:

Having qualified for unemployment benefits
Having experienced a reduction in household income
Having experienced an increase in living expenses, including medical expenses, household size, or increase in childcare costs
Having experienced other financial hardships, which may look like:
Losing a job or having hours reduced
Losing access to childcare or dependent care

Verify that you are under the income limits of the program:

Which county do you live in?

How many people are in your household?

The income limit for your county is {$}.

Is your household’s total annual gross income under this amount?³

Yes No

³ The total gross income for all household members aged 18 and over. Total gross income does not include public benefits such as Supplemental Nutrition Assistance Program benefits.

You may not qualify...

Based on the information you provided, it appears that you may not be eligible for a grant through the Utah Homeowner Assistance Program.

Puede que no califiques...

Según la información que proporcionó, parece que NO sea elegible para una subvención a través del Programa de asistencia para propietarios de viviendas de Utah.

Usted puede calificar...

Según la información que proporcionó, parece que puede SER elegible para una subvención a través del Programa de asistencia para propietarios de viviendas de Utah.

You may qualify...

Based on the information you provided, it appears that you may be eligible for a grant through the Utah Homeowner Assistance Program.