York Loans to Landlords Program Intake Form

Complete this form if you are interested in applying for a loan through the Loans to Landlords Program. This is the first step in the process and will be used to determine your eligibility to participate in the program. Eligible landlords will be referred to Community First Fund. All loan determinations will be made by the Community First Fund.

Any questions about this form, please contact:

Winnie Branton

winnie@housingalliancepa.org

267-788-1651

Housing Alliance of Pennsylvania

info@housingalliancepa.org

Question Title

* 1. Address

Name of Rental Property Business or Landlord *

Address *

City of York Rental License Number (If applicable)

Question Title

* 2. Are you an approved landlord under the York Housing Authority Housing Choice Voucher Program?

Yes

No, but interested in becoming an approved landlord

Question Title

* 3. How many total rental housing units do you own?

1-5

6-15

16-25

> 25

Question Title

* 4. How many units are you currently renting to tenants with housing vouchers or subsidies?

1-5

6-15

16-25

> 25

Question Title

* 5. How many of those units are located in the City of York or York County?

Question Title

* 6. Was your average annual revenue for the past three complete calendar years (2019, 2020, and 2021) less than $1 million?

Yes

Not sure

Question Title

* 7. Contact Information

Name of Person Who Completed This Form:

Title:

Email Address:

Phone Number: