HMRP Application Applicant Information Owner Name * Owner Name First First Last Last Phone Email Is there a Co-Owner or Co-Signer for this property? * Yes No Co-Owner/Co-Signer Name Co-Owner/Co-Signer Name First First Last Last Phone Email HMRP Information For your application to be valid the applicant must satisfy Sub-Section B of Ordinance 108-2015 - Exhibit A, which states that homeowners must occupy the property for which they are applying for as their primary residence for a minimum of 3 years after purchase. During those three years, homeowners may be eligible to receive HMRP funds. What year did you purchase your home? * 2022 2021 2020 Is this your first time applying to receive funds through HMRP? * Yes No Please select all years that you have received HMRP funding prior to 2022: * 2020 2021 2022 Property Information Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Lending Institution (if applicable) Purchase Price * $ Annual Property Tax Amount * $ Type of Purchase * Target Area Purchase Foreclosure Purchase Note: If you are not sure if your property falls in the target area please click here to view the Target Area Street Map.Properties that are not foreclosure purchases or are outside the target area will not be eligible. Intent of Use Notice By submitting this application you are hereby acknowledging that the property listed above is currently, and will continue to be, your primary residence. If a homeowner takes any action as listed in Section 3 (A) of Ordinance 108-2015 - Exhibit A or violates any provision of the HMRP, the City shall move to recover funds from the homeowner. By submitting this application to the City of Massillon you certify that the information provided is true and accurate to the best of your knowledge. You agree that submitting false or misleading information will void this application. Signature * Date If you are human, leave this field blank. Submit