TRLBA Online Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Application for Property

Email *

Parcel You Wish to Purchase: Parcel Number *

Parcel You Wish to Purchase: Street Address *

Applicant Name: *

Applicant Address (No PO Box): *

Main Phone: *

Cell Phone: *

Email: *

Co-Applicant Name:

Co-Applicant Address (No PO Box):

Co-Applicant Main Phone:

Co-Applicant Cell Phone:

Co-Applicant Email:

If Organization, Organization Address:

Type of Applicant (checklist): *

Individual

501c3 or other charitable organization

Private for-profit Corporation

Faith-based institution

Other

Required

If Organization, please also provide:

Current Certificate of Good Standing
Current List of Directors
Current Business license (if applicable)
Email to cfrederick@trrcopo.org

Please provide:

Copy of your current Property Tax statement showing the Applicant's address and the taxpayer address of record is the same. Email to cfrederick@trrcopo.org

If the Applicant or Co-Applicant owns other property:

Please provide the Street Address and Parcel Identification Number for each property. Attach a list, table or spreadsheet. Email to cfrederick@trrcopo.org

How do you intend to use the property? (Select all that apply) *

Maintain as is

Expand my yard/open space

Remove a structure or structures

Rehab existing structure

Build new structure

Add an accessory structure (parking, garage, shed, fence)

Other

Required

Please review and add a check for each TRUE STATEMENT. For any item not checked, please provide an explanation via email (cfrederick@trrcopo.org) *

Applicant is current on all property taxes for all properties owned

Applicant has not had a bankruptcy or foreclosure within the last 7 years

Applicant owned property has no open housing or building code violations

Applicant has not lost a property for non-payment of taxes

Applicant agrees to maintain property in compliance with all local codes (building, zoning, etc.)

Applicant agrees to pay property taxes going forward

Applicant agrees to be responsible for conducting due diligence and accepting property "as-is" with no warranty as to title or condition

Co-Applicant is current on all property for all properties owned

Co-Applicant has not had a bankruptcy or foreclosure within the last 7 years

Co-Applicant owned property has no open housing or building code violations

Co-Applicant has not lost a property for non-payment of taxes

Co-Applicant agrees to maintain property in compliance with all local codes (building, zoning, etc.)

Co-Applicant agrees to pay property taxes going forward

Co-Applicant agrees to be responsible for conducting due diligence and accepting property "as-is" with no warranty as to title or condition

Required

Does the applicant or co-applicant have any financial or familiar relationship with any staff or director of TRLBA or the former owner of the subject property? If yes, the nature of the relationship must be disclosed for evaluation by the Land Bank (email to cfrederick@trrcopo.org) *

Yes

Please have the Applicant and Co-Applicant read and sign below to attest to the following:

I/We acknowledge:
Accepting an application does not commit the Land Bank to convey this or any other property to me/us, except at the Land Bank and Member's sole discretion
The information I/we have provided on this application is true and complete
Failure to disclose required information or to submit false information is grounds for rejection of my/our application and may result in me/us being barred from obtaining property from the Land Bank in the future

Applicant: *

Date: *

YYYY

Co-Applicant:

Date:

YYYY

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms