Albia, IA · Monroe County

Home Improvement Grant and Loan Application

This application requests grant or loan assistance for eligible home repairs and improvements through the Chariton Valley Regional Housing Trust Fund, serving applicants in Albia and the surrounding counties.

At a glance

Issued by
City of Albia · Albia, Monroe County, Iowa
Notarization
Required: sign this form in front of a notary before filing it.
Official source
albiaiowa.org
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index
Detailed form~25 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

The application gathers household, income, asset, property, and project details to assess eligibility for assistance with repairs or improvements to existing housing. Applicants submit it to the Chariton Valley Regional Housing Trust Fund with the $15 application fee and required supporting documents; the fund accepts applications continuously and inspects the property before final approval. A separate Zero Income Self Affidavit included with the packet has a sworn statement for applicants who need to certify that they have no income.

Who needs it

Homeowners seeking CVRHTF assistance for eligible repairs or improvements who occupy the property and meet the program’s income and other eligibility requirements need this application.

Why it needs a notary

The included Zero Income Self Affidavit has a subscribed-and-sworn jurat; the adult household member completing that affidavit signs and swears to it before the notary.

How to get this notarized

  1. 1

    Download the Application

    Get the CVRHTF grant and loan application packet and review the instructions and supporting-document checklist.

  2. 2

    Complete the Forms

    Fill out the application and any applicable attachments. If completing the Zero Income Self Affidavit, do not sign it before the notary.

  3. 3

    Book an Online Notary

    Schedule a remote session with a commissioned online notary for the sworn Zero Income Self Affidavit.

  4. 4

    Sign on Video

    Show your identification, then sign and swear to the affidavit during the online notarization session.

  5. 5

    Submit the Packet

    Include the completed forms, required supporting documents, and $15 fee, and send them to the CVRHTF address listed on the application.

Preview the form

The blank PDF straight from Albia. Look it over, then upload your filled copy to start the notary session.

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Info

You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I get the Zero Income Self Affidavit notarized?
Complete the affidavit, but wait to sign until you are with a commissioned online notary on video. The notary verifies your identity and witnesses your signature and oath.
Do I need to notarize the entire application?
The packet includes a sworn-and-subscribed notary block on the Zero Income Self Affidavit. The application pages also request applicant and household member signatures; confirm with the city if unsure.
Can I complete the notarization online?
Iowa authorizes remote online notarization by its notaries under Iowa Code §9B.14A, and §9B.11 recognizes acts by authorized officers of another state. A commissioned online notary can notarize the affidavit remotely.
Where do I send the completed application?
The form directs applicants to return the completed application and $15 fee to Rachel Mathews, CVRHTF, at 15703 Hwy J29, Centerville, Iowa 52544.

Ready to notarize your Home Improvement Grant and Loan Application?

Drop your email below, we’ll hand you straight to a licensed notary in the next session.