Charleroi, PA · Washington County

No notary required

Home Rehabilitation Program Pre-Application

Homeowners use this pre-application to provide household, financial, and property information for the Washington County Home Rehabilitation Program.

What this form is

This pre-application collects information for the Washington County Home Rehabilitation Program, including property details, household composition and income, assets, and home repair problems. Homeowners complete it to apply for the program; the form asks whether the owner occupies the property and includes questions about bankruptcy, taxes, and citizenship or resident alien status. The form says copies of certain identity documents may be required.

Who needs it

Homeowners seeking to apply for the Washington County Home Rehabilitation Program should complete this pre-application with information about their property and household.

How to submit it

Complete the form and return it by mail only to the Redevelopment Authority of the County of Washington, 100 West Beau Street, Suite 603, Washington, Pennsylvania 15301.

About notarization

This document is signed and dated without a notary; the form lists possible supporting document copies but does not say they must be notarized or sworn.

How to submit this form

  1. 1

    Download the Pre-Application

    Download the Home Rehabilitation Program Pre-Application PDF.

  2. 2

    Complete the Form

    Provide the requested owner, property, household, income, asset, and home-problem information.

  3. 3

    Gather Possible Documents

    The form says copies of a Social Security Card, Birth Certificate, and/or Green Card may be required.

  4. 4

    Mail the Form

    Return it by mail only to the Redevelopment Authority of the County of Washington at the address listed on the form.

Frequently asked questions

Do I need a notary for the Home Rehabilitation Program Pre-Application?
No. This document is signed and dated without a notary. It lists possible supporting document copies but does not say they must be notarized or sworn.
How do I submit the Home Rehabilitation Program Pre-Application?
Complete the form and return it by mail only to the Redevelopment Authority of the County of Washington at 100 West Beau Street, Suite 603, Washington, Pennsylvania 15301.
What information does the pre-application ask for?
It asks for property and owner details, household composition and income, assets, and information about problems with the house.
Do I need to include identity documents?
The form says you may be required to submit a copy of your Social Security Card, Birth Certificate, and/or Green Card.

Need something notarized?

This Home Rehabilitation Program Pre-Application doesn’t need a notary — but if you have another Charleroi form that does, a commissioned online notary can help.