Preliminary Application

Attention Edgartown, West Tisbury & Gosnold Property Owners

The Edgartown and Oak Bluffs Board of Selectmen working in conjunction with TRI-The Resource inc. and Bailey-Boyd Associates, a private corporation, is seeking grant monies for a Regional Housing Rehabilitation program. This program would provide deferred forgivable loans to make critical repairs to owner-occupied homes. Examples of eligible projects are roof replacements, new siding, correcting code violations, replacing doors and windows, etc. If you are interested in participating in this program, please fill out this Preliminary Application and return it to the address listed below.

City, State, ZIP:
Phone Number:
Enter the number of persons in your household:
Family Income Chart
Family Size 1 2 3 4 5 6 7 8
Low Income $47,600 $54,400 $61,200 $68,000 $73,450 $78,900 $84,350 $89,800

Based on the above Chart, enter your total household income in the last twelve (12) months that is equal to or less than the amount indicated on the Chart:

Is anyone living in your household over the age of 65?   Yes:   No: 
Do you currently receive Fuel Assistance?   Yes:   No: 
If Yes, please provide your Fuel Assistance Number:
Do you have any problems with the following?
Plumbing Heat
Insulation Hot Water
Doors & Windows Flooring
Structural Repairs Ceilings
Electrical Foundation
Septic System Roof
Estimated Cost of Repairs: