Ho-Chunk Nation Department of Housing

Ho-Chunk Nation Department of Housing

Down Payment Assistance Application

* Indicates required question

1.

Email *

APPLICATION INFORMATION

2.

WHAT HO-CHUNK NATION DISTRICT WOULD YOU LIKE TO USE THE PROGRAM IN? *

Mark only one oval.

D1

D2

D3

D4

3.

REQUIRED ATTACHMENTS *

Check all that are attached.

TRIBAL ID

RELEASE OF INFORMATION

DD214 IF APPLICABLE

CURRENT CREDIT REPORT (FREE SELF PULLS AVAILABLE WEEKLY AT

ANNUALCREDITREPORT.COM)

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Ho-Chunk Nation Department of Housing

Down Payment Assistance Application

4.

ADDITIONAL ATTACHMENTS

Check all that are attached. All will be needed prior to award. .

CURRENT PRE- AND POST PURCHASE HOMEBUYER EDUCATION

CERTIFICATES FINANCIAL COUNSELING CERTIFICATE

GW/PC AGREEMENT

SIGNED AND NOTARIZED STIPULATION (WILL NEED WET INK COPY AS WELL)

PROPERTY LISTING SHEET OR CONSTRUCTION CONTRACT

OFFER TO PURCHASE

CLEAN OR CURED INSPECTION REPORT

TITLE INSURANCE POLICY

APPRAISAL

LEGAL DESCRIPTION

CLOSING DISCLOSURES/ESTIMATES

W9 FOR FINANCIAL INSTITION OR TITLE COMPANY

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Ho-Chunk Nation Department of Housing

Down Payment Assistance Application

APPLICANT INFORMATION

5.

FULL LEGAL NAME * (ALL ITEMS MUST MATCH)

6.

DATE OF BIRTH *

Example: January 7, 2019

7.

TRIBAL ID *

8.

SOCIAL SECURITY NUMBER *

9.

CURRENT ADDRESS *

10.

PHONE NUMBER *

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Ho-Chunk Nation Department of Housing

Down Payment Assistance Application

ELIGIBILITY

DPA IS A ONCE IN A LIFETIME BENEFIT AND MORE THAN ONE CANNOT BE USED. ALL DEBTS WILL NEED

TO BE SATISFIED PRIOR TO BECOMING ELIGIBLE FOR PROGRAMS.

11.

DO YOU CURRENTLY, OR HAVE YOU, OR ANY CURRENT OR PREVIOUS SPOUSES USED OR

RECIEVED HCN HOUSING SERVICES, PROGRAMS, OR BENEFITS IN THE PAST?

Check all that apply.

YES, I HAVE RENTED OR CURRENTLY RENT FROM HHCDA AND/OR HCN DEPT OF HOUSING

YES, I AND/OR ANY CURRENT OR FORMER SPOUSE RECIEVED AN HOP, ELDER, VET, WINDFALL OR

OTHER PROGRAM HOME OR MORTGAGE

YES, I AND/OR ANY CURRENT OR FORMER SPOUSE INHERITED AN HOP, ELDER, VET, WINDFALL OR

OTHER PROGRAM HOME OR MORTGAGE

NO, I HAVE NEVER USED A ONCE I A LIFETIME BENEFIT FROM THE HO-CHUNK NATION

12.

DO YOU HAVE ANY DEBTS WITH THE HO-CHUNK NATION *

Mark only one oval.

YES

NO

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Ho-Chunk Nation Department of Housing

Down Payment Assistance Application

READINESS

APPLICANTS WILL BE ADDED TO THE WAITLIST IN ORDER OF APPLICATION, HOWEVER WILL NEED TO

BE READY, ABLE AND WILLING TO BUY OR BUILD IN ORDER TO BE AWARDED.

13.

CURRENT EMPLOYMENT STATUS *

Mark only one oval.

CONSISTENT FULL TIME EMPLOYMENT WITH THE SAME EMPLOYER FOR 2+ YEARS

CONSISTENT FULL TIME EMPLOYMENT WITH 2 OR MORE EMPLOYERS FOR 3+ YEARS

PART TIME OR INCONSISTENT WORK HISTORY

NO RECENT WORK HISTORY

SELF EMPLOYMENT

14.

WHAT IS YOUR CURRENT MONTHLY HOUSING EXPENSE? INCLUDE RENT OR MORTGAGE,

INSURANCE, LOT RENT, TAXES, AND UTILITIES

*

Mark only one oval.

MY HOUSING EXPENSES ARE LESS THAN OR EQUAL TO 30% OF MY INCOME AND I MANAGE

THEM COMFORTABLY

MY HOUSING EXPENSES ARE LESS THAN OR EQUAL TO 30% OF MY INCOME AND I STRUGGLE

TO KEEP UP

MY HOUSING EXPENSES ARE MORE THAN 30% OF MY INCOME AND I MANAGE

COMFORTABLY MY HOUSING EXPENSES ARE MORE THAN 30% OF MY INCOME AND I

STRUGGLE TO KEEP UP I DO NOT CURRENTLY HAVE HOUSING EXPENSES

15.

DO YOU FEEL COMFORTABLE WITH A MINIMUM 5 YEAR COMMITMENT TO YOUR NEW HOME? *

Mark only one oval.

YES, I VALUE STABILITY

NO, I AM NOT READY TO MAKE THAT COMMITMENT

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Ho-Chunk Nation Department of Housing

Down Payment Assistance Application

16.

CURRENT FINANCIAL INSTITUTION *

17.

FINANCIAL INSTITUTION CONTACT PERSON NAME *

18.

FINANCIAL INSTITUTION CONTACT PERSON EMAIL ADDRESS *

19.

HOW WOULD YOU LIKE TO USE THE PROGRAM? *

Check all that apply.

BUY A HOME ON TRUST OR ALLOTMENT LAND

BUY A HOME OFF TRUST

BUILD A HOME ON TRUST OR ALLOTMENT LAND

BUILD A HOME OFF TRUST

I NEED HELP UNDERSTANDING MY OPTIONS

20.

WHERE DO YOU FEEL YOU ARE IN THE HOME BUYING PROCESS? *

Mark only one oval.

I COMPLETED MY CLASSES AND FINANCIAL COUNSELING AND I AM PRE-APPROVED AND

WORKING WITH A TEAM (REALTOR, LENDER, ETC.)

I HAVE MY CREDIT AND BUDGET FIGURED OUT, CLASSES COMPLETED AND I FEEL READY TO

BEGIN I HAVE STARTED WORKING ON READINESS TASKS, BUT I HAVE MORE TO DO.

I AM STRUGGLING WITH CREDIT AND/OR AFFORDABILITY AND NEED HELP UNDERSTANDING MY

OPTIONS.

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Ho-Chunk Nation Department of Housing

Down Payment Assistance Application

21.

ARE YOU WORKING WITH A REALTOR CURRENTLY? IF YES, PLEASE INCLUDE NAME AND

*

CONTACT PHONE AND EMAIL FOR THEM IN THE COMMENT SECTION AT THE END.

Mark only one oval.

YES

No

22.

ARE YOU WORKING WITH A LENDER IN REGARDS TO YOUR HOME PURCHASE OR BUILD? IF YES, *

PLEASE INCLUDE NAME AND CONTACT PHONE AND EMAIL FOR THEM IN THE COMMENT

SECTION AT THE END.

Mark only one oval.

YES

No

OPTIONAL

IF YOU WOULD LIKE HELP WITH READINESS AND/OR AFFORDABILITY, PLEASE INDICATE HERE AND

ATTACH YOUR CURRENT CREDIT REPORT, INCOME, AND DEBTS/EXPENSES.

23.

WOULD YOU LIKE HELP REVIEWING YOUR READINESS AND/OR AFFORDABILITY AT THIS TIME? YOU

MAY REQUEST ASSISTANCE OR REFERRALS AT ANY TIME IF YOU CHANGE YOUR MIND.

Mark only one oval.

YES, PLEASE. I HAVE ATTACHED MY CURRENT INFORMATION AND WOULD LIKE HELP DETERMINING

WHERE I AM AT.

NO THANK YOU. I WILL REACH OUT IF I CHANGE MY MIND.

24.

ADD CONTACT INFORMATION FOR ANY REALTORS, LENDERS, OR OTHER CONTACTS RELATED TO YOUR

PURSUIT OF HOMEOWNERSHIP, AND ANY OTHER QUESTIONS OR COMMENTS YOU WOULD LIKE TO ADD.

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Ho-Chunk Nation Department of Housing

Down Payment Assistance Application

25.

ATTACH OR EMAIL ANY DOCUMENTS YOU NEED HELP REVIEWING

CERTIFICATION

I CERTIFY THAT THE INFORMATION CONTAINED IS TRUE AND CORRECT. I UNDERSTAND THAT ANY DEBTS

TO THE NATION, PREVIOUS USE OR INHERITANCE OF A ONCE IN A LIFETIME BENEFIT,

MISREPRESENTATION OR FAILURE TO MOVE FORWARD ON MY OWN BEHALF WILL DISQUALIFY ME FROM

THE PROGRAM.

26.

SIGNATURE *

27.

DATE *

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HO-CHUNK NATION DEPARTMENT OF HOUSING

STIPULATION AGREEMENT

I/We, ______________________________understand that I, _________________________an enrolled Ho-Chunk

Nation Tribal Member, have been tentatively approved for a Once in a Lifetime forgivable grant of $50,000.00,

pending receipt of this original notarized Stipulation Agreement and fulfillment of all of the program requirements.

The following are the stipulations of this grant

1.

I/We understand this award is a Once in a Lifetime Benefit for the exclusive advantage of Ho-Chunk Nation

Tribal Members and I may only use one Once in a Lifetime Benefit.

2.

As a Homeowner, I understand I am solely responsible for all repairs, maintenance, upkeep, insurance and taxes

on my home as applicable.

3.

The dwelling must be the Tribal Member’s primary residence for a minimum of five (5) years. During this period

the dwelling may not be used as collateral on any loans or obligations, other than the mortgage loan itself, and

The Ho-Chunk Nation Home Ownership Division will hold a Second Lien to your property in order to recover

any unforgiven grant dollars, if applicable.

4.

$10,000 of the grant will be forgiven each full year the Tribal Member resides primarily in the dwelling.

5.

If the Federal Housing Authority (FHA) insures the first lien on the Trust Property, any restrictions on

transferability of the Trust Property will automatically terminate if the Title to the Trust Property is transferred

by foreclosure or deed-in-lieu of foreclosures, or if the mortgage is assigned the Secretary of Housing and Urban

Development (HUD).

Please sign below with a Notary Public and return the original to the Housing Department. Be sure to keep a

copy for yourself and your lender.

I/We have read, I/we understand, and I/we agree to the stipulations above:

_________________________________________________________

Ho-Chunk Nation Member/Homeowner(s) Signature(s)

_____________________

Date

State of _________) )ss.: County of ____________________) On the _______day of __________________ 2025

before me, the undersigned notary public, personally appeared ___________________________________________,

personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s)

is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their

capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of

which the individual(s) acted, executed the instrument.

____________________________________ Notary Public

My commission expires ________________

P.O. Box 170, Tomah, WI 54660

* (608) 374-1225 *

HousingHOP@ho-chunk.com