# Ho-Chunk Nation Department of Housing > Briefs, arguments, decisions, and more. URL: https://www.frixlaw.com/law-library/documents/tribal%3Aho-chunk%3A06a29f43d64cf228 ## Record - **Collection:** Tribal code - **Document type:** Tribal code ## Text 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) DPA Page 1|8 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 DPA Page 2|8 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 * DPA Page 3|8 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 DPA Page 4|8 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 DPA Page 5|8 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. DPA Page 6|8 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. DPA Page 7|8 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 * DPA Page 8|8 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 --- Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/tribal%3Aho-chunk%3A06a29f43d64cf228. Public record. Not legal advice.