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Are You Disabled? Are You Disabled? - Select - Yes No Other… Enter other… Name on Property Title How Long Have You Owned Your Home? Have You Ever Received a Grant or Loan to Repair Your Home from DeKalb County? Have You Ever Received a Grant or Loan to Repair Your Home from DeKalb County? - Select - Yes No Other… Enter other… If Yes, When Source Of Income? Annual Gross Income Of Household Before Deductions (such as taxes & insurance) (include total income of ALL persons 18 and over living in the home) *HOMEOWNER’S WHO PREVIOUSLY RECEIVED HOMEOWNER REPAIR OR REHABILITATION ASSISTANCE, ARE NOT ELIGIBLE FOR THIS PROGRAM* DeKalb County - Community Development Department must receive this submission before 3PM on Friday, February 27, 2026. Section 1001 of Title 18 of U.S. Code makes it a criminal offense to make willful false statements or misrepresentation to any Department or Agency in order to receive federal funds. 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