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City of Charlotte

charlottewebfeedback@charlottenc.gov

600 East Fourth Street, Charlotte, NC, 28202, US

704-336-7600

Lead Safe Program Pre-Application

The LeadSafe Program is a grant funded, housing program to address lead-based paint hazards found in older homes.  To determine eligibility, we will request income documentation after confirming other qualifications. Eligible beneficiaries are those that qualify with a household income under 80% Area Median Income (AMI).  These amounts change yearly.  The program will determine your eligibility after this screening process.

Full Name

Full Address

How did you hear about this program?

I understand that North Carolina Statute provides that willful false statements or misrepresentation concerning income; asset or liability information relating to financial condition is a misdemeanor of the first degree, punishable by fines and imprisonment provided under Statutes.  I further understand that any willful misstatement of information will be grounds for disqualification.  I certify that the application information provided is true and complete to the best of my knowledge.  I consent to the disclosure of information for income verification related to deciding of my eligibility for program assistance.  I agree to provide any documentation needed to assist in determining eligibility and are aware that all information and documents provided are a matter of public record. The City reserves the right to conduct criminal background checks on household members. Criminal convictions may not necessarily disqualify you from the program.

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