2500 B South Main Street, Rice Lake, WI 54868 Habitat 715-736-0855 ReStore 715-736-0088 office@barroncountyhabitat.org

Barron County Habitat for Humanity

Home Repair Application

Are you looking for help in any of the following ways?

  • Critical home repairs
  • Brush with kindness
  • Financial coaching
  • Neighborhood revitalization
  • Disaster relief

Contact us for specific information on any of these programs.

Our Home Repair Application is available below.

Please drop off the following in addition to this application:

  • Last four consecutive pay stubs.
  • Recent benefit statements for Social Security, SSI, public assistance, retirement income, etc.
  • Last 12 month payment history of alimony and/or child support received OR separation agreement or divorce decree.
  • Last two years signed and filed Federal Income Tax Returns, W-2’s, IRS form 1099-MISC.
  • For each non-retired applicant, a written explanation of employment history of less than 2 years or employment gaps in excess of 30 days within the last two years.
  • Two most recent bank statements.
  • Written explanation of late payments, collections, judgments.
  • Verification of identity – Driver’s License and Social Security card or Social Security card and birth certificate.
  • School transcript for a full-time student, 18 years of age or older who is a household member.
  • Child care expenses for dependents 12 years of age or younger.
  • Out of pocket annual medical expenses (for applicants 62 years of age and older, or individuals with a disability).
  • Copy of Warranty Deed or other documentation as evidence of ownership of home.
  • Most recent property tax statement.
  • Homeowner’s insurance, flood coverage.
  • Most recent copy of mortgage statement.
  • Copies of all bills that you pay every month with a balance: vehicle loan payments, student loans, hospital/clinic bills, credit card payments, etc.

Income Guidelines