City of Burton - Project Heat's On
Event Date: Saturday, October 17th
Application Deadline: Wednesday, October 7th
Home Owner Info
Do You Own Home?
Number of Years
Is this a Rental Home?
Current Estimated Value of Home
Mortgage Company Name
Are you delinquent 30 days or more on your mortgage?
Are the homes Property Taxes paid up to date?
How many live in the household?
Has there been an income change in the past 12 months?
Total Household Income
Other income Sources?
Do you have a Furnace, Boiler, or Electric Heat?
Gas or Oil?
Date of last service?
Reason for service
Is your furnace in working condition now?
If no, please explain:
Average heating bill?
Does the home contain Smoke or Carbon Monoxide Detectors?
Are they working?