Facade Grant - Request for Funding

Facade Grant - Request for Funding

This form must be submitted after all work has been completed and payment has cleared.

Form Date Field

Applicant Name*

Property Address*

Are you the property owner?*

If no, please upload written consent from property owner.

Select or enter value

Eligible Expenses*

Please list expenses. Examples include but are not limited to doors, masonry work, paint, carpentry, windows, awnings, exterior materials.

Estimated award request for eligible expenses*

Half of eligible expenses up to $1000.

File Upload*

Please include invoice, proof of payment, notarized e-verify form, and updated pictures.

Drag and drop files here or

Who is financially responsible for this project?*

Please list how the check should be written, if awarded.

Applicant acknowledges that the information provided is accurate, and in keeping with the proposed Plan of Work that was originally provided ot Main Street Newnan.

Applicant Acknowledgment*

Send me a copy of my responses

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