Moderate Income Revolving Loan (MIRL)Master Agreement Request

Moderate Income Revolving Loan (MIRL)

Master Agreement Request

A Master Agreement does not provide funding. A Master Agreement outlines basic terms and conditions that will apply to all MIRL loans in the Sponsoring Jurisdiction's community. Sponsoring Jurisdictions that have passed an ordinance or resolution authorizing a MIRL grant program are eligible to request a Master Agreement.

Please contact MIRL@hcs.oregon.gov with questions about the MIRL program or this request form.

Sponsoring Jurisdiction Name*

Type of Jurisdiction*

Select one.

City

County

Ordinance/ Resolution Date*

Only Sponsoring Jurisdictions that have passed an ordinance or resolution authorizing a MIRL program are eligible to request a Master Agreement.

Ordinance/ Resolution Upload*

Please upload a copy of the approved ordinance or resolution.

Drag and drop files here or

Mailing Address*

Please provide your complete mailing address.

County*

In what Oregon county are you located?

Agreement Administrator Name*

Primary point of contact for a Master Agreement.

Agreement Administrator Email*

Agreement Administrator Phone*

Phone

County Contact Name*

OHCS is required to enter into an agreement with the county before executing an agreement with a city. This contact should be the county representative responsible for facilitating that agreement process.

County Contact Email*

County Contact Phone*

Phone

Certification*

Sponsoring Jurisdiction certifies that the information provided is accurate.

Send me a copy of my responses

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