Compliance Form

Deed Restriction Compliance

2024 Ridgway Wetterhorn Compliance Check Form

COMPLIANCE INSTRUCTIONS: PLEASE READ CAREFULLY PRIOR TO COMPLETING THIS FORM.

Reporting Period: Past full 12 months as of the date of compliance form submission.

Step 1. Employment Verification:

  • W2 Employees: Please have every employer you are currently employed with complete and sign the Employment Verification Form.

  • Self-Employed Individuals: Please complete and notarize the self-employment statement and provide Client Verification to verify work presence in the Ridgway School District (RSD) R-2. If self-employment is not completed in RSD R-2 the client verification form is not needed.

Step 2. Gather all the required documentation per employment type such as employment verification, most recent year’s taxes, W-2(s), 1099(s), most recent pay stub(s) reporting year-to-date earnings, business license(s), past 12 month profit and loss statement(s))

Step 3. Complete the online compliance form below and upload your documents.

****NOTE: Form progress cannot be saved. Please ensure you have all required materials complete and available prior to submitting the form.

Step 4. Submit the form. If additional information is required after review of your materials we will reach out via email.

If you have any questions please reach out to lottery@impactdf.org

Please enable JavaScript in your browser to complete this form.

UNIT OWNERSHIP

Owner #1 Name
Owner #2 Name
Housing Unit Address
Is your mailing address the same as your Housing Unit Address?

HOUSEHOLD INFORMATION

Provide the name of all other members of the Unit's Household, excluding Tenants. Please provide Name, Age, and Relationship to Owner.

TENANT DETAIL

Is the property, or part of the property, rented (excluding Household members listed above)?

RESIDENCY STANDARD

Owner #1
Owner #2
Household Member #1
Household Member #2
Household Member #3

PROPERTY OWNERSHIP STANDARD

Does any member of the household have a direct or indirect ownership interest in ANY OTHER property/land within 150 miles of the Deed Restriction Housing Unit?

EARNED INCOME STANDARD

Please enter the cumulative gross household income (i.e. the total income for all household members and from all sources) earned over the last 12 months. This includes any income earned from renting the property, but should not include the gross income of a property tenant.
Any other sources of income?

HOUSEHOLD GROSS ASSETS

Cash / Cash Equivalents:

Other Liquid Income?

Real Estate:

Investments:

Other Investment?

Personal Property:

HOUSEHOLD GROSS LIABILITIES

Current Debts:

Other Debt?

Outstanding Loans:

Other loans?

Current Mortgage Balance

HOUSEHOLD NET ASSET

Document Uploads

W2 Employees:

Upload one complete verification form and most recent W2 from each source of employment during the reporting period.
Click or drag files to this area to upload. You can upload up to 10 files.
Click or drag files to this area to upload. You can upload up to 10 files.

Self-Employed:

Upload one current business license, prior 12 month profit and loss statement, verification of hours worked in the Ridgway R-2 school district (such as invoices, ledgers, etc.) and client verification of income and hours from each source of self-employment.
Click or drag files to this area to upload. You can upload up to 10 files.
Click or drag files to this area to upload. You can upload up to 10 files.
Click or drag files to this area to upload. You can upload up to 10 files.
Click or drag files to this area to upload. You can upload up to 10 files.
Click or drag files to this area to upload. You can upload up to 10 files.
Click or drag files to this area to upload. You can upload up to 10 files.

Tenant(s)

Upload all pages of the current, signed lease/rental agreement.
Click or drag files to this area to upload. You can upload up to 5 files.

All Owners/Tenants

PLEASE REDACT SOCIAL SECURITY NUMBERS. At the minimum please provide Form 1040 if no other schedules/forms are required to file. Self-employed individuals must upload appropriate business schedules (Schedule C, Schedule 1, etc.) as well as Federal business taxes (Form 1065, 1120, 1120s, Schedule K, etc.)
Click or drag files to this area to upload. You can upload up to 10 files.
Attestation
*By electronically signing this form you confirm your adherence to the Deed Restriction Regulations and Guidelines and attest the information provided on this form is true and accurate.
*By electronically signing this form you confirm your adherence to the Deed Restriction Regulations and Guidelines and attest the information provided on this form is true and accurate.

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    ADDRESS

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    PHONE

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    EMAIL

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