To: Village Residents
From: Brian Davis – Administrator
Date: July 31, 2023
Re: Low to Moderate Income Survey
As the village looks to make much needed repairs, grants are the primary funding source to assist in defraying this cost. The state and federal government requires a Low to Moderate Income survey to be completed every 5 years. In 2021, the village performed a survey, but received a limited number of replies. From this survey, our Low to Moderate Income score was 49.68%. The overall score must be 51%, or greater, to qualify for these grants. It is essential for each household to return the completed form included with this cover letter. This information is confidential and only shared with the state for the purpose of calculating our percentage.
To encourage the completion and return of this the form to the below address, the village will apply a $25 credit as an incentive to your future water bill.
You may place the form in a sealed envelope in the administrator’s box as you enter the village hall or mail it. The completed form must be postmarked no later than 8/31/2023.
Mailed to: Dropoff:
Village of Antwerp Antwerp Village Hall
Utility Clerk-LMI 118 North Main Street
PO Box 1046 Antwerp, OH 45813
Antwerp, OH 45813 Place in Administrators box
So why isn’t this a fillable form?