Agreement To Sell Property PdfAgreement to Sell Property • July 24th, 2021
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Agreement to Sell PropertyAgreement to Sell Property • June 14th, 2024
NOTE: This document must be signed by each and every member of the applicant’s household who has a legal or beneficial interest in the residential property.
AGREEMENT TO SELL PROPERTYAgreement to Sell Property • February 8th, 2024
Fill out this page when the non-liquid resources you have are too much to get TennCare Medicaid. Non-liquid resources cannot be turned into cash within 20 days. And they are things like real property, some life insurance policies, livestock, cars, boats, or farm or business equipment. This page tells us if you can get Medicaid while you try to sell or cash out your resources. You may have up to 6 (six) months to sell or cash out personal property (such as life insurance policies, livestock, cars, trucks or boats) and up to 9 (nine) months to sell real property (such as land or buildings). (20 C.F.R. 416.1240 – 1245)
Insert housing provider letterhead]Agreement to Sell Property • December 18th, 2019
A household receiving rent-geared-to-income assistance will no longer be eligible for such assistance unless the household agrees to sell its interest in any residential property that is suitable for year-round occupancy for its fair market value. I/We agree to sell the above residential property within six months of signing the lease with [insert housing provider name]. I/We agree to report the sale promptly to [insert housing provider name] in writing. I/we must provide documentation to the Administrator/Property Manager that shows the amount of money realized from the sale. Also, I/we agree not to rent the above property before selling the property.
AGREEMENT TO SELL PROPERTYAgreement to Sell Property • February 2nd, 2007
Description of EACH Asset (If Real Property, show the address and location) Name of Owners Nature and Percentage of Ownership of each Estimated Current Market Value Amount still Owed if any Estimated Net Proceeds of Sale (after sales expenses and any amount owed) 1. 2. 3. My assets exceed the amount to qualify for cash assistance payments from the WV WORKS Program. I request that conditional payments be made to my family, for a period not to exceed six months, until I am able to sell the asset(s) described above for the current market value or highest price I am able to obtain. After the Department of Health and Human Resources notifies me of the approval of this agreement, I agree to the following:< To take all necessary actions to sell the asset(s) for the current market value within six months of the notice of this agreement’s approval; and< To notify DHHR within five business days of the sale’s completion; and< To repay DHHR all payments received with
AGREEMENT TO SELL PROPERTYAgreement to Sell Property • April 23rd, 2013
This agreement is needed to determine if an individual can receive Medicaid on a conditional basis. If this agreement is made by or with respect to an individual filing for or receiving Medicaid benefits, no benefits can be paid under this program unless this form is properly completed and filed as required by existing regulations (20 CFR 416.1240). If this agreement is made by and with respect to an individual who is not filing for or receiving benefits but whose resources affect the eligibility of another individual for benefits, this agreement is required by regulations (20 CFR 416.1240, 416.1202, 416.1203). This form is maintained in the claimant case file to document the agreement. The Alabama Medicaid Agency will further explain these uses upon request.
