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DEPARTMENT FOR AGING AND REHABILITATIVE SERVICES AUXILIARY GRANT PROGRAM NON-SSI RESOURCE ELIGIBILITY 11/18 CHAPTER E PAGE 89 • Plan for Repayment The loan must include a plan or schedule for repayment, and the borrower’s express intent to repay by pledging real or personal property or anticipated future income (such as AG benefits). • Repayment Plan Must be Feasible The plan or schedule must be feasible. In determining the plan’s feasibility, consider the amount of the loan, the individual’s resources and income (including anticipated AG benefits), and the individual’s living expenses. 44.4. Verification If there is a written agreement between the parties, obtain a copy of the agreement. If there is no written agreement, obtain signed statements from the borrower and the lender. 44.4.1. Forms To document informal loans, you may use two locally reproducible forms. • The “Statement of Funds You Provided to Another” form has two parts. The first part is a cover letter to the lender, which identifies the borrower and explains why the information is needed. The second part is a questionnaire that the lender completes. • The “Statement of Funds You Received” form has one part that the borrower completes. Send the form to the lender for completion using the cover letter portion of the form. Use the backs of the forms if you need more room to record information.

45. Low Income Energy Assistance Through a block grant, the Federal Government provides funds to States for energy assistance (including weatherization) to low income households. It is most often provided in a medium other than cash (e.g., voucher, two-party check, direct payment to the vendor, etc.) but may be in cash.