Please select one
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Applicant's Name
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First Name
Last Name
Alternative and Former Names
Applicant's Social Security Number
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Applicant's Cell Phone Number
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(###)
###
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Applicant's Home Phone Number
(###)
###
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Applicant's Work Phone Number
(###)
###
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Applicant's Age
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Applicant's Date of Birth
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MM
DD
YYYY
Applicant's Martial Status
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Applicant's Present Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Do you own or rent your present address?
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Number of years at this address
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Co-Applicant's Name
First Name
Last Name
Co-Applicant's Social Security Number
Co-Applicant's Cell Phone Number
(###)
###
####
Co-Applicant's Home Phone Number
(###)
###
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Co-Applicant's Other Phone Number
(###)
###
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Co-Applicant's Age
Co-Applicant's Date of Birth
MM
DD
YYYY
Co-Applicant's Martial Status
Co-Applicant's Present Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Do you own or rent your present address?
Number of years at this address
How many current household members other than applicant/co-applicant?
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0
1
2
3
4
5
6
Applicant's Ethnicity (check one or more)
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Applicant's Sex
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Applicant's Race (check one or more)
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Co-Applicant's Ethnicity (check one or more)
Co-Applicant's Sex
Co-Applicant's Race (check one or more)
Did you (or your deceased spouse) serve, or are your currently serving, in the United States Armed Forces? (Army, Marine Corps, Navy, Air Fore, Space Force, Coast Guard, Reserve or National Guard)
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Is anyone else in your household serving, or did they serve, in the United States Armed Forces?
To be considered for the Habitat homeownership program, you and your household members must be willing to complete a certain number of "sweat-equity" hours, which may include hours spent helping to build your home and the homes of others, attending homeownership classes, and/or other approved activities. I am willing to complete the required sweat-equity hours.
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To be considered for the Habitat homeownership program, you and your household members must be willing to complete a certain number of "sweat-equity" hours, which may include hours spent helping to build your home and the homes of others, attending homeownership classes, and/or other approved activities. I am willing to complete the required sweat-equity hours.
Currently, I am:
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Renting
Rent-free
Own
Number of bedrooms
*
Other rooms in the place where you are currently living:
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In the space below, describe the condition of the house or apartment where you live. Why do you need a Habitat home?
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Please select one
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Applicant's Current Employer
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What type of business is the applicant's employer?
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Applicant's Start Date
*
MM
DD
YYYY
Applicant's Hours Per Week
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Applicant's Wage
*
Have you been employed at this job for the past year?
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Co-Applicant's Current Employer
What type of business is the co-applicant's employer?
Co-Applicant's Start Date
MM
DD
YYYY
Co-Applicant's Hours Per Week
Co-Applicant's Wage
Have you been employed at this job for the past year?
Are you a business owner or self-employed?
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Please select all income sources for Applicant
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Please select all income sources for Co-Applicant
Please select all income sources for Other Household Members
How many other household members incomes are listed above?
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HFHMCC requires that each partner family prepay $1,500 towards closing costs. To help save for this expense, partner families pay $75 per month throughout their partnership, and any balance is due at the time of closing. Will you be able to make the $75 payments towards your closing costs and pay the lump sum at closing?
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Where will you get the money for the lump sum balance due at closing (for example, savings or gifts from family members or others; any grants for which you have or intend to apply)? If you borrow the money, whom will you borrow it, and how will you pay it back?
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Number of financial asset accounts (e.g., checking, savings, credit union, retirement, etc.). Do not include land here.
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1
2
3
4
5
6
7
To Whom Do You Owe Money?
Select all that apply
To Whom Do You Owe Money?
Select all that apply
Please select all monthly expenses paid by the applicant and/or co-applicant.
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Are there any outstanding judgments because of a court decision against you?
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Have you declared bankruptcy within the past seven years?
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Have you had any property foreclosed upon in the past seven years?
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Are you party to a lawsuit in which you potentially have any personal financial liability?
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Have you conveyed title to any property in lieu of foreclosure or completed a pre-foreclosure sale or short sale (where the lender agreed to accept less than the outstanding mortgage balance due) within the past seven years?
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Are you currently delinquent or in default on any federal debt or any other loan, mortgage financial obligation or loan guarantee?
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Are you a co-signer or guarantor on any debt of loan that is not disclosed on this application?
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Are you a U.S. citizen or permanent resident?
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Are there any outstanding judgments because of a court decision against you?
Have you declared bankruptcy within the past seven years?
Have you had any property foreclosed upon in the past seven years?
Are you party to a lawsuit in which you potentially have any personal financial liability?
Have you conveyed title to any property in lieu of foreclosure or completed a pre-foreclosure sale or short sale (where the lender agreed to accept less than the outstanding mortgage balance due) within the past seven years?
Are you currently delinquent or in default on any federal debt or any other loan, mortgage financial obligation or loan guarantee?
Are you a co-signer or guarantor on any debt of loan that is not disclosed on this application?
Are you a U.S. citizen or permanent resident?
Please tell us a little about your family and housing situation and why you are applying for a Habitat home.
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How did you hear about Habitat homeownership?
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What are your top day/time preferences for office and home visits?
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Each applicant and co-applicant submitting a full application must pay a $25 non-refundable application fee to help offset the cost of running credit reports. The application fee(s) can be paid via money order made payable to HFHMCC -or- via credit card online at hfhmcc.org/store/p/app-fee
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Please read and check each box below to confirm your understanding and agreement:
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Date
*
MM
DD
YYYY
Date
MM
DD
YYYY
Applicant's Name
*
First Name
Last Name
Co-Applicant's Name
First Name
Last Name
