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Apply online to become a Habitat Homeowner :

This IS a Pre-Screening Application, NOT a Final Application.

All information must be provided or the application will not be processed. If all criteria are met, you may be invited to a homebuyer’s orientation. A response can be expected by mail within 30 days upon receipt of your application.

Enter Applicant Information:


Name of Applicant  
Co-Applicant  
No. Of Children  
Adults  
Email  
Address  
City  
State  
Zip  
Phone  
Alternate Phone #
Cell Phone #
Referred By:  

Enter Income Information:

List monthly income in column (a). Multiply column (a) by 12. Write total in column (c). Add the amounts in column (c) for the yearly income. Yearly income must be no less than $22,000 to qualify.
Type of Income    Monthly Income 
(a)
Multiply
X12
Yearly Income
(c)
Employment/Job x12
Section 8 x12
Child Support x12
FIA x12
Social Security x12
Disability x12
Other: x12
Total:
I have read the qualifications and the information I have provided is true to the best of my knowledge.

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