Applicant information

First name

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Last name

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Phone

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Phone type
Email address

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Email type

Address

Address

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Apartment, suite, etc. (optional)
City

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Country/region

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State

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ZIP code

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Date of birth

Month

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Day

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Year

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Background

Gender

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Ethnicity

Enter an ethnicity

Co-Applicant information

First name

Enter a first name

Last name

Enter a last name

Phone

Enter a phone number

Phone type
Email address

Enter a valid email address

Email type

Address

Address

Enter an address

Apartment, suite, etc. (optional)
City

Enter a city

Country/region

Enter a country

State

Enter a state

ZIP code

Enter a zip

Date of birth

Month

Enter a month

Day

Enter a day

Year

Enter a year

Background

Gender

Enter a gender

Ethnicity

Enter an ethnicity

A.

Applicant's Information

Once this screening for income-qualified applicants is completed, we will send you our formal application. Items marked * are required.

Applicant
Co-Applicant

Which of our service area do you live and/or work in?

Applicant

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Co-Applicant

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Todays Date:

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I am applying for inividual credit:

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I am applying for joint credit:

Applicant

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Co-Applicant

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Is the Applicant a U.S. Citizen or Legal Resident Alient?

Applicant

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Co-Applicant

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Applicant's First and Last Name:

Applicant

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Co-Applicant

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Applicant's Home Address:

Applicant

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Co-Applicant

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Applicant's Home City/Town:

Applicant

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Co-Applicant

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Applicant's Home State:

Applicant

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Co-Applicant

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Applicant's email address:

Applicant

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Co-Applicant

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Applicant's phone number:

Applicant

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Co-Applicant

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How many years has the Applicant been employed in their current job (minimum 2 years required)?

Applicant

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Co-Applicant

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What is your total yearly household income?

Applicant

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Co-Applicant

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B.

Applicant's Employment

Items marked * are required.

Applicant
Co-Applicant

Applicant's Employer:

Applicant

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Co-Applicant

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Applicant's Employer Address:

Applicant

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Co-Applicant

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Applicant's Employer City/Town:

Applicant

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Co-Applicant

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Applicant's Employer State:

Applicant

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Co-Applicant

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Applicant's Employer Zip Code:

Applicant

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Co-Applicant

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C.

Members of your Household

Items marked * are required.

Applicant
Co-Applicant

Did you or anyone in your household serve or is currently serving in the Military?

Applicant

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Co-Applicant

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If yes, please explain:

Applicant

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Co-Applicant

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Please state the number of family members that will be living with you:

Applicant

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Co-Applicant

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Please state the number of children in your household:

Applicant

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Co-Applicant

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Person A in your households' gender:

Applicant

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Co-Applicant

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Person A birthdate:

Applicant

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Co-Applicant

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Person B in your households' gender:

Applicant

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Co-Applicant

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Person B birthdate:

Applicant

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Co-Applicant

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Person C in your households' gender:

Applicant

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Co-Applicant

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Person C birthdate:

Applicant

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Co-Applicant

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Person D in your households' gender:

Applicant

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Co-Applicant

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Person D birthdate:

Applicant

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Co-Applicant

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Person E in your households' gender:

Applicant

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Co-Applicant

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Person E birthdate:

Applicant

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Co-Applicant

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Person F in your households' gender:

Applicant

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Co-Applicant

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Person F birthdate:

Applicant

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Co-Applicant

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D.

Housing Requirements/Eligibility

Please answer the following section honestly

Applicant
Co-Applicant

What property/location are you applying for?

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Do you currently have a Housing Voucher?

Applicant

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Co-Applicant

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Has the Applicant or Co-Applicant had any prior foreclosures or bankruptcies?

Applicant

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Co-Applicant

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If yes, please explain:

Applicant

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Co-Applicant

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Does the Applicant or Co-Applicant have any outstanding collection items?

Applicant

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Co-Applicant

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If yes, please explain:

Applicant

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Co-Applicant

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Has the Applicant or Co-Appicant currently own or previously owned any property?

Applicant

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Co-Applicant

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If yes, please state how long ago you previously owned property:

Applicant

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Co-Applicant

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Please summarize why your current housing situation is inadequate (size, location, safety, etc.).

Applicant

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Co-Applicant

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Why are you interested in owning a home, and why are you seeking HHFH's assistance?

Applicant

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Co-Applicant

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How did you hear about us?

Applicant

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Co-Applicant

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