Applicant information

First name

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Last name

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Phone

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Phone type
Email address

Enter a valid email address

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 you have submitted this application, we will than send it to our Family Partnership Committee for review. If you qualify to advance to the next stage in the application process we will inform you of the next steps. If you do not qualify, you will be sent a notice explaining why you did not meet our program requirements. 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 individual 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 Alien?

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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Confirmation

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