Contact 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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Questionnaire

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

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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:

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Applicant Section: Is the Applicant a U.S. Citizen or Legal Resident Alien?

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Applicant's First and Last Name:

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Applicant's Birthdate:

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Applicant's Ethnicity:

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Applicant's Home Address:

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Applicant's Home City/Town:

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Applicant's Home State:

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Applicant's Home Zip Code:

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Applicant's Home Phone/Mobile Phone Number:

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Applicant's Email Address:

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

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What is your total household yearly income?

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Applicant's Employer:

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Applicant's Employer Address:

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Applicant's Employer City:

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Applicant's Employer State:

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Applicant's Employer Zip Code:

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Co-Applicant Section: If applicable is the co-Applicant a U.S. Citizen or Legal Resident Alien?

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Co-Applicant's First and Last Name (if no co-applicant write none):

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Co-Applicant's Birthdate:

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Co-Applicant's Ethnicity:

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

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Did you or anyone in your household serve or is currently serving in the military:

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

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Please state the number of children in your household:

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Person 1 in your households' sex:

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Person 1 birthdate:

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Person 1 Ethnicity:

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Person 2 in your households' sex:

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Person 2 birthdate:

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Person 2 Ethnicity:

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Person 3 in your households' sex:

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Person 3 birthdate:

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Person 3 Ethnicity:

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Person 4 in your households' sex:

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Person 4 birthdate:

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Person 4 Ethnicity:

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Person 5 in your households' sex:

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Person 5 birthdate:

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Person 5 Ethnicity:

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Person 6 in your households' sex:

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Person 6 birthdate:

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Person 6 Ethnicity:

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Person 7 in your households' sex:

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Person 7 birthdate:

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Person 7 Ethnicity:

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What property/location are you applying for?

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Do you currently have a Housing Voucher?

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Please note any substantial past due or collection items:

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

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If yes, please explain:

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

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If yes, please explain:

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

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

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How did you hear about us?

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