To pre-qualify, applicants must answer "yes" to all of the following questions. Eventually, you will be required to provide proof/verification for each.

Find your household income level for your county and household size.

Yes No -- Is your home's annual income less than the limit listed in the table above?

Yes No -- Is the applicant a U.S. citizen or legal permanent resident?

Yes No -- Do you pay your bills, and have a good credit history?

Yes No -- Will you and every adult member of your family be willing to work 200 hours each of "sweat equity"?

Yes No -- Are you current on your State and Federal taxes?

Yes No -- Can you afford a monthly mortgage (Home Ownership Program) of approximately $500?

Yes No -- Are you willing to partner with Habitat for Humanity?

Yes No -- Is your monthly income at least $1,500?

Applicant's Information

Name (First, Last)

Phone (xxx) xxx-xxxx Cell Phone (xxx) xxx-xxxx

Email

Address Apt

City State Zip

Applicant's current monthly income
2020 total annual household income
2021 total annual household income
________________________________________________________________________________

Co-Applicant's Information

Name (First, Last)

Phone (xxx) xxx-xxxx Cell Phone (xxx) xxx-xxxx

Email

Address Apt

City State Zip

Co-Applicant's current monthly income
2020 total annual household income
2021 total annual household income
________________________________________________________________________________

I (we) understand that by checking the box at the left, all information on this prequalification form is correct and verifiable.

I (we) understand that the application will not be processed if I (we) cannot verify the information on this prequalification form.

Applicant's signature (Last 4 digits of your SSN) , Date (dd/mm/yr)

Co-applicant's signature (Last 4 digits of your SSN) , Date (dd/mm/yr)