Habitat For Humanity. Dear Interested Homeowner Applicant:

Transcription

1 North Shore Habitat For Humanity Dear Interested Homeowner Applicant: Thank you for your interest in becoming a North Shore Habitat for Humanity Homeowner. Enclosed please find an application. Please be sure to read the accompanying information in order to assure that if you are selected you will understand all of your responsibilities. If after reviewing your application, credit report, and accompanying documentation it appears that you are eligible, the Family Selection Committee will schedule an interview with you and your family at your home. If you are not eligible you will be notified in writing. Please enclose a copy of the following information with your application. Do not send originals as we keep all information in a permanent file. Incomplete applications cannot be considered. Please be available at home, at least by phone, for an interview. Return the following information with your application: 1. Social security cards, (green cards if not a U.S. citizen.); license, state ID and passport for each applicant 2. Pay stubs for each family member who is employed (most recent four); and 2016 complete and signed copies of lncome Tax (1040, W-2 and 1099 forms) for all family members over 18 years of age; 4. Child support, and Alimony documentation and amounts (if any); 5. Documentation for any other income you received (for example SSI, pension statement, retirement award letter or refugees resettlement income); 6. Copies of the last three credit card statements. 7. Verification of all assets; a. 2 months of bank statements (checking, savings, accounts, IRA's, mutual funds, 401Kor Stock); 8. Copy of the lease agreement or copy of cancelled rent check; 9. Copy of two most recent utilities bills (telephone, electricity, heat) Thank you for your interest. Feel free to call me at ,if you have questions. Sincerely, Donald Preston Family Services Coordinator North Shore Habitat for Humanity; I 14 Park St t., Danvers, MA 01923I p: , habitatforhumanity-northshore.com

2

3 APPLICATION FOR HOUSING EQUAL HOUS me OPPORTUNITY P.O. Box 233 Lawrence, MA Tet FAX; We arc pledged to Ille I and spirit ofu. S. for the achiei.-c:ment of cqwii housing opportunity tbroughoul the nation. We encourage and support an affirmative advertising and marketing program in which there are no barriers lo oblaining housin& because ofraoc. color, religion, sex.handicap, familial status, national origjn, or sexual orientation. Dear Applicant: We need you to complete this application to detennine if you qualify for a Habitat for Humanity house. Please fill out the application as completely and accurately as possible. All infunnation you include on this application wilt be kept confident ial. Applicant's Name Anolicant I. -\ PPL!( \' I I\I Olnl \ 110\ Co-Applicant's Name Co- AppUcant Social Security Number Home Phone Age Social Security Number Home Phone Age OMarried C:Separated DUnmarried (Sinizle, divorced. widowed) OMarried : Separated OUnmarr ied (Single, divorced, widowed) Dependents (people who live with you not listed by co-applicant) Dependen (people who live with you not listed by co-applicant) Name Age Male Female Name Age Male Female 'i n n -- '- --- CJ Present Address (street, city, state, zip code) 0 Own DRent r - -.: Q.., D :J ' P, _; ---- '-" --- D D,,..., -- - :J --- D _.. _ , Have you applied before? DYes DNo Have you applied before? D Yes :::: No Present Address (street, city, state, zip code) C Own :JRent!..I :J Number of Years Number of Years ULivin2 at Present Address for Less T han Two Years Comolete the Followin2 Last Address (street, city, state, zip code) OOwn ORent J.ast Address (street, city, state, zip code) :JOwn i Rent Number of Years Number of Years Date Received: More lnfonnation Requested? D Yes ( r: l nno Date Application Completed: \\ RITL I\ 1 llh --.P-\( l Date Interview Letter Sent: Date of First Home Visit; Date of Second Home Visit OAccepted Ol>enied Date Letter Sent: _

4 Greater Lawrence Habitat For Humanity, Inc. Page 2 - \\ ILLl'\G\.ESS TO P-\RT"-ER To be considered for a Habitat home, you and your family must be willing to complete 500 "sweat equity" hours. Your help in building your home and the homes of others is called "sweat equity", and may include clearing the lot. painting, helping with construction, working in the Habitat office, or other approved activities. I AM WILLING TO COMPLETE THE REQUIRED SWEAT EQUITY HOURS: I WOULD LIKE FAM(LY/FRIEND TO HELP WITH MY HOURS: Name: Applicant: D Yes J No Co-Applicant: n Yes - No -+ PRES[\. I HOLSl'-G CO'-DITIO"-S Number of bedrooms (please circle) I Other rooms in the place where you are currently living: Kitchen O Bathroom n Living Room U Dining Room O Other (please describe) If you rent your residence, what is your monthly rent payment? $./month (Please supply a copyof your lease or a oopy ofa money order receipt or cancelled rent checlc.) Name, address and phone nwnber of current landlord: _ In the space below, describe the condition of the house or apartment where you live. Why do you need a Habitat home? 5 PROPERTY O - If you own your residence, what is your monthly mortgage payment? /month Unpaid Balance $ _ Do you own land? D No D Yes (If yes, please describe, including location) Is there mortgage on the land? O No n Yes If yes: Monthly Payment$ _ Unpaid Balance$ _ Aoolicant Name and Address of Current Employer Years On This Job Co-Aoolicant Years On This Job Type of Business Business Phone Monthly (Gross) Wages Monthly (Gross) Wages s Name and Address of Last Employer IfWo-l'kil:u! at Current Job Less Than One Year, Comolete the Followilm Information Year1i On This Job Name and Address of Lan Employer Years On This Job Monthly (Gross) Wages Monthly (Gross) Wage - Type of Business Business Phone Business Phone $

5 Greater Lawrence Habitat For Humanity, T H L 'l I Inc. I \. ( 0 \ I E ED \ IO \. 'l BI LLS Page3 Groa Moatl.ly laco111e A pplicaat Co-Ap plk aat lotherslu.j Monthly Bill, Mout._ly AmoHI HouKbold IBase Employment $ $ $ Rent $ Income AFDC/TANF Utilities (Heat, Electricity, Water) Food Stamps Car Payments Social Security Insurance SSI Child Care Disability School Lunch Alimony Average Credit Card Payment Child Support Student Loans Other Alimony/Child Suooort Total $ s $ Total $ I Self.employed applicant(s) may be required to 2 List additional household members over 18 who receive income: provide additional documentation such as tax returns Name Age Monthly and financial statements. Wages 3 Please attach copies of last month's bills. -- $ -- _ $ - - $ :,; '.:--OL! { C_l UI ( LO I\.CJ ( 0 1 Where wiji you be getting the money to pay the closing costs (for example: savings, parents)? If you are borrowing money to pay these costs, explain how and from whom. 'I '.''::I 'I" ListCh,Savia a. Bondll, CD, Investment Ac:coun11 Below Name and Address of Bank, Savings & Loan, or Credit Union: Name and Address ofbank, Savings & Loan, or Credit Union: Account Number: Balance$ Account Number: Balance$ Name and Address of Bank, Savings & Loan, or Credit Union: Name and Address of Bank, Savings & Loan, or Credit Union: Acoount Number: Balance$ Account Number: Balance$ Name and Address of Bank, Savings & Loan, or Credit Union: Name and Address of Bank, Savings & Loan, or Credit Union: Account N umber: Balance$ Account Number: Balances - -

6 Greater Lawrence Ha bitat For Humanity, Inc. Page 4. Do you own a: Car (#1): D Yes O No Do you own a: Car (#1): u Yes l: No Make and Year: Make and Year: Do you own a: Car (#2): CYes l:l No Do you own a: Car (#2): Ci Yes : No Make and Year: Make and Year: )II DEE-:-. - To Whom Do You and the Co-A licant Owe Mon? Name and Address of Company Monthly Unpaid Name and Address of Company Monthly Unpaid Payment Balance Payment Balance $ $ $ $ Mos. left to pay: Mos. left to pay Name and Address of Company Monthly Unpaid Name and Address of Company Monthly Unpaid Payment Balance Paymen t Balance $ $ $ $ Mos. left to pay: Mos. left to pay: Name and Address of Company Monthly Unpaid Payment Balance Alimony/ChildSupport $ /month $ $ Job-Related Expenses $ /month Mos. left to pay: (Child Care, Union Dues, etc.) $ /month Name and Address of Company Monthly Unpaid Payment Balance Co lumn 2: S ubtotal of Payments $ /month $ $ Mos. left to pay: Col umn 1: Subtotal of Payments /month Please Check the Box That Best Answers the Followin a. Do you have any debt because of a court decision against you? b. Have you been declared bankrupt within the past 7 years? c. Have you had property foreclosed on in the las t 7 years? d. Are you currently involved in a lawsuit? e. Are you paying alimony or child support? f. Are you a U.S. citizen or permanent resident? Total Mon Applicant Co-Applicant n Yes IJ No O Yes G No U Yes O No D Yes C No rj Yes D No OYes G No 0 Yes O No rj Yes C No U Yes DNo D Yes No fj Yes O No D Yes.:.; No Answering, "yes" to these questions does not automatically disqualify you. If you answered "yes" to any question a through e, however, please explain on a separate sheet of paper. 1 understand that by filing this application, I am authorizing Habitat for Humanity to evaluate' my actual need for a Habitat home, my ability to repay the no-interest loan and other expenses of homeownership and my willingness to be a partner family. I understand that the evaluation will include personal visits, a credit checlc. and employment verification. I have answered all the questions on this application truthfully. I understand that if I have not answered the questions truthfully, my application may be denied. and that even ifi have already been sclc:ctc:d to receive a Habitat home, I may be disqualified from the program. The original or a copy of this application will be retained by Habitat for Humanity even if the application is not approved. Ap plica nt Signature Date Co-Applicant Signature Date x; _X. Please Note: If more space is needed to completeany part of this application., please use a separate sheet of paper and attach it to this a lication. Please mark our additionalcomments with "A" for A licant and "C" for Co-A licant.

7 Greater Lawrence Habitat For Humanity, Inc. Page 5 Applicantts Name _ Co-Applicant's Name _ Please Read This Statement Before Completing the Box Below: The following information is requested by the federal government for loans related to the purchase of homes, in order to monitor the lender's compliance with equal credit opportunity and fair housing laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may neither discriminate on the basis of this information, nor on whether you choose to furnish it or not. However, if you choose not to furnish it, under federal regulations this lender is required to note race and sex on the basis of visual observation or surname. Jfyou do not wish to furnish the information below, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable state law for the loan applied for. ) Applicant 0 I do not wish to furnish this information Race / National Origin: n American Indian or Alaskan Native J Asian or Pacific Islander O White, not of Hispanic origin n Black, not of Hispanic origin c Hispanic o Other (specify) Sex: C Female IJ Male Birth date: ---- / ---- / Marital Status: 0 Married D Separated C Unmarried (incl. Single, divorced, widowed) Co-Applicant 0 I do not wish to furnish this infonnation Race / National Origin: Sex: 11 American Indian or Alaskan Native o Asian or Pacific Islander c White, not of Hispanic origin n Black, not of Hispanic origin n Hispanic Ll Other (specify) ' 1 Female n Male Birth date:.../ ;...,_ / _ Marital Status: Married Separated Unmarried (incl. Single, divorced, widowed) This application was taken by: 0 Face -to-face Interview D By Mail "],, : \ (, 1, 1! ', 1..J ( t11i\ J; \.llt j 'l._f "'-1111 ( \ l i,,!, 'l 1, 1, 1 /.._r 1 I,'., Interviewer's Name (print or type} Interviewer's Signature Date 0 By Telephone Interviewer's Phone Number

8

9 Where did you heard about the opportunity to apply for a Habitat home? Choose one of the following 1. Radio 2. Flyer (where did you get it) _ 3. Word of mouth (who told you) _ 4. Habitat website 5. Notified by Social Service/Housing agency 6. Newspaper 7. Mail 8. Church 9. Other

10