Homeownership Program Eligibility Questionnaire

Reasons you cannot proceed:
PLEASE NOTE:
This is a preliminary questionnaire and NOT an application.
If you meet pre-qualifications, you will receive an email with instructions on next steps to complete an actual application.
Name*

First NameLast Name
Email*
This address must be yours alone. We'll use this to notify you of your qualification status.
Do you currently own a home?*

YesNo
Have you (and, if applicable, your spouse) lived or worked in one of the following counties for at least 6 months?*

AdamsArapahoeDenverDouglasJeffersonNone of the above
Please enter your address.*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Enter your cellphone number.*
Enter a secondary phone number.
Which of the following do you have?*

Social Security NumberIndividual Taxpayer Identification NumberNeither
How many people (including yourself) would be living in the Habitat home?*

12-45-67-89-10

Please review the chart below and find your pre-tax annual income.
Note: This must include all income sources for the applicant AND co-applicant(s).

Number of People in Your Household (including yourself)	Pre-Tax Annual Income
Number of People in Your Household (including yourself)	Option 1	Option 2	Option 3
1	Less than $47,000	$47,000 - $62,600	More than $62,600
2	Less than $47,000	$47,000 - $71,550	More than $71,550
3	Less than $47,000	$47,000 - $80,500	More than $80,500
4	Less than $47,000	$47,000 - $89,400	More than $89,400
5	Less than $49,464	$49,464 - $96,600	More than $96,600
6	Less than $49,464	$49,464 - $103,750	More than $103,750
7	Less than $49,464	$49,464 - $110,900	More than $110,900
8	Less than $49,464	$49,464 - $118,050	More than $1118,050

Please indicate in which range your income falls*

Option 1Option 2Option 3
Do you have more than $2,000 in unpaid debt collection accounts? (A debt collection is a type of financial account that's been sent to a third-party debt collector.)*

YesNo
Does your monthly debt equal more than 13% of your gross monthly income?*

YesNo

Not sure what your debt-to-income ratio is? Click here to use our calculator.