Touchstone Housing Application

GRACE PROJECT HOMES INC.

HOUSING APPLICATION
DIRECTIONS FOR COMPLETING THIS APPLICATION

The Grace Project Homes Inc. is an opportunity to promote financial literacy and economic development through the reward of homeownership for low to moderate-income families and unhoused veterans. Applicants must qualify based on the definition of homeless, as stated from guidance by the US Department of Housing and Urban Development (HUD). The home you are applying for is the property of Grace Project Homes Inc. By completing this application; you agree that you have been homeless for more than 30 days and agree to the following requirements:

1. You are able and willing to attend “From unhoused to Homeowner Programs.”

2. Understand you must make every effort to become gainfully employed or receive financial assistance.

3. Utilities and maintenance are not included; it is the sole responsibility of the applicant.

4. The home will be paid on for ten years but cannot be sold for 30 years.

5. Home inspections will be conducted twice a year.

6. You MUST inform the Grace Project Homes Inc of any repairs made to the home.

7. Project Homes Inc. of any repairs to the home.
PLEASE ASK IF YOU NEED ASSISTANCE WITH COMPLETING THIS FROM:

WHAT LANGUAGE DO YOU SPEAK? blanks
DO YOU NEED:   Ty An interpreter   Ty A sign language interperter

Written materials translated     TyYes        TyNO


If yes, what language?

Do you need materials related to this application presented in alternative forms?    YES  Ty NO

If yes, please tell us in which form you need:     Type a label      Ty NA
Tell us more about you
Full Name

First NameMiddle NameLast Name
Other Names Used
Phone Number
E-mail
example@example.com
Are You A Veteran?

YesNo
How do you prefer to be contacted?

PHONEEMAIL
Where do you currently live?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Where do you receive your mail? (if different from where you currently live)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
*** If you require assistance with receiving mail. Please inform The Grace Project Inc. for US Mail resources. ***

TELL US ABOUT YOUR HOUSEHOLD
Please list everyone in your household. For the purpose of this application, this means everyone who will be residing with you.
Do you or anyone in your household use illegal drugs?

YesNo
Have your or any household member been involved in drug trafficking?

YesNo
Have you, or any member of your household, ever been arrested, charged, cited or convicted of a sex crime, drug crime or any other felony?

YesNo
Is the head of household or spouse 62 years or older?

YesNo
Does anyone in your household require a barrier free home?

YesNo
Is anyone in your family unable to use stairs?

YesNo
PLEASE PROVIDE YOUR INCOME INFORMATION

Indicate any income for yourself and each person who will live in the household.Include: Wages, overtime, tips, bonus or commissions before taxes, Social Security, Supplemental Security Income from Family Independence Agency, V.A. Benefits, Retirement Benefits, Unemployment Compensation, Worker’s Compensation, Child Support or Alimony.

	NAME	SOURCE OF INCOME	AMOUNT PER MONTH
A
B
C

ASSETS: Please indicate assets held by all household members 18 years or older. An asset is anything of value such as cash or something that can be converted to cash such as, bank accounts, cars, real estate, stocks and bonds, etc.

	NAME	TYPE OF ASSET	INSTITUTION NAME	AMOUNT
A
B
C
D

Are you disabled?

YesNo
If yes, do you require a Reasonable Accommodation?

YesNo
Please provide a description of accommodation being requested:
How is your request related to the disability?
Emergency Contact

(Someone who is NOT already on the lease)
EMERGENCY CONTACT

Name

Street Address Line

CityState / Province

Postal / Zip CodeCountry
I certify that the above information is correct and complete to the best of my knowledge and inquiries may be made to verify the statements made herein. Any intentional or willful misrepresentation of the information included in this application may result in the rejection of my application. I understand and give full permission to the Grace Project to check my background, including but not limited to credit checks, reference checks, rental history, utility payment history, and criminal background checks.

I understand that this is only an application and does not guarantee that I will receive housing with The Grace Project Homes Inc. or its affiliated services.
You MUST notify the Grace Project, IN WRITING, immediately if any of the following events occur. Changes WILL NOT be accepted over the phone:

*You move to a new address
*You get a new telephone number.
*Your household size increases or decreases
*Your household income changes
If you have any questions, please feel free to contact The Grace Project Homes Inc. at (803) 930-0366
APPLICANT'S SIGNATURE

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PRINT FULL NAME

First NameMiddle NameLast Name
Today's Date

MonthDayYear
GRACE PROJECT HOMES INC.

803-930-0366
WWW.GRACEPROJECTHOMES.COM

HEADQUARTERS IN LEXINGTON, SOUTH CAROLINA
Should be Empty:

GRACE PROJECT HOMES INC.

Tell us more about you

TELL US ABOUT YOUR HOUSEHOLD

Emergency Contact

GRACE PROJECT HOMES INC.