Midland Habitat for Humanity Homeowner Application

Habitat for Humanity Homeowner Application
Habitat for Humanity Homeowner Requirements
- You must have lived in Midland/Ector County for one full continuous year prior to making your application.
- Your present housing is not adequate, and you are unable to obtain adequate housing through other conventional means. Lack of adequate housing may include problems with the present structure; water, electrical or sewage service systems; heating systems, or failure to meet city property maintenance standards; overcrowded housing, living in unconventional housing (ie. storage buildings, camping trailers, etc.)
- You must meet the income guidelines.
- No one who will move into the home can have a felony conviction within the past 7 years.
- You must have clear marital status, i.e. no separations.
- Sex offenders may not live in a Habitat home regardless of the time since the offense.
- Must have a minimum credit score of at least 550.
- Willingness to partner with Habitat for Humanity by working 250 "sweat equity" hours, helping build homes in the program and eventually your own.
*

I have read the requirements above and am willing to proceed
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Social Security Number*
Just numbers, no spaces or dashes
Cell Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Address History

Two year address history with no gaps
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Ownership Status*

RentOwnOther
Monthly Payment or Rent*
Landlord Name & Number*
Move in Date*

MonthDayYear
Date
Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Ownership Status

RentOwnOther
Monthly Payment or Rent
Landlord Name & Number
Move in Date

MonthDayYear
Date
Move out Date

MonthDayYear
Date
Previous Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Ownership Status

RentOwnOther
Monthly Payment or Rent
Landlord Name & Number
Move in Date

MonthDayYear
Date
Move out Date

MonthDayYear
Date
Are you currently receiving rental assistance?*

YesNo
Are you a U.S. Citizen?*

YesNo
Are you a permanent resident alien?*

YesNo
Marital Status*

SingleMarriedCommon-LawDivorced
Annual Household Income (before taxes)*
How many people in the household?*
How did you hear about Habitat for Humanity?*
How did you hear about Habitat for Humanity*

Word of MouthCommunity Event/BoothFacebook/Social MediaChild Care CenterMy Child's SchoolHelping Organization (211, etc.)Habitat Roadside SignOther
If you chose other, please explain
Applicant Employment Information

2 Year History - No gaps
Current Employer*
Start Date*

MonthDayYear
Date
Position*
Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employers Email
example@example.com
Gross Monthly Income*
Hourly Rate
Hours per week*
Paycheck Frequency*

WeeklyBi-Weekly/Every other weekSemi-Monthly/twice a monthMonthly
Previous Employer (if less than two years at current Job)
Position
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Previous Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Previous Employer Email
example@example.com
Hours per week
Co-Applicant Information

If for a joint case
Name

First NameLast Name
Relationship to Applicant
Date of birth

MonthDayYear
Date
Social Security Number
Just numbers, no dashes or spaces
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Work Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Ownership Status

OwnRentOther
Monthly Payment or rent
How long have you lived here?
Co-Applicant Employment Information

2 year history with - no gaps
Current Employer
Start Date

MonthDayYear
Date
Current Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current Employer Email
Gross Monthly Income
Hourly Rate
Hours Per Week
Paycheck Frequency

WeeklyBi-Weekly/every other weekSemi-monthly/twice a monthMonthly
Previous Employer
If less than two years at current job
Position
If less than two years at current job
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Previous Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Previous Employer Email
Hours Per Week
Other Sources of Household Income

Please list all other income (If none put Not Applicable)*

Rows	Description	Frequency (i.e. weekly, monthly, etc.)	Applicant Amount	Co-Applicant Amount
1
2
3
4

Banking Information

Rows	Name of Bank or Credit Union	Address	Checking/Savings	Balance
1
2
3
4

Debt*

Rows	Min. Monthly Payment
Auto
Student Loan
Installment Loan
Other Loan or Debt
Other Loan or Debt

Debt Continued*

Rows	Min. Monthly Payment
Credit Card
Credit Card
Installment Loan
Other Loan or Debt
Other Loan or Debt

Automobiles*

Rows	Make	Model	License Plate	Color
1
2

Please list any new/additional debts you pay monthly not showing on your credit report. If none please put N/A*

Next of Kin

Rows	Name	Address	Phone Number	Relationship
1
2
3

Please provide information about the other parents of each of your children*

Rows	Child's Name	Parent's Name	Phone Address	Child Support Amount
1
2
3
4

Housing Information
Have you (Applicant) ever owned your own home?*

YesNo
Have you (Co-Applicant) ever owned your own home?*

YesNo
Have you ever tried to purchase a home or qualify for a loan?*

YesNo
If yes, to either of the above questions, please explain as to why you were declined or lost the house after you got it.
Do you or any other person you have included on this application to live in a Habitat home have special physical needs that should be addressed in preparing a place for you to lie? If so, what special accommodations would you need?*
Describe the condition of your present home or living situation:*

Household Information*

Rows	Applicant	Co-applicant
A. Are there any outstanding judgements against you?
B. Have you been declared bankrupt within the past 7 years?
C. Have you had a property foreclosed upon or given title or deed in lieu therefore in the last 7 years?
D. Are you a party to a lawsuit
E. Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgment? (This would include such loans as home mortgage loans, SBA loans, home improvement loans, educational loans, and manufactured (mobile) home loans, any mortgage, financial obligation, bond, or loan guarantee. If "yes", provide details including date, name, address of lender, FHA/VA case number, if any, and reasons for the action.
F. Are you presently delinquent or in default on any federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?
G. Are you obligated to pay alimony, child support, or separate maintenance?
H. Are you a co-maker or endorser on a note?

Have you had ownership interest in a property in the last 3 years?

YesNo
If yes, what type of property did you own?

Principle residenceSecond homeLandInvestment property
Please explain any boxes answered "YES" above:
Household composition

Please list everyone who will reside in the Habitat home including the Applicant and Co-Applicant*

Rows	Name	Age	Sex	Date of Birth	Income, SSI or Child support Amt.	Place of Birth City & State or Country Name	Social Security #	Will This person live in the Habitat Home?
1
2
3
4
5

Does anyone moving into the Habitat home have a felony conviction in the past 7 years?*

YesNo
If yes, who?
Type of offense:
Date of Offense

MonthDayYear
Date
In applying for a home, I/we do so understand the purpose of Habitat for Humanity:

You must agree to all statements below to proceed
That this a community project;*

I agree with the above
That I/we will be helping others to have a new home as well as myself/ourselves;*

I agree with the above
That I/we will be expected to make monthly house payments - not rent, but payments towards the day when the home will belong to me/us;*

I agree with the above
that I/we will be required to attend a Homeowner Class teaching financial literacy;*

I agree with the above
That I/we understand all payments go back to Habitat for Humanity so someone else can also have a new home*

I agree with the above
I/We understand that the Board of Directors and members of the Family Selection Committee are persons who agree with this idea wholeheartedly and who serve without pay. All money from any source goes back to Habitat to help build more homes;*

I agree with the above
I/we promise that all of the above information is correct and true to the best of our knowledge. I/we also understand that false or misleading information may be grounds for rejection of my application and possible de-selection from the program after acceptance. I/we also understand that the completion of this application in no way guarantees that I/we will receive housing through Midland Habitat for Humanity. I/we agree that Habitat for Humanity, its staff, whether volunteers or compensated, and its Board of Directors will not be held responsible by me/us, or anyone acting on my/our behalf, in connection with my/our application for Habitat housing;*

I agree with the above
Applicant Signature*
Co-Applicant Signature
Should be Empty:

Habitat for Humanity Homeowner Application

Habitat for Humanity Homeowner Requirements

Address History

Applicant Employment Information

Co-Applicant Information

Co-Applicant Employment Information

Other Sources of Household Income

Banking Information

Housing Information

Household composition

In applying for a home, I/we do so understand the purpose of Habitat for Humanity: