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 350 "sweat equity" hours, helping build homes in the program and eventually your own.
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I have read the requirements above and am willing to proceed
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Social Security Number
*
Just numbers, no spaces or dashes
Cell Phone
*
Please enter a valid phone number.
Home Phone
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Email
*
example@example.com
Address History
Two year address history with no gaps
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Ownership Status
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Rent
Own
Other
Monthly Payment or Rent
*
Landlord Name & Number
*
Move in Date
*
-
Month
-
Day
Year
Date
Previous Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Ownership Status
Rent
Own
Other
Monthly Payment or Rent
Landlord Name & Number
Move in Date
-
Month
-
Day
Year
Date
Move out Date
-
Month
-
Day
Year
Date
Previous Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Ownership Status
Rent
Own
Other
Monthly Payment or Rent
Landlord Name & Number
Move in Date
-
Month
-
Day
Year
Date
Move out Date
-
Month
-
Day
Year
Date
Are you currently receiving rental assistance?
*
Yes
No
Are you a U.S. Citizen?
*
Yes
No
Are you a permanent resident alien?
*
Yes
No
Marital Status
*
Single
Married
Common-Law
Divorced
Annual Household Income (before taxes)
*
How many people in the household?
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How did you hear about Habitat for Humanity?
*
How did you hear about Habitat for Humanity
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Word of Mouth
Community Event/Booth
Facebook/Social Media
Child Care Center
My Child's School
Helping Organization (211, etc.)
Other
If you chose other, please explain
Applicant Employment Information
2 Year History - No gaps
Current Employer
*
Start Date
*
-
Month
-
Day
Year
Date
Position
*
Employer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employers Email
example@example.com
Gross Monthly Income
*
Hourly Rate
Hours per week
*
Paycheck Frequency
*
Weekly
Bi-Weekly/Every other week
Semi-Monthly/twice a month
Monthly
Previous Employer (if less than two years at current Job)
Position
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Previous Employer Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Previous Employer Email
example@example.com
Hours per week
Co-Applicant Information
If for a joint case
Name
First Name
Last Name
Relationship to Applicant
Date of birth
-
Month
-
Day
Year
Date
Social Security Number
Just numbers, no dashes or spaces
Cell Phone Number
Please enter a valid phone number.
Home Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Ownership Status
Own
Rent
Other
Monthly Payment or rent
How long have you lived here?
Co-Applicant Employment Information
2 year history with - no gaps
Current Employer
Start Date
-
Month
-
Day
Year
Date
Current Employer Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Current Employer Email
Gross Monthly Income
Hourly Rate
Hours Per Week
Paycheck Frequency
Weekly
Bi-Weekly/every other week
Semi-monthly/twice a month
Monthly
Previous Employer
If less than two years at current job
Position
If less than two years at current job
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Previous Employer Address
Street Address
Street Address Line 2
City
State / 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)
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Description
Frequency (i.e. weekly, monthly, etc.)
Applicant Amount
Co-Applicant Amount
1
2
3
4
Banking Information
*
Name of Bank or Credit Union
Address
Checking/Savings
Balance
1
2
3
4
Debt
*
Min. Monthly Payment
Auto
Student Loan
Installment Loan
Other Loan or Debt
Other Loan or Debt
Debt Continued
*
Min. Monthly Payment
Credit Card
Credit Card
Installment Loan
Other Loan or Debt
Other Loan or Debt
Automobiles
*
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
Name
Address
Phone Number
Relationship
1
2
3
Please provide information about the other parents of each of your children
*
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?
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Yes
No
Have you (Co-Applicant) ever owned your own home?
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Yes
No
Have you ever tried to purchase a home or qualify for a loan?
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Yes
No
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:
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Household Information
*
Applicant
Co-applicant
A. Are there any outstanding judgements against you?
Yes
No
Yes
No
B. Have you been declared bankrupt within the past 7 years?
Yes
No
Yes
No
C. Have you had a property foreclosed upon or given title or deed in lieu therefore in the last 7 years?
Yes
No
Yes
No
D. Are you a party to a lawsuit
Yes
No
Yes
No
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.
Yes
No
Yes
No
F. Are you presently delinquent or in default on any federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee?
Yes
No
Yes
No
G. Are you obligated to pay alimony, child support, or separate maintenance?
Yes
No
Yes
No
H. Are you a co-maker or endorser on a note?
Yes
No
Yes
No
Have you had ownership interest in a property in the last 3 years?
Yes
No
If yes, what type of property did you own?
Principle residence
Second home
Land
Investment 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
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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?
*
Yes
No
If yes, who?
Type of offense:
Date of Offense
-
Month
-
Day
Year
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;
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I agree with the above
that I/we will be required to attend a Homeowner Class teaching financial literacy;
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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
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