Housing for Heroes

Housing for Heroes- An Affordable Housing Initiative

Funded by the Atlanta Fire Rescue Foundation, Inc.
Today's Date *

MonthDayYear
Date
Applicant's Name*

PrefixFirst NameMiddle NameLast NameSuffix
Date of Birth*

MonthDayYear
Date
Last 4 Digits of Social Security Number*
Ethnicity*
AFRD Email*
example@example.com
Personal Email*
example@example.com
Preferred Mobile Number*

Area CodePhone Number
Rank*
Station/Location*
Shift*
Estimated Final Cost of Home *
County of Home Being Purchased (County must be Metro Atlanta as defined by the Atlanta Regional Commission)*
Address of Home Being Purchase *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Good Standing Documentation (Please provide email from OPS documentation you are currently in good standing)*

Browse Files

Cancelof
Closing Disclosure Documentation (Please provide documentation reflecting closing date)*

Browse Files

Cancelof
Lender Name *
Home Closing Date *

MonthDayYear
Date
Date Payment is Needed *

MonthDayYear
Date
Name and Memo Details for the Downpayment Assistance. If payment needs to be provided by check please provide individual/company name and details for memo line. If payment needs to be provided by wire/ACH transferred (preferred method), please provide the following: 1) Business Name 2) Business Address, 3) ABA routing number 4) Account Number, 5) Address of Business and 6)Phone Number for Business. Also provide the 6) Bank Name and 7) Bank Address. *
I do hereby acknowledge and agree to maintain employment with the City of Atlanta for a period of no less than five years following the dismbursement of any financial support provided by the Atlanta Fire Rescue Foundation. If I resign, retire or separate from the employment of the Atlanta Fire Rescue Department withing those five years, I must reimburse the Atlanta Fire Rescue Foundation the full amount of the gift within in 90 days of my separation date.
I certify that I have read and understand the statements provided above. Electronic signature (Use mouse to sign form electronically when using computer)*

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Housing for Heroes- An Affordable Housing Initiative