Pre-Application Interest Form
Accessibility Statement: If you need reasonable accommodations to complete this form, please contact Danielle Lewis, 843.999.1453
Applicant Information
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Birthday
*
-
Month
-
Day
Year
Date
Marital Status
*
Unmarried
Married
Separated
Long-term partner who would co-own your home
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you own or rent your housing?
*
Own
Rent
Mailing Address (if different from home address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Have you been a resident of Horry County for at least the past twelve (12) months?
Yes
No
To qualify for our homebuyer program, you must have been a resident of Horry County for at least the past year.
No need to complete the rest of this form. You can try again when you've been here a bit longer!
Co-Applicant Information
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Birthday
*
-
Month
-
Day
Year
Date
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Own or Rent?
*
Own
Rent
Mailing Address (if different from home address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Family Income
How many members in your household?
*
Please Select
1
2
3
4
5
6
7
8
9
10
How many are adults?
*
Please Select
1
2
3
4
5
6
7
8
9
10
Household monthly income from work (before taxes):
*
*This is the total of all paystubs of applicants and co-applicants in one month - before any taxes or other paycheck deductions. We will ask you to provide 6 months of your paystubs during the full application.
Other income (check all sources that apply below)
This the total of your other income from all sources you select below.
Other income sources
SS
SSI
Disability
Child Support
Alimony
Unemployment
Other
Current Employer
*
Years of Employment at this employer
*
Previous Employer
*
Years of Employment at previous employer
*
In the past two years, have there been any gaps in your employment? If so, please explain.
*
Is your co-applicant also employed?
*
Please Select
Yes
No
Co-Applicant Current Employer
*
Co-Applicant Years of Employment at this employer
*
Co-Applicant Previous Employer
*
Co-Applicant Years of Employment at previous employer
*
In the past two years, have there been any gaps in your co-applicant's employment? If so, please explain.
*
Have you or any in your household been convicted of a crime?
*
Please Select
Yes
No
If you move forward, we will pull background checks on every household member to confirm this information.
Was it expunged?
*
Please Select
Yes
No
If you move forward, we will pull background checks on every household member to confirm this information.
Category of Conviction
*
Please Select
Felony
Misdemeanor
Infraction
If you move forward, we will pull background checks on every household member to confirm this information.
Years since conviction
*
If you move forward, we will pull background checks on every household member to confirm this information.
Do you have any debt in collections, past due bills, or repossessions in the last 3 years?
*
Please Select
Yes
No
We will run your credit report during the full application process.
How much do you have in collections, past due debt, or repossessions?
*
To qualify for our homebuyer program, you must have less than $2,000 in collections, past due debt, or repossessions.
If you want to get in better financial shape and qualify in the future. Please still complete this form. We may be able to support your journey to financial freedom!
If you are unsure of any past due bills, pull a free credit report at the link below. Pulling the free credit report will not impact your credit score.
https://www.experian.com/consumer-products/free-credit-report.html
How much money do you have in savings?
*
How much do you have in "current" debt (school loans, car loans, other loans on which you are not past due).
*
DO NOT include anything you have in collections, past due debt, or repossessions.
By signing, I certify that the information I provided on this pre-application for the Habitat for Humanity of Horry County Homebuyer Program is complete and accurate. I understand that this pre-application does not constitute a full application and does not guarantee approval.
Applicant Signature
*
Co-Applicant Signature
Please verify that you are human
*
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