HRC_Trust MT Application

Human Resource Council/Trust Montana

Homebuyer Application Instructions

A COMPLETE APPLICATION PACKET shall include completion of the application as well as COPIES of the following documents:

Social Security cards and photo identification for all household members.
2 most recent Federal Income Taxes and applicable W2(s If self-employed include Schedule C and Form 8829 "Business use of home" if applicable.
Last 2 months of pay stubs, or a printout from your employer showing your YTD pay; divorce decree showing monthly child support amount; statement or letter from Social Security stating monthly benefit amount; or, if self-employed, a current spread sheet listing YTD income & expenses, as well as a forecast of the next 12 months.
Copy of last 2 months of bank statements - checking & savings.
Copy of "Other Assets" statement(s) (if applicable - CD's, IRA's, Retirement Plans, Trusts, Stocks, Bonds, Mutual Funds, Life Insurance Policies, etc.
Copy of Homebuyer Workshop Certificate. Copy of Pre-qualification Letter from lender & other available funding sources.

Until all application materials are completed in full, and all requested documentation listed above are attached to the application, the application may not be considered complete.

REQUIRED BEFORE CLOSING

Proof of Completion of HUD Certified Personal Homebuyer Counseling Session (must be complete by time of closing.
Review of Ground Lease with Independent Legal Counsel.

If you have any questions, please call Bill at (406) 201-9178.

Credit Application - Homebuyer Assistance Program (Please Answer All Questions)

This application is submitted to obtain credit under the Human Resource Council (HRC) Home Buyer Assistance Program. This is an Equal Opportunity Program. Federal Law prohibits discrimination. The following form is designed to help determine if the household may be eligible to participate in the Home Buyer Assistance Program, and qualify for a home mortgage through a commercial lending institution. The answers to questions relating to marital status, race and gender are voluntary, and are requested solely for the purpose of determining compliance with Federal Civil Rights Law and your response will not affect consideration of your application. By providing this information, you will assist us in assuring that this program is administered in a nondiscriminatory manner. If you feel you have been discriminated against and you want to report it, the Fair Housing and Equal Opportunity Hotline number is (800) 424-8590.

Name of Applicant

Social Security Number

Phone Number

Present Street Address

City

State

Zip

How long at present address

Current Monthly Rent

MAILING ADDRESS (if different than physical address)

City

State

Zip

Marital Status (Optional)

MarriedSeparatedUnmarried (single, divorced, widowed)

Gender (Optional)

Date of Birth

Date

No of Dependents

Race - Check appropriate box (Optional)

Name of Co-Applicant if any

Relationship to Applicant

Social Security Number

Phone Number

Present Street Address

City

State

Zip

How long at present address

Current Monthly Rent

Mailing Address (if different than above)

City

State

Zip

Marital Status (Optional)

MarriedSeparatedUnmarried (single, divorced, widowed)

Date of Birth

Date

No of Dependents

Gender (Optional)

Race - Check appropriate box (optional)

Name of Nearest Relative Not Living With You

Relationship

Phone Number

Other Household Member Information

	Last Name	First Name	SSN	Relationship	Sex	Date of Birth
HH Member 1
HH Member 2
HH Member 3
HH Member 4

Employment & Salaries (If applicant is slef-employed, submit current financial statement)

Applicant's Employer

Employer Address

City

State

Zip

Employer Phone #

Type of Work or Position (Applicant)

Number of Years

Salary-Hourly/Weekly/Monthly

If Hourly, hours per week

Co-Applicant's Employer

Employer Address

City

State

Zip

Co-Applicant Employer Phone #

Type of Work or Position

Number of Years

Salary (hourly, weekly, monthly?)

If hourly, hours per week

Other Income Source(s)

This includes, but is not limited to: alimony, child support, social security, interest dividends, annuities, pensions, unemployment & disability compensation, earnings of children over the age of 18 living at home.

Source

Amount $

Per Week/month?

Source

Amount $

Per Week/Month?

Source

Amount $

Per Week/Month?

Source

Amount $

Per Week/Month?

Monthly Household Income Summary

Monthly Household Income Summary

	Name of Individual	Monthly Wages, Salaries, Self-employment, etc.	Monthly Social Security, VA Pensions, etc.	Monthly Public Assistance (SSI, SSDI, TANF, etc.)	Monthly Interest, Dividends, Lease or Rental Income, etc.	Other Income-Monthly (Alimony, Child Support, Private Assistance, etc.)
1.
2.
3.
4.
5.

Checking & Savings Accounts

Name & Address of Bank or Branch

Checking-Current Value

Savings-Current Value

Name & Address of Bank or Branch

Checking-Current Value

Savings-Current Value

Name & Address of Bank or Branch

Checking-Current Value

Savings-Current Value

Stocks, Bonds, Mutual Funds, CD's, Retirement Accounts, Trusts, etc.

Company Name, Address & Description

Current Value $

Company Name, Address & Description

Current Value $

Company Name, Address & Description

Current Value $

Real & Personal Property Owned

Describe Real Estate Property and/or Businesses owned

Market Value

Describe Real Estate Property and/or Businesses owned

Market Value

Automobile Owned (Describe Make & Year)

Market Value

Automobile Owned (Describe Make & Year)

Market Value

Other Assets - Itemize and Describe

Market Value

Debts - List all financial obligations including but not limited to: automobile loans, revolving charge accounts, credit cards, student loans, real estate loans, lines of credit, debt to banks, finance companies, government agencies and individuals, alimony, child support, etc.

(If more space is needed, list all additional debts on separate pages and attach them.)

Automotive Liens

	Lien Holder Name & Address	Year & Make	Present Balance	Monthly Payment	Amount Past Due
Lien 1
Lien 2
Lien 3

Other Debts-To Whom Indebted

	To WhomName & Address	Date Incurred	Original Amount	Present Balance	Monthly Payment	Amount Past Due
Other Debt 1
Other Debt 2
Other Debt 3
Other Debt 4
Other Debt 5
Other Debt 6
Other Debt 7
Other Debt 8
Other Debt 9
Other Debt 10

Bankruptcies, Foreclosures and Declarations If the answer to any of the following questions is "YES", please explain on separate paper and attach.

Are you or anyone in the household presently delinquent or in default on any federal debt or any other loan, mortgage, financial obligation, bond or loan guarantee?

YesNo

Has anyone in your household been declared bankrupt within the past 7 years?

YesNo

Has anyone in your household had property foreclosed upon or given title or deed in lieu thereof in the past 7 years?

YesNo

Have you or anyone in the household, directly or indirectly, been obligated on any loan that resulted in foreclosure or judgement? (This would include, but not be limited to, such loans as home mortgages, SBA loans, home improvement loans, educational loans, manufactured/mobile home loans, any mortgage, financial obligation, bond or loan guarantee. If "YES", provide details on separate attachment, including date, name & address of lender, account/case number if any, and reasons for the action.

YesNo

Are there any unsatisfied/outstanding judgements against you or anyone in your household?

YesNo

Are you or anyone in the household, party to a lawsuit?

YesNo

Are you or anyone in the household obligated to pay alimony, child support, health insurance, separate maintenance or any other requirement from a divorce decree and/or child support determination?

YesNo

Do you or anyone in the household have any delinquent obligations outstanding such as alimony, child support, separate maintenance or any other requirements from a divorce decree and/or child support determination?

YesNo

Are you, or have you or anyone in your household, ever received Medicaid?

YesNo

Is any part of the down payment borrowed?

YesNo

Are you or anyone in the household a co-maker or endorser on a note?

YesNo

Is everyone in the household a U.S. citizen?

YesNo

Is anyone in the household a permanent resident alien?

YesNo

Do you intend to occupy the property as your primary residence?

YesNo

Have you or anyone in the household had an ownership interest in a property in the last 3 years? (If yes please answer the following questions)?

YesNo

If yes to the previous question, please answer the following 2 questions.

What type of property was owned? (select all that apply)

Principal residenceSecond HomeInvestment PropertyOther

How did you hold title to the property? (select all that apply)

Solely by yourselfJointly with your spouseJointly with another person option 3

ACKNOWLEDGEMENT & AGREEMENT

PRIVACY ACT STATEMENT:

The information on this form is being collected by District XI Human Resource Council, Inc., on behalf of the Department of Housing & Urban Development (HUD) to determine an applicant's eligibility. It will be used to provide the basis for managing the programs covered by this form, for protecting the financial interest of these entities, and for verifying the accuracy of this information furnished. It may be released to appropriate Federal, State and Local agencies when relevant to civil, criminal or regulatory investigators or prosecutors. It is not mandatory to provide social security numbers. However, failure to provide any other information may result in a delay or rejection of your eligibility approval. Authorization to ask for this information is provided by the U.S. Housing Act of 1937, as amended by 42 U.S.C., 1437 et seq., the Housing and Community Development Amendments of 1981, P.L. 97-35, 85 Stat, 348, 408.

APPLICANT'S STATEMENT:
I/We certify that the statements in Parts 1 through 6 above are true and complete to the best of my/our knowledge and belief. I/We understand that false statements or information are punishable under Federal Law; and may disqualify my/our household.

The collection of personal information on clients is essential to the provision of services through District XI HRC. I (we) understand, this data is collected and entered into an HRC database(s) and other State/Federal program databases to record services provided to my (our) household for federal and/or state reporting purposes.
I (we) consent for the release of collected household information. This release is valid until 18 months from the date of last service or revoked by the client. You must revoke this release in writing.
I(we) understand the information given here is subject to verification by HRC staff.
HRC may be able to link you to other services based on your circumstances. I authorize HRC to be provided information and/or documents for the purposes of eligibility determination, coordination of services and support services.
I authorize HRC to provide/receive information for the purposes of eligibility determination and coordination of services with Trust Montana.
I (we) certify that all my (our) answers are correct and complete to the best of my (our) knowledge, including information about each household member.

Please review your application to make sure it is complete and accurate. If you wish to make any comments or clarify any of your responses, please do so on a separate piece of paper and attach to the application.

Applicant's Signature

Date

Co-Applicant's Signature

Date

Upload all required documents and any additional information deemed necessary.