Housing for Heroes
Atlanta Fire Rescue Foundation, Inc.
Today's Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Applicant's Name
*
Prefix
First Name
Middle Name
Last Name
Suffix
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Last 4 Digits of Social Security Number
*
Ethnicity
*
Please Select
Not Specified
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Pacific Islander
Two or More Races
White
Have you been a Georgia resident longer than six (6) months
*
Please Select
Yes
No
AFRD Email
*
example@example.com
Personal Email
*
example@example.com
Preferred Mobile Number
*
-
Area Code
Phone Number
Rank
*
Recruit
Firefighter
Sergeant
Lieutenant
Captain
Battalion Chief
Assistant Chief
Section Chief
Division Chief
Deputy Chief
First Deputy Chief
Fire Chief
Civilian
Station/Location
*
Station 1
Station 2
Station 3
Station 4
Station 5
Station 6
Station 7
Station 8
Station 9
Station 10
Station 11
Station 12
Station 13
Station 14
Station 15
Station 16
Station 17
Station 18
Station 19
Station 20
Station 21
Station 22
Station 23
Station 24
Station 25
Station 26
Station 27
Station 28
Station 29
Station 30
Station 31
Station 32
Station 33
Station 34
Station 35
Station 36
Station 37
Station 38
Station 39
Station 40
PSHQ
Annex
Training Academy
Other
Shift
*
A Shift
B Shift
C Shift
40-hr
Other
I am a first time home buyer
*
Please Select
Yes
No
Have you purchased or owned a home in the past 3 years (i.e., homebuyers who have not had an ownership interest in residential or commercial property in the past three years)
*
Please Select
Yes
No
Type of Property
*
Please Select
Single Family Detached SFD)
Townhome (TH)
Condominium (Condo)
Other
The property being purchased will be my primary residence (2nd homes not permitted).
*
Please Select
Yes
No
Estimated Final Cost of Home
County of Home Being Purchased (County must be Metro Atlanta as defined by the Atlanta Regional Commission)
Please Select
Cherokee County
City of Atlanta (City Limits)
Clayton County
Cobb County
DeKalb County
Douglas County
Fayette County
Fulton County
Henry County
Gwinnett County
Rockdale County
City of Atlanta limits
*
Yes
No
Address of Home Being Purchase
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Good Standing Documentation (Please provide email from OPS documentation you are currently in good standing)
Browse Files
Cancel
of
Closing Disclosure Documentation (Please provide documentation reflecting closing date if applicable)
Browse Files
Cancel
of
Lender Name
*
Lender Email
*
example@example.com
Home Closing Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Date Payment is Needed
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name and Memo Details for the Downpayment Assistance. Payments will be provided via wire/ACH transferred directly to the closing attorney, please provide the following: 1) Business Name 2) Business Address 3) Routing Number 4) Account Number, 5) Bank Name 6) Bank Address 7) Name of Closing Attorney 8) Number of Closing Attorney.
I hereby declare that the information given above and in the enclosed documents is true to the best of my knowledge and belief and nothing has been concealed therein. I further acknowledge and affirm my intent to comply with the eligibility requirements and program conditions described in this application and any supporting materials provided.
I certify that I have read and understand the statements provided above. Electronic signature (Use mouse to sign form electronically when using computer)
*
Make check payable to
*
Enter the full name of the closing attorney or firm exactly as it should appear on the check.
Submit
Should be Empty: