Homeowner Intake Form

First Name *

Last Name *

Is there an additional adult in the household who will be applying as a co-applicant for the program?

Yes

No

Co-Applicant First Name

Co Applicant Last Name

Address *

Address

City

State/Province

Zip/Postal

Phone *

Email *

Armed Forces Service *

I am currently serving in the Armed Forces

I previously served in the Armed Forces

I am the surviving spouse of an Armed Forces Service member

I have never served in the Armed Forces

How did you hear about Habitat Detroit?

I would like to receive updates from Habitat Detroit

Yes

No

Please select your preferred housing location:

First Choice

Second Choice

Third Choice

Information for Government Monitoring Purposes

The following information is requested by the federal government for programs related to the purchase of homes, in order to monitor the organization’s compliance with equal credit opportunity and fair housing laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may neither discriminate on the basis of this information, nor on whether you choose to furnish it or not. However, if you choose not to furnish it, under federal regulations the organization is required to note race and sex on the basis of visual observation or surname. If you do not wish to furnish the information below, please check the box below.

I wish to share this information

Yes

No

Race/National Origin Race/National Origin

Ethnicity

Gender Identity Gender Identity

Situation Information

Please answer the questions below to provide Habitat with information about your current housing needs, your ability to pay for a future home, credit history and your willingness to partner with our organization.

Current Housing Needs *

My current housing is overcrowded

My current housing needs major repairs or is unsafe

My current housing costs are greater than 35% of my monthly income

I do not currently own another home

Affordability *

I can pay a mortgage loan that is up to 30% of my gross household income

I can save enough to cover the closing costs of a home purchase

Willingness to Partner *

I am willing to complete a minimum of 150 "sweat equity" hours during the program

I am willing to participate in educational classes such as financial management, home maintenance and landscaping.

Upon approval I am able to pay a one time program fee of $100.00

Do you have a Section 8 Voucher? *

Yes

No

I have read Habitat for Humanity of Detroit’s Privacy Policy *

I agree

I do not agree

If you choose to opt-out, please download and fill out this form, and return to the Habitat Detroit Office at 14325 Jane Ave. Detroit, MI 48205.

After you hit submit an email will be sent to you with next steps, please check your spam folder if you don’t see it in your inbox.

I AGREE

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Homeownership Program Intake

Please select your preferred housing location:

Information for Government Monitoring Purposes

Situation Information

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Homeownership Program Intake

Please select your preferred housing location:

Information for Government Monitoring Purposes

Situation Information

Privacy Preferences