Homeownership Application 2024
General Information
Applicant's Full Name
Co-Applicant's Full Name (if applicable)
Is the applicant 18 years old or older?
Yes
No
Has the applicant worked or lived in Guilford County (not including High Point) or Rockingham County for, at least, one year?
Yes
No
Has the applicant worked for the same organization for at least 6 months?
Yes
No
Has the applicant owned a home in the last 3 years?
Yes
No
Is the applicant a veteran?
Yes
No
Is the applicant a current member of the U.S. Armed Services?
Yes
No
Is the applicant a U.S. Citizen
Yes
No
Is the applicant a Permanent Resident Alien?
Yes
No
Has the applicant declared bankruptcy or had a foreclosure in the last 7 years?
Yes
No
If approved, does the applicant intend to use the residence as their primary residence?
Yes
No
Is there a co-applicant? Unless in the process of divorce or separated, spouses must be listed as co-applicants.
Yes
No
Is the co-applicant a U.S. Citizen?
Yes
No
Is the co-applicant a Permanent Resident Alien?
Yes
No
Page 1
Applicant General Information
Applicant Full Name
Please select the areas you are interested in living in:
Please select...
Ole Ashboro
Willow Oaks
Scattered (Areas outside of Ole Ashboro and Willow Oaks)
Applicant Date of Birth
Applicant Social Security Number
Applicant Current Address
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
ZIP Code
Applicant Phone Number
Applicant Email Address
Copy of Driver's License/ State ID
Primary Language
Please select...
English
Spanish
Arabic
Farsi
French
German
Other
Marital Status
Single
Married
Divorced
Separated
Widowed
For Government Monitoring Purposes: We are requesting the following information to monitor our compliance with the federal Equal Credit Opportunity Act, which prohibits unlawful discrimination. You are not required to provide this information. We will not take this information (or your decision not to provide this information) into account in connection with your application or credit transaction. The law provides that a creditor may not discriminate based on this information or based on whether you choose to provide it. If you choose not to provide the information, we may note it by visual observation or surname.
Race
Alaskan Native
American Indian
Asian
Black or African American
Bi-racial or Multi-racial
Caucasian or White
Native Hawaiian
Pacific Islander
Other
I do not wish to answer
Sex
Male
Female
I do not wish to answer
Have you ever had any felony, misdemeanor, guilty pleas, please of nolo contendere/no contest, deferred prosecutions, prayers for judgment, or pending charges? (Excluding minor traffic violations; please note offenses such as DUI/DWI, vehicular manslaughter, and reckless driving are not minor and should be included)
Yes
No
Please List
Is there a Co-Applicant?
Yes
No
Co-Applicant General Information
Co-Applicant Full Name
Co-Applicant Date of Birth
Co-Applicant Social Security Number
Co-Applicant Phone Number
Co-Applicant Email
Co-Applicant Copy of Driver's License/State ID
Marital Status
Single
Married
Divorced
Separated
Widowed
Race
Alaskan Native
American Indian
Asian
Black or African American
Bi-racial or Multi-racial
Caucasian or White
Native Hawaiian
Pacific Islander
Other
I do not wish to answer
Sex
Male
Female
I do not wish to answer
Have you ever had any felony, misdemeanor, guilty pleas, please of nolo contendere/no contest, deferred prosecutions, prayers for judgment, or pending charges? (Excluding minor traffic violations; please note offenses such as DUI/DWI, vehicular manslaughter, and reckless driving are not minor and should be included)
Yes
No
Please List:
Household Members: List all members of the household. Including the applicant and co-applicant (if applicable).
Household Member #1 (Applicant) Name
Household Member #1 Age
Is Household Member #1 Employed?
Yes
No
Has Household Member #1 been with the same employer for at least 6 months?
Yes
No
Household Member #1 Employer
Household Member #1 Start Date
Household Member #1 Hours Worked Every Week
Household Member #1 Hourly Rate
Does Household Member #1 have a second job?
Yes
No
Job # 2 Employer
Job # 2 Start Date
Job # 2 Hours Worked
Job # 2 Hourly Rate
Household Member #1 Estimate Yearly Income
Most Recent Paystub
Household Member #1 Copy of Social Security Card
Is there another household member?
Yes
No
Household Member # 2 Name
Household Member #2 Age
Household Member #2 Employed
Yes
No
Household Member #2 Employer
Household Member #2 Start Date
Household Member #2 Hours Worked Every Week
Household Member #2 Hourly Rate
Household Member #2 Estimated Yearly Income
Household Member #2 Most Recent Paystub
Household Member #2 Copy of Social Security Card
Is there another household member?
Yes
No
Household Member #3 Name
Household Member #3 Age
Household Member # 3 Employed
Yes
No
Household Member #3 Employer
Household Member #3 Start Date
Household Member #3 Hours Worked Every Week
Household Member #3 Hourly/Salary Rate
Household Member #3 Most Recent Paystub
Household Member #3 Copy of Social Security Card
Is there another household member?
Yes
No
Household Member #4 Name
Household Member #4 Age
Household Member #4 Copy of Social Security Card
Is there another household member?
Yes
No
Household Member #5 Name
Household Member #5 Age
Household Member #5 Copy of Social Security Card
Is there another household member?
Yes
No
Household Member #6 Name
Household Member #6 Age
Household Member #6 Copy of Social Security Card
Is there another household member?
Yes
No
Household Member #7 Name
Household Member #7 Age
Household Member #7 Copy of Social Security Card
Is there another household member?
Yes
No
Household Member #8 Name
Household Member #8 Age
Household Member #8 Copy of Social Security Card
Income
IMPORTANT
: Per the Habitat for Humanity International (HFHI) standards, these are the income ranges that we can serve in, and around, Greensboro. Due to multiple factors, we cannot guarantee that falling into these ranges will equate to being able to afford a house with us. Nonetheless, we encourage your application and thank you for the time that you are putting into applying.
Total Household Size
Total income per year (estimate)
Total yearly non-wages (SSI, Child Support, Alimony, etc.)
Total Income (Gross + Non Wage)
Current Gross YTD (Found on your most recent paystub)
A W2 is a form that you receive from your employer at the end of each year. If you are self-employed or receive a 1099, please submit your respective forms under the "W2" option. If you are having difficulty finding your W2 or Tax Return Transcript, you can find both at this
link
. Please check the box below, stating you have read and followed these instructions.
I have read and followed the above instructions
2021 W2
2022 W2
2023 W2
2021 Tax Return Transcript
2022 Tax Return Transcript
2023 Tax Return Transcript
Non-Wage Income (SSI, Disability, Child Support, etc.)
Additional Information (if applicable)
Page 3
Rental History: At least one full year (12 Months) of rental history required. If you have been living at your current residence for less than one year, complete the previous rental section. (A copy of your current lease required). If you are living with someone paying rent, an official letter from the person is required, with rental dates, length of time, monthly rent amount, signed and dated.
Current Landlord
Current Rent
Move In Date
Length of Lease
Current Physical Address
Is the lease in your name?
Yes
No
If not, please explain:
Current Number of Bedrooms
Please select...
1
2
3
4
5
6
Current Number of Bathrooms
Please select...
1
2
3
Copy of Current Lease
Do any of these apply as descriptions of your current housing?
Cost-Burdened (Paying more than 30% of your gross monthly income on rent)
Overcrowded
Substandard living conditions
Subsidized Housing
Temporary Housing
Within the last 2 years, have you lived at another address?
Yes
No
Past physical address
Reason for leaving
BACKGROUND CHECK AUTHORIZATION
Authorization to Conduct and Consider Background Checks I hereby authorize Habitat to obtain consumer reports and investigative consumer reports on me and to consider such reports when making decisions regarding my initial or ongoing employment I engagement at Habitat. Such reports may include, but are not limited to, information regarding my criminal record, driving record, credit, employment history and performance, and other investigative reports. I understand that the agencies from which such reports may be sought may include, without limitation, criminal records search agencies, consumer information/credit bureaus, and the like. I also understand that this authorization, in original or copy form, authorizes Habitat to obtain and consider such reports regarding me at any time when considering my potential or continued engagement with Habitat, both now and in the future.
Please check below, confirming that you have read, understood, and authorize Habitat for Humanity to perform a background check.
I authorize a background check to be performed by Habitat for Humanity of Greater Greensboro
CREDIT AUTHORIZATION
The undersigned ('Applicant') desires to purchase a house from Habitat for Humanity of Greater Greensboro, Inc. ('Habitat'), which will involve the loaning to the Applicant a sum equal to the entire purchase price of the house. The Applicant understands that Habitat will need to obtain from various firms or agencies information about the Applicant's credit history, financial situation, employment, and other matters affecting the Applicant's ability to repay the loan from Habitat. The Applicant understands that these are necessary procedures for Habitat to evaluate the Applicant's ability to maintain the home in proper condition and repay the Habitat loan. The Applicant understands that information about the Applicant's personal circumstances will be treated as confidential and that no information about the Applicant will be accessible to any party who is not directly involved in the Applicant's purchase of a home. The Applicant therefore authorizes Habitat to obtain from any third parties any information related to the Applicant's personal or financial circumstances as may be necessary to determine the Applicant's creditworthiness. Please be advised that as part of our procedure for determining your eligibility to work and continue to work for Habitat for Humanity of Greater Greensboro, Inc. ('Habitat'), we may obtain and consider criminal records, credit reports, driving records, consumer reports and other background checks regarding you. Since Habitat may use consumer reporting agencies to provide the company such reports, Habitat is providing you this notice and authorization form to comply with the Fair Credit Reporting Act.
Please check below, confirming that you have read, understood, and authorize Habitat for Humanity of Greater Greensboro to perform a credit check.
Yes, I authorize the credit check
Contact Information