Jackson Homeownership Application

Greater Jackson Habitat for Humanity - Homeownership Program Application

Type of Application

Individual Application: Application that will only involve working with a single applicant and will have only 1 person on the mortgage. Joint Application: Application that will involve more than 1 applicant (typically only 2 applicants). All applicants will be listed on the mortgage.

Total number of applicants?

Applicant Information

Applicant First Name

Applicant Last Name

Home Phone

Cell Phone

Work Phone

Email

Social Security Number

Alternative and former names

Date of Birth

Address

Present Address Street

Present Address City

Present Address State

Present Address Zip

Number of Years Living at Present Address

Previous Address

Address Street

Address City

Address State

Address Zip

Did you rent or own

Dependent

Name

Age

Gender

Co-Applicant Information

Co-Applicant First Name

Co-Applicant Last Name

Home Phone

Cell Phone

Work Phone

Social Security Number

Alternative and former names

Date of Birth

Address

Present Address Street

Present Address City

Present Address State

Present Address Zip

Number of Years Living at Present Address

Do you rent or own

Previous Address

Address Street

Address City

Address State

Address Zip

Did you rent or own

Dependents

Name

Age

Gender

Willingness to Partner

To be considered for the Habitat homeownership program, you and your household members must be willing to complete a certain number of "sweat equity" hours, which may include hours spent helping to build your home and the homes of others, attending homeownership classes, and/or other approved activities.

Applicant: I am willing to complete the required sweat-equity hours:

Yes

No

Co-Applicant: I am willing to complete the required sweat-equity hours:

Yes

No

Property Information

Do you own real estate?

Yes

No

If you own your residence, what is your monthly mortgage payment (including taxes, insurance, etc.)?

Unpaid Balance:

Do you own land other than your residence?

Yes

No

Monthly Payment (including taxes, insurance, etc.)

Employment Information (Applicant)

Applicant: Are you currently employed?

Yes

No

Current Employer

Start Date:

Name of Current Employer

Address of Current Employer

Business Phone

Type of Business

Annual (gross) wages

Are you a business owner?

Yes

No

What is your ownership share of the business?

Less than 25%	More than 25%
I do not know

What is your yearly income (or loss) from the business?

Employment Information (Co-Applicant)

Co-Applicant: Are you currently employed?

Yes

No

Current Employer

Start Date:

Name of Current Employer

Address of Current Employer

Business Phone

Type of Business

Annual (gross) wages

Additional Sources of Income (Applicant)

Income Source

Type of Income

If Other, please explain

Monthly Amount

Additional Sources of Income (Co-Applicant)

Income Source

Type of Income

If Other, please explain

Monthly Amount

Additional Sources of Income from Other Household Members

Income Source

Household Member

Type of Income

Monthly Amount

Assets

Asset Details

Type of Account

If Other, please describe:

Current Balance

Source of Down Payment and Closing Costs

Depending on income level you will contribute $1,000-$5,000 to down payment and closing costs; what will be the source of these funds for you? For example: savings or gifts from family member or others; any grants for which you have or intend to apply.

Authorization, Agreement, and Release

I understand that by filing this application, I am authorizing Habitat for Humanity to evaluate my actual need for the Habitat homeownership program, my ability to repay an affordable loan and other expenses of homeownership, and my willingness to be a partner through sweat equity and otherwise according to Habitat for Humanity policy.

I understand that the evaluation will include personal visits, a credit check and employment verification (if applicable). I have answered all the questions on this

application truthfully and accurately, and if any of the information provided changes after I submit this application, I will supplement this application, as applicable. I

understand that if I have not answered the questions truthfully, accurately or completely, or fail to supplement this application as necessary to maintain its accuracy and completeness, my application may be denied, and that even if I have already been selected to receive a Habitat home, I may be disqualified from the program and forfeit any rights or claims to a Habitat home. The original or a copy of this application will be retained by Habitat for Humanity even if the application is not approved.

If this application is created as (or converted into) an "electronic application," I consent to the use of "electronic records" and "electronic signatures" as the terms are defined in and governed by applicable federal and/or state electronic transaction laws. I intend to sign and have signed this application either using my: (a) electronic signature or (b) a written signature and agree that if a paper version of this application is converted into an electronic application, the application will be an electronic record, and the representation of my written signature on this application will be my binding electronic signature.

I also understand that Habitat for Humanity screens all applicants on the sex offender registry. By completing this application, I am submitting myself to such an inquiry. I further understand that by completing this application, I am submitting myself to a criminal background check.

Applicant: By typing in my name below I acknowledge my agreement to the above statement.

Co-Applicant: By typing in my name below I acknowledge my agreement to the above statement.

Right to Receive Copy of Appraisal

This is to notify you that if you qualify for the homeownership program and complete the program requirements, we may order an appraisal to determine the value of a home that you may be eligible to purchase, and we may charge you for this appraisal. Upon completion of the appraisal, we will promptly provide a copy to you, even if the loan does not close.

Applicant: By typing in my name below I acknowledge my agreement to the above statement.

Co-Applicant: By typing in my name below I acknowledge my agreement to the above statement.

EQUAL CREDIT OPPORTUNITY ACT NOTICE

The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status or age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public assistance

program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that monitors compliance with this law concerning this company is the Federal Trade Commission, with offices at:

[FTC Regional Office for the East Central region, or Federal Trade Commission, Equal Credit Opportunity, Washington, DC 20580.]

You need not disclose income from alimony, child support or separate maintenance payment if you choose not to do so. However, because we operate a Special Purpose Credit Program, we may request and require, in order to determine an applicant's eligibility for the program and the affordable mortgage amount, information regarding the applicant's marital status; alimony, child support and separate maintenance income; and the spouse's financial resources.

Accordingly, if you receive income from these sources and do not provide this information with your application, your application will be considered incomplete, and we will be unable to invite you to participate in the Habitat

program.

Applicant: By typing in my name below I acknowledge my agreement to the above statement.

Co-Applicant: By typing in my name below I acknowledge my agreement to the above statement.