Loan Application

Get Started

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Personal Information

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Current Address

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How Long at Current Address?
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Mailing Address

Current Employment/Self Employment Information and Income

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Check if this statement applies:

Gross Monthly Income

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Income From Other Sources

NOTE: Reveal alimony, child support, separate maintenance, or other income ONLY IF you want it considered in determining your qualification for this loan.

Assets and Liabilities

Assets - Bank Accounts, Retirement, and Other Accounts You Have

Include all accounts below. Under Account Type, choose from the types listed here:

Other Assets and Credits You Have

Include all other assets below. Under Asset Type, choose from the types listed here:

Other Liabilities and Expenses

Include all other liabilities and expenses NOT ON CREDIT REPORT below. Choose from the types listed here:

Subject Property and Loan Information

If you will occupy the property, will you set aside space within the property to operate your own business? (e.g., daycare facility, medical office, beauty/barber shop)
Is the property a manufactured home? (e.g., a factory built dwelling built on a permanent chassis)

Declarations

About This Property and Your Money for This Loan

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About Your Finances

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If YES, identify the type(s) of bankruptcy

Demographic Information of Borrower

The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fullfilled. For residential mortgage lending, Federal law requires that we ask applicants for their demographic information (ethnicity, sex, and race) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for "Ethnicity" and one or more designations for "Race:" The law provides that we may not discriminate on the basis of this information, or no whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations requires us to note your ethnicity, sex, and race on the basis of visual observation or surname. The law also prvodes that we may not discriminate on the basis of age or marital status information you provide in this application. If you do not wish to provide some or all of this information, please check below.
* Ethnicity: Check one or more
For Example: Argentinean, Columbian, Dominican, Nicaraguan, Salvadoran, Spaniard, and so on.
Sex:
Race: Check one or more
For example: Fijan, Tongan, and so on.

Acknowledgement & Agreement


* 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.



* 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

A FACSIMILE, ELECTRONIC OR OTHER COPY OF THIS SIGNED AUTHORIZATION SHALL BE AS VALID AS THE ORIGINAL.

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Note: All questions marked with a red asterisk (*) are required to complete the application.