How Can I Qualify For A Home?

First Name

Last Name

Address Line 1

Please report an address to which you can receive mail.

Address Line 2

Apt. #, Building #, etc.

City

State

Zip Code

Phone Number

Email Address

Please keep in mind that if you do not provide an email address, you will not receive correspondence confirming receipt of your pre-application.

Are you applying with a co-applicant?

Yes

Are you (and co-applicant) a U.S. Citizen or legal permanent resident?

Yes

Source of Income

Please be specific. This can include disability, SSI, etc.

How often is your income received?

Bi-weekly

Weekly

Monthly

Gross amount before taxes

Add another source?

Yes

Please name all (including yourself) who live in the home. Note: The number of people reported on the previous page must match the number of names listed below.

Thank you for your interest in homeownership with Mon Valley Habitat for Humanity. Please complete the qualification quiz below.

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