Interest Form – 116 Q St, NW, Washington, DC – Douglass Community Land Trust

Layout

Household Member #1

Name *

First

Middle

Last

Home Phone *

Cell Phone

Email *

Please List All Employers - Names & Addresses *

Household Member #2

(If Applicable/Adult Only)

Name

First

Middle

Last

Relationship to Applicant #1

Home Phone

Cell Phone

Email

Please List All Employers - Names & Addresses

Save and Resume Later

Home Addresses

Layout

Street Address *

Address Line 1

Address Line 2

City

State

Zip Code

Mailing Address (if different)

Address Line 1

Address Line 2

City

State

Zip Code

Other Household Members (NOT Including Applicant 1 & 2)

Layout

Household Member #3

Name

First

Middle

Last

Date of Birth

Relationship to Applicant #1

Household Member #4

Name

First

Middle

Last

Date of Birth

Relationship to Applicant #1

Household Member #5

Name

First

Middle

Last

Date of Birth

Relationship to Applicant #1

Household Member #6

Name

First

Middle

Last

Date of Birth

Relationship to Applicant #1

Save and Resume Later

Income

What is the approximate annual gross income of all adult household members, including yourself? *

*Income Certification will be required prior to signing a contract. To reduce workload on applicants, we will accept Income Certification conducted by DHCD, including done as part of the HPAP process.

Save and Resume Later

Interest Form Affirmation & Checklist

Click here to read the program requirements.

Please check each line to confirm that you meet the Program Requirements to be a Pay It Forward Homeowner. *

I am a first-time homebuyer (having not owned real estate in the last 3 years)
My household income does not exceed 80% of the area median income, based on family size.
I have a Prequalification Letter from a Mortgage Lender and am sending with this form.
I have housing need and meet one or more of the following categories: Rent-burdened (pay more than 30% of my income on rent); Reside in temporary housing; experience overcrowding; live in an unsafe environment or home with mechanical or structural deficiencies; or other* (explain below)
I have a Willingness to Pay It Forward!

*If other housing need, please explain

Signature *

Use your cursor to sign

Name *

Date *