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Interest Form - 1350 Jackson St, NE, Washington, DC
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Step
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Applicant Name (First Middle Last)
*
Phone
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Email
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Current Address
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Address Line 1
Address Line 2
City
--- Select state ---
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
State
Zip Code
How many people live in your household, excluding yourself?
*
Next
Please list ALL household members below excluding yourself
Household Member Name
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Co-Applicant? (Y/N)
*
Age
*
Please list ALL household members below excluding yourself
Household Member Name
*
Co-Applicant? (Y/N)
*
Age
*
Household Member Name
*
Co-Applicant? (Y/N)
*
Age
*
Please list ALL household members below excluding yourself
Household Member Name
*
Co-Applicant? (Y/N)
*
Age
*
Household Member Name
*
Co-Applicant? (Y/N)
*
Age
*
Household Member Name
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Co-Applicant? (Y/N)
*
Age
*
Please list ALL household members below excluding yourself
Household Member Name
*
Co-Applicant? (Y/N)
*
Age
*
Household Member Name
*
Co-Applicant? (Y/N)
*
Age
*
Household Member Name
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Co-Applicant? (Y/N)
*
Age
*
Household Member Name
*
Co-Applicant? (Y/N)
*
Age
*
Please list ALL household members below excluding yourself
Household Member Name
*
Co-Applicant? (Y/N)
*
Age
*
Household Member Name
*
Co-Applicant? (Y/N)
*
Age
*
Household Member Name
*
Co-Applicant? (Y/N)
*
Age
*
Household Member Name
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Co-Applicant? (Y/N)
*
Age
*
Household Member Name
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Co-Applicant? (Y/N)
*
Age
*
What is the approximate annual gross income of all adult household members, including yourself?
*
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Do you have at least 2 full years worth of documentable employment history?
*
Yes
No
What is your current rental/housing payment?
*
How did you hear about Douglass CLT Pay It Forward Homeownership? (Mark all that apply)
*
Douglass CLT member
Newspaper
Social media
Habitat for Humanity
TV / Radio
Faith Group
Housing/Credit Counselor
Realtor
Other
Do you have a HUD-certified Homebuyer Education Certificate?
*
Yes
No
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Next
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; Reside in a home with mechanical or structural deficiencies; other [please explain below]
I have a Willingness to Pay It Forward!
*If other housing need, please explain
Upload Pre-Qualification Letter
Click here
Signature
*
Clear Signature
Use your cursor to sign
Name
*
Date
*
Submit
