Homeowner Pre-app

This is a pre-screening questionnaire, not a final application for homeownership. This form is to help determine if the Habitat for Humanity program might be right for your household. It is one step in the process of applying for a home.

Equal Housing Opportunity: We are pledged to the letter and spirit of U.S. policy for the achievement of equal housing opportunity throughout the nation. We encourage and support an affirmative advertising and marketing program in which there are no barriers to obtaining housing because of race, color, religion, sex, handicap, familial status or national origin.

Do you either live or work in Lake or Sumter County?

* Required

Name and address of current employer (Or state: retired, disabled, etc.)

* Required

First Name

* Required

Middle Name

Last Name

* Required

Date of Birth

* Required

Address

* Required

Apt / Unit

City

* Required

State

* Required

Zip

* Required

Primary Phone

* Required

Alternate Phone Number

Home Ownership - How did you hear about our program?

* Required

Account Information
Your email address will serve as your username when logging in going forward.

* Required

Number of Adults in Household:

* Required

Number of Children in Household:

* Required

Total annual Income of all adults living in the home:

* Required

What is your current estimated credit score as of today?*

* Required

*If you do not know your credit score please visit Experian.com to retrieve your free score prior to proceeding.

Marital Status:

* Required

If you selected Married above, please enter the following:

Spouse Name:

Spouse Credit Score:

Spouse Date of Birth:

If you selected Separated or Divorced above, please enter the following:

Is the Divorce Final?

How many members of your household are...

Veteran?

* Required

Active Military?

* Required

Disabled?

* Required

Elderly (Over 62)?

* Required

First Responder?

* Required

Are you a First Time Homebuyer?

* Required

This program requires a partnership with Habitat for Humanity, including but not limited to 200 hours of volunteering, homebuyer and financial education courses, and the willingness to apply for a mortgage. Based on this...

Are You Willing to Partner?

* Required

Do you own property that you would like us to build on?

* Required

How did you hear about Habitat for Humanity's Program?

* Required

Which city or specific home are you interested in?

* Required

Anything else we should know?

* Required

Pre-screener date

Please leave this checkbox blank

Home Ownership Program: Pre-Qualification Questionnaire