Homeownership Application

The Applicant is the person who will be named on the mortgage. Co-Applicant(s) information will be in a later section.

Indicate whether the Primary Applicant received monthly income for each source of income below. Enter the gross amount received BEFORE taxes or deductions. Do not count temporary income that is not expected to continue into the next three years. Fill out and upload documents only for the items that apply to you.

Please enter information from your most recent 4 paystubs. Start with the most recent and work backward.

Enter details on your most recent paystub

Enter details on your second most recent paystub

Enter details on your third most recent paystub

Enter details on your fourth most recent paystub

Enter details on your most recent paystub for your additional job

Enter details on your most second most recent paystub for your additional job

Enter details on your third most recent paystub for your additional job

Enter details on your fourth most recent paystub for your additional job

Fill in the dollar amounts for each monthly expense. For any nonapplicable expense input 0 for the amount.

Fill in the dollar amounts for each monthly debt. For any nonapplicable debt input 0 for the amount.

The Co-Applicant is a person will be named on the mortgage. SKIP co-applicant sections if you do not have co-applicants.

Indicate whether the Co-Applicant received monthly income for each source of income below. Enter the gross amount received BEFORE taxes or deductions. Do not count temporary income that is not expected to continue into the next three years. Fill out and upload documents only the items that apply to your co-applicant.

Enter details on co-applicant's most recent paystub

Enter details on co-applicant's second most recent paystub

Enter details on co-applicant's thirdmost recent paystub

Enter details on co-applicant's fourth most recent paystub

In this section only report the Co-Applicant’s separate expenses. Do NOT include any household expenses already covered in Primary Applicant's Expenses section.

In this section only report the Co-Applicant’s separate debts. Do NOT include any household debts already covered in Primary Applicant's Expenses section.

Name everyone in your household that is not a co-applicant including dependents.

I understand that by filing this application I am authorizing Habitat for Humanity Philadelphia to evaluate my actual need for a Habitat home, my ability to repay the low-interest loan and other expenses of homeownership, and my willingness to partner with Habitat for Humanity Philadelphia. I understand that the evaluation may include a credit check, criminal background check, and sex offender registry check for all persons named on this application. I have answered all the questions on this application truthfully. I understand that if I have not answered the questions truthfully, 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 if it is found that I have falsified information. Photograph/Video Release: I grant and convey in perpetuity to Habitat all right, title, and interest in any and all photographic images, printed interviews or statements, and video or audio recordings made by Habitat for Humanity Philadelphia and/or its agents, contractors, directors, employees, officers, volunteers, and other representatives, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs, printed materials or recordings.

You will receive a copy of your application to the applicant's email that was provided within 24 hours of your submission. If you chose to save and return to this application, you will receive a link to the email you provide within 24 hours to retrieve your application

As an applicant and/or program participant, you must provide written consent in order to receive official communications from Habitat for Humanity Philadelphia (“HFHP”) via electronic transmission (e-mail). This consent form will allow HFHP to send you feedback on your application status, monthly reports, reminder notices, and other important documentation by electronic transmission (email). Before signing this consent form, please review and be aware of the following: 1. You are not required to sign this form. You may request that application feedback monthly reports, program notices, and other important documentation be sent to you exclusively via regular mail. If you do sign, feedback on applications would come via e-mail and regular mail. 2. You have the right to withdraw your written consent at any time after signing this form by providing HFHP with written notice that you are withdrawing your consent to electronic transmission (e-mail). 3. Consenting to electronic transmission via e-mail requires that you have access to a computer or smart phone, have an active e-mail account, and have provided your current e-mail address to HFHP. The undersigned HFHP program participant has read and understands the foregoing, and hereby provides this written consent to receive information, including but not necessarily limited to application status, monthly program reports, reminder notices, and other important documentation, via electronic transmission (e-mail), until this consent is revoked in writing.

Please read this statement before completing the boxes below: The following information is requested by the Federal Government for loans related to the purchase of homes in order to monitor the Lender’s compliance with the equal credit opportunity and fair housing laws. You are not required to furnish this information but are encouraged to do so. The law provides that a Lender may neither discriminate on the basis of this information, nor on whether you choose to furnish it or not. However, if you choose not to furnish it, under federal regulations this lender is required to note race and sex on the basis of visual observation or surname. If you do not wish to furnish the information below, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable state law for the loan applied for.)