Habitat HomeownershipHomeownership Application FormScroll to view form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Required Documents Before Starting Your Application & Notice of Application FeeTo complete and submit this application, required documents must be uploaded during the process. Please have all required Identification, Income Verification, Tax Documents, and Banking/Financial Documents ready before starting the application. View the complete list of required documents here. After submitting this application form, you will be redirected to a secure payment page to complete the required application fee of $30 per applicant. Please note that applications will not be reviewed or processed until payment has been successfully submitted.Applicant InformationAre you applying individually or with a co-applicant?IndividualCo-applicantApplicantCo-ApplicantName *FirstMiddleLastName *FirstMiddleLastPronounsPronounsSocial Security # *Social Security # *Date of Birth *Date of Birth *Cell Number *Cell Number *Marital Status *SingleMarriedSeparatedDivorcedMarital Status *SingleMarriedSeparatedDivorcedEmail Address *Email Address *Citizen? *YesNoCitizen? *YesNoLegal Permanent Resident? *YesNoLegal Permanent Resident? *YesNoAddress *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAddress *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHow long have you lived at this address? *--- Select Choice ---2 or more yearsLess than 2 yearsHow long have you lived at this address? *--- Select Choice ---2 or more yearsLess than 2 yearsPrevious Address *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePrevious Address *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeInterpreter InformationDo you need an interpreter? *YesNoWhat language? *Demographic DisclosurePLEASE READ THIS STATEMENT BEFORE COMPLETING THE PAGE BELOW: We are requesting the following information to monitor our compliance with the Federal Equal Opportunity Act, which prohibits unlawful discrimination. You are not required to provide this information, however, your responses to these questions help Habitat for Humanity advance its mission. We will not take this information (or your decision not to provide this information) into account in connection with your application or credit transaction. The law provides that a creditor may not discriminate based on this information or based on whether you choose to provide it. If you choose not to provide this information, we may note it by visual observation or surname.ApplicantCo-ApplicantApplicant Demographic DisclosureI do not wish to provide this informationApplicant Demographic DisclosureI do not wish to provide this informationRaceAmerican Indigenous or Alaskan NativeAsianBlack/African AmericanNative Hawaiian or other Pacific IslanderWhiteRaceAmerican Indigenous or Alaskan NativeAsianBlack/African AmericanNative Hawaiian or other Pacific IslanderWhiteEthnicityHispanic or LatinoNot Hispanic or LatinoEthnicityHispanic or LatinoNot Hispanic or LatinoGender IdentityFemaleMaleNon-BinaryGender IdentityFemaleMaleNon-BinaryMarital StatusMarriedSeparatedUnmarried (single, divorced, widowed)Marital StatusMarriedSeparatedUnmarried (single, divorced, widowed)Immigrant or Non-U.S. BornYesNoImmigrant or Non-U.S. BornYesNoCountry of OriginCountry of OriginPrimary LanguagePrimary LanguageU.S. Armed Services VeteranYesNoU.S. Armed Services VeteranYesNoDisabledYesNoDisabledYesNoBirth DateBirth DateHousehold Member Information (Including Applicant/Co-Applicant)Number of Household Members *Select...12345678910Select the total number of individuals living in your household, including yourself. Once selected, you’ll be asked to provide a few details for each household member below.Name of Household MemberDate of BirthOccupationRelationship to ApplicantPlease include genderName of Household Member (2)Date of Birth (2)Occupation (2)Relationship to Applicant (2)Please include genderName of Household Member (3)Date of Birth (3)Occupation (3)Relationship to Applicant (3)Please include genderName of Household Member (4)Date of Birth (4)Occupation (4)Relationship to Applicant (4)Please include genderName of Household Member (5)Date of Birth (5)Occupation (5)Relationship to Applicant (5)Please include genderName of Household Member (6)Date of Birth (6)Occupation (6)Relationship to Applicant 6)Please include genderName of Household Member (7)Date of Birth (7)Occupation (7)Relationship to Applicant (7)Please include genderName of Household Member (8)Date of Birth (8)Occupation (8)Relationship to Applicant (8)Please include genderName of Household Member (9)Date of Birth (9)Occupation (9)Relationship to Applicant (9)Please include genderName of Household Member (10)Date of Birth (10)Occupation (10)Relationship to Applicant (10)Please include genderPresent Housing Information/Conditions/NeedsAre you currently: (please check one) *RentingRent-freeOwnNumber of bedrooms *If you rent, do you receive a monthly housing subsidy? *YesNoAmount *Other rooms in the place where you now live: (please check one) *KitchenBathroomLiving RoomDining RoomPlease describe any other room(s):In the space below, describe the condition of the house or apartment where you live. Please explain why you need a Habitat home. *Are you or anyone in your household disabled or physically challenged and need a home that can accommodate a wheelchair or other mobility device? *YesNo(Please note: This question will not influence application approval or denial.)Name, email and phone number of your current landlord: *Employment InformationApplicant *Does not applyCurrently unemployedRetiredOtherCo-Applicant *Does not applyCurrently unemployedRetiredOtherApplicant NameApplicant NameCurrent EmployerCurrent EmployerJob TitleJob TitleHire DateHire DateMonthly Salary (gross)Monthly Salary (gross)Hourly Pay RateHourly Pay RateHours Worked / WeekHours Worked / WeekLength of EmploymentLength of EmploymentNOTE: If you have been working at your job for less than two years, complete the following information.Previous EmployerPrevious EmployerDates of EmploymentDates of EmploymentPrevious TitlePrevious TitleAnnual Wages (gross)Annual Wages (gross)Do you have a second job?YesNoDo you have a second job?YesNoCurrent EmployerCurrent EmployerJob TitleJob TitleHire DateHire DateMonthly Salary (gross)Monthly Salary (gross)Hourly Pay RateHourly Pay RateHours Worked / WeekHours Worked / WeekAre you self-employed?YesNoAre you self-employed?YesNoType of business:Type of business:NOTE: If you are self-employed, you will be required to provide additional documents like Profit and Loss statements.Household Member Employment(if applicable, only for anyone over the age of 18 years old)NameNameHours Worked / WeekCurrent EmployerCurrent EmployerJob TitleJob TitleHire DateHire DateMonthly Salary (gross) Monthly Salary (gross)Hourly Pay RateHourly Pay RateHours Worked / WeekOther Monthly Income ReceivedIncome SourceMonthly Income AmountName of Recipient(s)TANFMonthly Amount TANFName of Recipient TANFAlimonyMonthly Amount AlimonyName of Recipient AlimonyChild SupportMonthly Amount Child SupportName of Recipient Child SupportSocial SecurityMonthly Amount Social SecurityName of Recipient Social SecuritySSI / SSDIMonthly Amount SSI / SSDIName of Recipient SSI / SSDIDisabilityMonthly Amount DisabilityName of Recipient DisabilityHousing VoucherMonthly Amount Housing VoucherName of Recipient Housing VoucherUnemploymentMonthly Amount UnemploymentName of Recipient UnemploymentVA CompensationMonthly Amount VA CompensationName of Recipient VA CompensationRetirement / PensionMonthly Amount Retirement / PensionName of Recipient Retirement / PensionMilitary EntitlementMonthly Amount Military EntitlementName of Recipient Military EntitlementTOTAL AMOUNT:Liabilities & Expenses - To Whom Do You Owe Money?AccountApplicant - Paid Monthly / Unpaid BalanceCo-Applicant - Paid Monthly / Unpaid BalanceAuto Loan / / Installment / / Lease / / Alimony / / Child Support / / Revolving (credit card) / / Student Loan Debt / / Medical Debt / / Monthly ExpensesAccountApplicantCo-ApplicantRentMonthly Expenses RentMonthly Expenses RentUtilitiesMonthly Expenses UtilitiesMonthly Expenses UtilitiesInsuranceMonthly Expenses InsuranceMonthly Expenses InsuranceChildcareMonthly Expenses ChildcareMonthly Expenses ChildcareCell PhoneMonthly Expenses Cell PhoneMonthly Expenses Cell PhoneTransportation (gas, bus pass, etc.)Monthly Expenses TransportationMonthly Expenses TransportationFood / Essential SuppliesMonthly Expenses FoodMonthly Expenses FoodOtherMonthly Expenses OtherMonthly Expenses OtherTOTAL AMOUNT:Banking InformationApplicantEstimated BalanceCo-ApplicantEstimated BalanceChecking AccountEstimated Balance CheckingChecking AccountEstimated Balance CheckingSavings AccountEstimated Balance SavingsSavings AccountEstimated Balance Savings401K / RetirementEstimated Balance 401K401K / RetirementEstimated Balance 401KOtherEstimated Balance OtherOtherEstimated Balance OtherWill you be able to pay the down payment?YesNoIf not, where will you get the money to make the down payment or pay for closing costs (example, savings, or gifts from a family member or others)? DeclarationsPlease select the choice that best answers the following questions for you and the co-applicant. Hire Adult Are ApplicantCo-ApplicantAre there any outstanding judgements because of a court decision against you? *YesNoAre there any outstanding judgements because of a court decision against you? *YesNoPlease explain *Please explain *Have you declared bankruptcy within the past seven (7) years? *YesNoHave you declared bankruptcy within the past seven (7) years? *YesNoIdentify/check the type(s) of bankruptcy: *Chapter 7Chapter 11Chapter 12Chapter 13Identify/check the type(s) of bankruptcy: *Chapter 7Chapter 11Chapter 12Chapter 13Have you had any property foreclosed upon in the past seven (7) years? *YesNoHave you had any property foreclosed upon in the past seven (7) years? *YesNoPlease explain *Please explain *Are you party to a lawsuit in which you potentially have any personal financial liability? *YesNoAre you party to a lawsuit in which you potentially have any personal financial liability? *YesNoPlease explain *Please explain *Have you conveyed title to any property in lieu of foreclosure or completed a pre-foreclosure sale of short sale (where the lender agreed to accept less than the outstanding mortgage balance due) within the past seven (7) years? *YesNoHave you conveyed title to any property in lieu of foreclosure or completed a pre-foreclosure sale of short sale (where the lender agreed to accept less than the outstanding mortgage balance due) within the past seven (7) years? *YesNoPlease explain *Please explain *Are you currently delinquent or in default on any federal debt of any other loan, mortgage financial obligation or loan guarantee? *YesNoAre you currently delinquent or in default on any federal debt of any other loan, mortgage financial obligation or loan guarantee? *YesNoPlease explain *Please explain *Are you a co-signer or guarantor on any loan debt that is not disclosed on this application? *YesNoAre you a co-signer or guarantor on any loan debt that is not disclosed on this application? *YesNoPlease explain *Please explain *Required DocumentsIdentificationState-issued photo identification card for all household members 18 years of age and older (Driver’s License) * Drag & Drop Files, Choose Files to Upload You can upload up to 50 files. Proof of Residency such as Birth Certificate, U.S. Passport, Permanent Resident Card (green card), etc. for both applicant and co-applicant * Drag & Drop Files, Choose Files to Upload You can upload up to 50 files. If you have an ITIN and have applied for Permanent Residency, please provide a copy of this application (I-485) Social Security card for all household members, regardless of age * Drag & Drop Files, Choose Files to Upload You can upload up to 50 files. IncomeProof of employment income for all applicants and household members over the age of 18 years of age * Drag & Drop Files, Choose Files to Upload You can upload up to 50 files. 60 days of most recent consecutive paystubsProof of additional income, if applicable: Such as social security, child support, alimony, survivor’s benefits, Section 8, disability, stipend, adoption subsidies, etc. for all household members * Drag & Drop Files, Choose Files to Upload You can upload up to 50 files. This documentation must be in the form of official government or agency-issued verification. To obtain proof of income for Social Security benefits: socialsecurity.gov or call 1-800-772-1213. To obtain proof of income for Child Support in Nebraska: childsupport.nebraska.gov or call 1-877-631-9973.Tax DocumentsTwo most recent years of Wage and Income Transcripts * Drag & Drop Files, Choose Files to Upload You can upload up to 50 files. This transcript combines all your W2s and 1099s into one document. Note: We can no longer accept W2 forms. Please retrieve your Wage and Income Transcripts at https://www.irs.gov/individuals/get-transcriptTwo most recent years of Tax Return Transcripts * Drag & Drop Files, Choose Files to Upload You can upload up to 50 files. This transcript combines the forms you have filled out and filed annually by April 15th to show the government how much money you have earned and how much tax you paid for the previous year. Note: We can no longer accept 1040 tax forms. Please retrieve your Tax Return Transcripts at https://www.irs.gov/individuals/get-transcriptBank Statements Two months of most recent bank statements issued by your bank for both checking and/or savings account(s) * Drag & Drop Files, Choose Files to Upload You can upload up to 50 files. Complete bank-issued statement with bank name and information, account holder name and information, account number, transactions, and balance401k/ Retirement statement (Quarterly or monthly statement) * Drag & Drop Files, Choose Files to Upload You can upload up to 50 files. Equal Credit Opportunity Act NoticeThe Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status or age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that monitors compliance with this law concerning this company is the Federal Trade Commission, with the offices at the Midwest Region, 55 West Monroe St., Suite 1825, Chicago, IL 6060, or Federal Trade Commission, Equal Credit Opportunity, Washington, DC 20580. You need not disclose income from alimony, child support, or separate maintenance payment if you choose not to do so. However, because we operate a Special Purpose Credit Program, we may request and require, in order to determine an applicant’s eligibility for the program and the affordable mortgage amount, information regarding the applicant’s marital status, alimony, child support and separate maintenance income, and the spouse’s financial resources. Accordingly, if you receive income from these sources and do not provide this information with your application, your application will be considered incomplete, and we will be unable to invite you to participate in the Habitat program.Applicant(s):Print namePrint nameSignature Clear SignatureSignature Clear SignatureDateDateZero Income and/or Unemployed CertificationSignature is only required if it applies to youIn connection with Habitat for Humanity of Lincoln’s Homeownership Program. I certify that I collect zero income. This income includes wages from employment, income from operation of a business, rental income, unemployment, disability, public assistance, child support, social security payments, Veteran’s benefits, and any other source not name above.I am currently unemployed and DO NOT receive unemployment benefits. I certify that the information presented above is true and accurate. I understand that providing false representations herein may constitute an act of fraud. I acknowledge the information provided being used for the specific purpose of determining whether my household is eligible for Habitat for Humanity of Lincoln’s Homeownership Program.Print namePrint nameSignature Clear SignatureSignature Clear SignatureDateDateAuthorization and ReleaseI understand that by filling out this application, I am authorizing Habitat for Humanity of Lincoln and Habitat Omaha Affordable Mortgage Services (HOAMS) to evaluate my actual need for the Habitat homeownership program, my ability to repay an affordable loan and other expenses of homeownership, and my willingness to be a partner through sweat equity. I understand that the evaluation will include a personal visit, credit checks, and employment verification. I give my permission for the release of this information from credit reporting agencies. Debt Collection Agencies (e.g: MCA, GSB, CFC, etc.) and any other pertinent company or organization to Habitat for Humanity of Lincoln and Habitat Omaha Affordable Mortgage Services (HOAMS).I have answered all the questions on this application truthfully. I understand that if I have not answered the questions truthfully, my application will be denied, and that even if I have already been selected to receive a Habitat home, I may be disqualified from the program. The original or a copy of this application will be retained by Habitat for Humanity of Lincoln even if the application is not approved.If this application is created as a (or converted into) and “electronic application”, I consent to the use of “electronic records” and “electronic signatures” as the terms are defined in and governed by applicable federal and/or state electronic transaction laws. I intend to sign and have signed this application either using my (a) electronic signature or (b) a written signature and agree that if a paper version of this application is converted into an electronic application, the application will be an electronic record and the representation of my written signature on this application will be my binding electronic signature.I also understand that Habitat for Humanity of Lincoln screens all Applicants on the sex offender registry and completes a criminal background check. By completing this application, I am authorizing the criminal background check and sex offender registry check.Applicant(s):Print namePrint nameSignature Clear SignatureSignature Clear SignatureDateDateRight to Receive Copy of AppraisalThis is to notify you that if you qualify for the homeownership program and complete the program requirements, we may order an appraisal to determine the value of a home that you may be eligible to purchase, and we may charge you for this appraisal. Upon completion of the appraisal, we will promptly provide a copy to you, even if the loan does not close.Applicant’s name and initials (Please print)Co-applicant’s name and initials (Please print):Referral InformationHave you applied for Habitat for Humanity of Lincoln’s Homeownership Program in the past?YesNoWhen was the application submitted? (Please provide the year)How did you hear about Habitat Lincoln’s Homeownership Program? (Please check all that apply)FamilyFriendsHabitat websiteHabitat newsletter/emailSocial mediaOther non-profit organization/programPlace of worshipSchoolOtherPlease provide the name of other non-profit organization/programPlease describeAdditional InformationThis space is available for additional information if needed or you may attach an additional piece of paper. Please mark your additional comments with an “A” for applicant or “C” for co-applicant and note the section number(s) for which you are providing the information. Thank you.Additional CommentsMarriage Status and How It Affects the Purchase of a HouseMarriedIf you are married, each spouse has an interest (ownership) in the property and is required to sign mortgage documents. If you decide to sell the home, both spouses will need to sign sale documents. If you are married and plan on purchasing a house without your spouse, the above is still true (even if the spouse does not plan on living in the home or paying any portion of the mortgage).SeparatedIf you are separated--including legal separation-- you are still considered married as it relates to property law. This means that your spouse will have an interest (ownership) in any property you purchase and will be required to sign mortgage and sale documents. If you are separated and plan on getting a divorce- Habitat for Humanity of Lincoln strongly recommends you move through these proceedings before applying to our program.DivorcedIf you are legally divorced, you must wait 30 days after the decree before signing any mortgage documents. After the 30-day period, you are seen as single in the eyes of the law and may purchase a home on your own. If you are in the process of divorce, but it has not been finalized, any closing documents will also require your spouse’s signature. If you are planning on getting a divorce, Habitat Lincoln strongly recommends you move through these proceedings before applying to our program.Purchasing a Home with Your Adult ChildIf you are considering purchasing a home with one of your adult children as a co-applicant, please remember this is a 30-year loan. If this child decides to leave the house you purchased together before the loan is paid in full, they will remain on the loan. If they attempt to purchase a home on their own, they may not be able to get additional financing to do so.All information you include in this application will be maintained in accordance with our privacy policyElectronic Communications Consent (E-SIGN Disclosure)Lincoln/Lancaster County Habitat for Humanity uses electronic communications to provide disclosures, notices, updates, and account information. Please review our E-SIGN Disclosure and Agreement before continuing.E-SIGN Disclosure Opt-InI have read and agree to the E-SIGN Disclosure and Agreement and consent to receive electronic communications.Print namePrint nameSignature Clear SignatureSignature Clear SignatureDateDateApplication FeeAfter submitting this application form, you will be redirected to a secure payment page to complete the required application fee of $30 per applicant. Please note that applications will not be reviewed or processed until payment has been successfully submitted.Submit