Long Island Housing Partnership
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Prepare

Household Information: Birth dates, Employment and Education / School info

Economic Profile: Household income, Assets, and Debts
Current Living Situation: Rent and Utility costs

Save

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Submit

All required fields must be filled. Any left blank will be highlighted in red when you attempt to submit. Once your application is submitted, your service coordinator will respond within 7 days to discuss your eligibility and next steps.

    
1 Applicant Information
2 Household Information
3 Economic Profile
4 Current Living Situation
5 Homeownership Goals
Provide details for the Primary Applicant below. The Primary Applicant will be the main contact for Long Island Housing Partnership, Inc. It is not required that the Primary Applicant be the most significant contributor to the family income. If there is a Co-Applicant, another household member that will be a co-borrower or co-owner, please include their details also.

Primary Applicant




 












 











Co-Applicant





 




 









HomeKeeper Affordable Housing App Step 2/5
1 Applicant Information
2 Household Information
3 Economic Profile
4 Current Living Situation
5 Homeownership Goals
Please provide information on any other members of your household, such as children, grandparents, or other adults in the household who are full time or part time residents. This information helps calculate your household size. Demographic information is not a criteria in the approval process but provides a clearer picture on the types of families who might benefit from affordable housing opportunities.

Additional Household Member #1













Additional Household Member #2













Additional Household Member #3














Additional Household Member #4














Additional Household Member #5













*If you still have additional household members please notify the LIHP in your next meeting.
HomeKeeper Affordable Housing App Step 3/5
1 Applicant Information
2 Household Information
3 Economic Profile
4 Current Living Situation
5 Homeownership Goals
The information you provide on this page goes into determining your eligibility with the financial requirements of the [ISLIP IX / BRENTWOOD WORKFORCE HOUSING PROGRAM ].
 

Please list the current the value of all household Assets. Please enter numbers without dollar signs.
























 
 

Supply each income source the Applicant receives. Sources of income include earned income from employment as well as benefits, social security and child support.
Applicant Primary Income Source






Additional Applicant Employment / Income #2 






Additional Applicant Employment / Income #3 





 

Supply each income source the Co-Applicant receives. Sources of income include earned income from employment as well as benefits, social security and child support.

Co-Applicant Employment / Income 






Additional Co-Applicant Employment / Income #2 






Additional Co-Applicant Employment / Income #3 





 

Supply each income source other household members receive. Sources of income include earned income from employment as well as benefits, social security, disability and child support.

Other Household Member Employment / Income 






Other Household Member Employment / Income #2 






Other Household Member Employment / Income #3 





HomeKeeper Affordable Housing App Step 4/5
1 Applicant Information
2 Household Information
3 Economic Profile
4 Current Living Situation
5 Homeownership Goals
Outline information about your current housing and expenses on this page. Just one more page to go!



Please enter the number without a dollar sign.

Please enter the number without a dollar sign.

HomeKeeper Affordable Housing App Step 5/5
1 Applicant Information
2 Household Information
3 Economic Profile
4 Current Living Situation
5 Homeownership Goals
Please provide information about your desired living situation. This information will allow us to help you find the right home for you and your family.





To select multiple answers, hold the CTRL key (PC) or Command key (Mac) as you click.


Please enter the number without a dollar sign.



Please enter numeric dollar amount here..
Please provide a letter from an immediate family member (Parents, Siblings, Grandparents) stating that the money provided is in the form of a gift and will not have to be returned.



 

Confirmation of Terms

  • I have read and understand the Islip IX/Brentwood Workforce Housing Program Guidelines.
  • I understand I am required to supply/submit additional documentation to complete and substantiate my eligibility.
  • I acknowledge that Section 1011 of Title 18 of the U.S. Code makes it a criminal offense to make willful false statements or misrepresentations to any department or agency as to any manner within its jurisdiction.
  • All questions that were answered on this entire application will be verified through the appropriate third-party sources.  It will be your responsibility to provide all the necessary information to properly process your application and verify your eligibility.  This will include names, addresses, phone and fax numbers, account numbers (where applicable), and any other information required to expedite this process.
 
Payment Information


$100 required Application Fee













That’s it!

When you click submit below it may take a few moments. Please only hit the Submit button once. We’ll double check to make sure you have submitted all the necessary fields. If you've missed anything you may need to use the Previous Page and Next Page buttons to navigate back to the field missing info. When you've filled out any of the missing pieces, submit again.

Once we receive your application, we’ll send you a follow up email requesting supporting documentation for your income and asset information within two business days. Once we receive the supporting documents that we require, we will process your full application within ten business day. We will send you an eligibility letter when we are finished.

Talk to you soon and thank you for taking the time to complete our application.

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