Habitat Wake Homeownership Application

Primary Applicant Information
Please format your date of birth numerically as MM-DD-YYYY.
Co-Applicant Information
Please format your date of birth numerically as MM-DD-YYYY.
Additional Household Member Income
Please provide income information for any additional household members over the age of 18 who are NOT full-time students.

Note: this income will be used to determine if you qualify for our program.
Declarations and Consent 
Equal Housing Opportunity symbol
The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, gender, 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 administers compliance with this law concerning this creditor is the Federal Trade Commission, Washington, DC 20580.