Atlanta Land Trust Program Application

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Household Information: Birth Dates, Employment, and Education / School Information
Economic Profile: Household Income, Assets, and Debts
Current Living Situation: Rent and Utility Costs

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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, a member of the Stewardship Team will respond within 7 days to discuss your eligibility and next steps.

ATTENTION: You must attend a Community Information Session before you complete a Program Application. To see dates and register for an upcoming session, visit https://atlantalandtrust.org/events/category/events/.

Have you already attended a community information session for ALT?

Date Attended Community Information Session:

Please register for the next Atlanta Land Trust Community Information Session by visiting https://atlantalandtrust.org/events/category/events/.

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Atlanta Land Trust Affordable Housing App Step 1/5

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 Atlanta Land Trust. 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

First Name

Middle Initial

Last Name

Contact Information

Email Address

Mobile Phone

Preferred Phone

Home Phone

Work Phone

Are you currently a resident of the Villages of East Lake?

YesNo

Please enter your Villages of East Lake address if you have one for the physical address below.

Physical Address

Street

City

State

Zip Code

Date moved to this address:

Is there a different mailing address?

YesNo

Mailing Address

Street

City

State

Zip Code

Primary Applicant Profile

Date of Birth

Primary Language

Marital Status

Gender

Race

Ethnicity

Educational Attainment

Employment Status

Military Status

Branch of Service

Do you have a special need or require an accommodation?

YesNo

Please describe the special need(s) and/or accommodations that you require. For example, "one-level only" or "at least one ADA-accessible bathroom required."

Co-Applicant

Is there a Co-Applicant?

YesNo

First Name

Middle Initial

Last Name

Contact Information

Phone

Date of Birth

Co-Applicant Profile

Marital Status

Gender

Race

Ethnicity

Educational Attainment

Employment Status

Applicant is my

Military Status

Branch of Service

Does this person have a special need or require an accommodation?

YesNo

Please describe the special need(s) and/or accommodations required for this person. For example, "one-level only" or "at least one ADA-accessible bathroom required."

Atlanta Land Trust 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.

Does your household have additional household members?

YesNo

Additional Household Member #1

First Name

Last Name

Date of Birth

Gender

Race

Ethnicity

Does this person have a special need or require an accommodation?

YesNo

Please describe the special need(s) and/or accommodations required for this person. For example, "one-level only" or "at least one ADA-accessible bathroom required."

Is this Household member a dependent of the Applicant and/or Co-Applicant?

YesNo

Does this person live in the house more than 50% of the time?

YesNo

Educational Attainment

Employment Status

Applicant is my

Does your household have additional household members?

YesNo

Additional Household Member #2

First Name

Last Name

Date of Birth

Gender

Race

Ethnicity

Does this person have a special need or require an accommodation?

YesNo

Please describe the special need(s) and/or accommodations required for this person. For example, "one-level only" or "at least one ADA-accessible bathroom required."

Is this Household member a dependent of the Applicant and/or Co-Applicant?

Yes

Does this person live in the house more than 50% of the time?

YesNo

Educational Attainment

Employment Status

Applicant is my

Does your household have additional household members?

YesNo

Additional Household Member #3

First Name

Last Name

Date of Birth

Gender

Race

Ethnicity

Does this person have a special need or require an accommodation?

YesNo

Please describe the special need(s) and/or accommodations required for this person. For example, "one-level only" or "at least one ADA-accessible bathroom required."

Is this Household member a dependent of the Applicant and/or Co-Applicant?

YesNo

Does this person live in the house more than 50% of the time?

YesNo

Educational Attainment

Employment Status

Applicant is my

Does your household have additional household members?

YesNo

Additional Household Member #4

First Name

Last Name

Date of Birth

Gender

Race

Ethnicity

Does this person have a special need or require an accommodation?

YesNo

Please describe the special need(s) and/or accommodations required for this person. For example, "one-level only" or "at least one ADA-accessible bathroom required."

Is this Household member a dependent of the Applicant and/or Co-Applicant?

YesNo

Does this person live in the house more than 50% of the time?

YesNo

Educational Attainment

Employment Status

Applicant is my

Does your household have additional household members?

YesNo

Additional Household Member #5

First Name

Last Name

Date of Birth

Gender

Race

Ethnicity

Does this person have a special need or require an accommodation?

YesNo

Please describe the special need(s) and/or accommodations required for this person. For example, "one-level only" or "at least one ADA-accessible bathroom required."

Is this Household member a dependent of the Applicant and/or Co-Applicant?

YesNo

Does this person live in the house more than 50% of the time?

YesNo

Educational Attainment

Employment Status

*If you still have additional household members please notify the organization in your next meeting.

Applicant is my

Atlanta Land Trust 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 Atlanta Land Trust.

Assets

Please list the current the value of all household Assets. Enter numbers without dollar signs. Use the link below to create additional Assets.

Asset Type

Balance

Account Owner

Financial Institution

Available for closing costs?

YesNo

Debts

Does your household carry any debt?

YesNo

Please list estimated amounts of debt held by the applicant or the co-applicant (if applicable). Enter numbers without dollar signs. Use the link below to create additional Debts.

Debt Type

Estimated Balance

Montly Payment

Debt Owner

Creditor

Applicant Employment / Income Source Information

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

Income Type

Gross Annual Income

Date of Hire

Occupation

Occupation Description

Employer Name

Employer Phone

Employer Address (Street, City, State, Postal Code)

Does the Applicant have another Income Source?

YesNo

Additional Applicant Employment / Income #2

Income Type

Gross Annual Income

Date of Hire

Occupation

Occupation Description

Employer Name

Employer Phone

Employer Address (Street, City, State, Postal Code)

Does the Applicant have another Income Source?

YesNo

Additional Applicant Employment / Income #3

Income Type

Gross Annual Income

Date of Hire

Occupation

Occupation Description

Employer Name

Employer Phone

Employer Address (Street, City, State, Postal Code)

Co-Applicant Income Source / Employment Information

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.

Does the Co-Applicant have an Income Source?

YesNo

Co-Applicant Employment / Income

Income Type

Gross Annual Income

Date of Hire

Occupation

Occupation Description

Employer Name

Employer Phone

Employer Address (Street, City, State, Postal Code)

Does the Co-Applicant have another Income Source?

YesNo

Additional Co-Applicant Employment / Income #2

Income Type

Gross Annual Income

Date of Hire

Occupation

Occupation Description

Employer Name

Employer Phone

Employer Address (Street, City, State, Postal Code)

Does the Co-Applicant have another Income Source?

YesNo

Additional Co-Applicant Employment / Income #3

Income Type

Gross Annual Income

Date of Hire

Occupation

Occupation Description

Employer Name

Employer Phone

Employer Address (Street, City, State, Postal Code)

Other Household Member Income Source / Employment Information

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.

Do any of the Other Household Members have an Income Source?

YesNo

Other Household Member Employment / Income

Income Type

Gross Annual Income

Date of Hire

Occupation

Occupation Description

Employer Name

Employer Phone

Employer Address (Street, City, State, Postal Code)

Do any of the Other Household Members have an additional Income Source?

YesNo

Other Household Member Employment / Income #2

Income Type

Gross Annual Income

Date of Hire

Occupation

Occupation Description

Employer Name

Employer Phone

Employer Address (Street, City, State, Postal Code)

Do any of the Other Household Members have an additional Income Source?

YesNo

Other Household Member Employment / Income #3

Income Type

Gross Annual Income

Date of Hire

Occupation

Occupation Description

Employer Name

Employer Phone

Employer Address (Street, City, State, Postal Code)

Income Verification Documentation

In order to determine your income level and program eligibility, ALT must review your income documentation. Please upload the requested documents below.

Are you self-employed?

YesNo

Income Verification Documentation

Upload 2 years of most recent tax returns

Do you have any pay stubs to upload?

YesNo

3 months of most recent pay stubs (NOT 3 pay stubs)

Do you have any statements from PayPal, Cash App, Venmo, or Apple Pay to upload?

YesNo

3 months of most recent PayPal, Cash App, Venmo or Apple Pay statements

Do you have any bank statements to upload?

YesNo

3 months of most recent bank statements

Do you have any W2s or 1099s (if self-employed) to upload?

YesNo

2 years of most recent W2's or 1099's

Do you have any documentation for additional sources of income (child support, SSI, disability, retirement statements, etc.) to upload?

YesNo

Additional sources of income (child support, SSI, disability, retirement statements, etc.)

Financial History

Credit Score (if known)

Atlanta Land Trust 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!

What best describes your current living situation?

How many bedrooms are in your current home?

Current Monthly Rent

Please enter the number without a dollar sign.

Monthly Utilities (gas, water, electricity, etc)

Please enter the number without a dollar sign.

Is the applicant or co-applicant's rent subsidized?

YesNo

Rental Subsidy Type

Section 8Public housingVAOther

How much do you receive?

What is the type of rental subsidy that you receive?

Atlanta Land Trust 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.

Will you be a first-time homebuyer?

YesNo

What is your primary reason for wanting to purchase a home?

Which of the following are barriers to buying a home? If none, choose "None."

Insufficient savings for downpaymentInsufficient income Insufficient work historyResidencyOver incomeToo many assetsPoor credit historyDebtLack of referencesPending divorcePetsOwn existing homeNoneTo select multiple answers, hold the CTRL key (PC) or Command key (Mac) as you click.

When do you expect to be financially ready to purchase a home?

How much do you currently have saved specifically for buying a home (down payment, closing costs, etc)?

Please enter the number without a dollar sign.

In which neighborhood(s) are you interested in purchasing?

English AvenueGrove ParkMosley ParkOakland CityPittsburghReynolds TownVine CityWashington ParkOther

What is most important to you about the neighborhood in which you purchase a home? Please choose your top 3.

SchoolsSafety/crimeProximity to work/schoolProximity to amenitiesProximity to family/friendsStrong housing marketPart of the shared equity program

Are you interested in a single family residence (SSR)?

Are you interested in a townhome?

In which townhome community or communities are you interested in purchasing?

THE AVENUE AT OAKLAND CITY (1091 TUCKER AVE. SW)THE TRUST AT EAST LAKE ( 697 FAYETTEVILLE RD SE)THE TRUST AT OAKLAND CITY (1024 DONNELLY AVE. SW)

How many bedrooms would you like in your new home?

How did you hear about the Atlanta Land Trust?

What was the social media platform?

Provide the name of the person/organization or describe how you heard about us further.

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 the supporting documents that we require, we will process your full application within ten business days. We will email an AMI notification when we are finished.

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

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