Homeownership Program Intake Form (THIS IS NOT AN APPLICATION)

Household Information

IMPORTANT: If you list more than one adult in your household (who is not a dependent), then you must also list that person as your co-applicant.


Applicant
Example: 02/2010


Co-Applicant


Dependents of the Household
Dependents and others who would be living in the Habitat house with applicant(s):

ex:1 or 2




ex. son, daughter


ex. 0 or 4
Equal Housing Opportunity Logo
Owning or have owned real estate in the last three years disqualifies you from the program.
For any questions or concerns, please email info@tetonhabitat.org.

Household Income Information

Please provide your income information, along with the co-applicant's income information if applicable.
Income Information

accepted range 0 to 80 hours
Equal Housing Opportunity Logo
Owning a home, having a mortgage and/or owning any property disqualifies you from the program.
For any questions or concerns, please email info@tetonhabitat.org.

Contact Information