Homeownership Screening / Pre-eligibility Form

Interested in purchasing an affordable home in Leavenworth? You've come to the right place.

This screening will help you determine whether you are eligible to purchase an Upper Valley MEND home.

This form asks for personal information about your financial situation. Your answers will be stored in our secure server and deleted if you don't move forward to purchase a home.

If you have questions while completing this screening, you can learn more about MEND's housing program at uvmend.org/housing, or reach out to us at (509) 548-0408 or Kathia@uvmend.org.

Primary Applicant Contact Information

First Name

Last Name

Email

Phone

If other, please explain:

Have you worked or lived in the Upper Valley for at least one year of your life?
The Upper Valley is defined as the same boundaries as the Cascade School District: Leavenworth, Peshastin, Dryden, Plain, Lake Wenatchee, Blewett Pass, and Stevens Pass.

YesNo

Will this be the only home or property you own?

YesNo, I will retain another home after purchasing this home, or I plan to purchase a second home.

What is your combined annual income (1 person household)?

Include all the income your household makes in a year. You can check last year's tax returns if you aren't sure. If you're adding it up on your own, be sure to include regular employment income, tips, commission, self employment income, child or spousal support, disability income or unemployment. If you are retired, make sure to include retirement income like Social Security, pension or retirement account distributions.

What is your combined annual income (2 person household)?
Include all the income your household makes in a year. You can check last year's tax returns if you aren't sure. If you're adding it up on your own, be sure to include regular employment income, tips, commission, self employment income, child or spousal support, disability income or unemployment. If you are retired, make sure to include retirement income like Social Security, pension or retirement account distributions.

What is your combined annual income (3 person household)?
Include all the income your household makes in a year. You can check last year's tax returns if you aren't sure. If you're adding it up on your own, be sure to include regular employment income, tips, commission, self employment income, child or spousal support, disability income or unemployment. If you are retired, make sure to include retirement income like Social Security, pension or retirement account distributions.

What is your combined annual income (4 person household)?
Include all the income your household makes in a year. You can check last year's tax returns if you aren't sure. If you're adding it up on your own, be sure to include regular employment income, tips, commission, self employment income, child or spousal support, disability income or unemployment. If you are retired, make sure to include retirement income like Social Security, pension or retirement account distributions.

What is your combined annual income (5 person household)?
Include all the income your household makes in a year. You can check last year's tax returns if you aren't sure. If you're adding it up on your own, be sure to include regular employment income, tips, commission, self employment income, child or spousal support, disability income or unemployment. If you are retired, make sure to include retirement income like Social Security, pension or retirement account distributions.

What is your combined annual income (6 person household)?
Include all the income your household makes in a year. You can check last year's tax returns if you aren't sure. If you're adding it up on your own, be sure to include regular employment income, tips, commission, self employment income, child or spousal support, disability income or unemployment. If you are retired, make sure to include retirement income like Social Security, pension or retirement account distributions.

What is your combined annual income (7 person household)?
Include all the income your household makes in a year. You can check last year's tax returns if you aren't sure. If you're adding it up on your own, be sure to include regular employment income, tips, commission, self employment income, child or spousal support, disability income or unemployment. If you are retired, make sure to include retirement income like Social Security, pension or retirement account distributions.

What is your combined annual income (8+ person household)?
Include all the income your household makes in a year. You can check last year's tax returns if you aren't sure. If you're adding it up on your own, be sure to include regular employment income, tips, commission, self employment income, child or spousal support, disability income or unemployment. If you are retired, make sure to include retirement income like Social Security, pension or retirement account distributions.

Total Income

What is your credit score?

Below 600600 or aboveI don't know.

Let's figure out your total monthly debt payments (what you owe).

Do you have debt? This would include things like student loans, a car payment, credit card debt, etc.

YesNo

Debt Details

Please enter all of your monthly debt payments individually below.
Make sure to include all debt, whether you are actively making payments towards it or not.

To add more debt payments, click "add another response."

Name of Debt Account

Ex: "Car Loan" or "Paying off credit cards"

Monthly Payment Amount

Ex: 350 (Include only numbers)

Total Monthly Debt Payments

Debt as % of Monthly Income

Have you entered all of your debt payments?
If No, please add more by clicking "Add another response" in the lower right corner of the Debt Details box above.

YesNo

Thank you for taking the Pre-eligibility Screening for MEND's Homeownership Program.

Please click the Submit button below to view your eligibility status and to learn more about the next steps.

Questions or Comments (Optional)

Eligibility (Hidden)

Saving original logic formula here and deleting the formula field to stop error message: IF(OR(UpperValleyResident="No",SecondHome="No",HouseholdSize="9",DebtAsPercent>=10,CreditScore="Low",CreditScore="Donotknow",TotalPersonalAssets>150000,RetirementAccount>300000,AND(HouseholdSize="1",OR(TotalIncome<34700,TotalIncome>83280)),AND(HouseholdSize="2",OR(TotalIncome<39650,TotalIncome>95160)),AND(HouseholdSize="3",OR(TotalIncome<44600,TotalIncome>107040)),AND(HouseholdSize="4",OR(TotalIncome<49550,TotalIncome>118920)),AND(HouseholdSize="5",OR(TotalIncome<53550,TotalIncome>128520)),AND(HouseholdSize="6",OR(TotalIncome<57500,TotalIncome>138000)),AND(HouseholdSize="7",OR(TotalIncome<61450,TotalIncome>147480)),AND(HouseholdSize="8",OR(TotalIncome<65450,TotalIncome>157080))),"NotEligible","Eligible")

Valley Resident

Second Home

Credit Score

Personal Assets

Retirement Assets

Income

Debt

Household Size