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VARONA VILLAGE COMMUNITY REDEVELOPMENT COMMITTEE QUALIFICATION QUESTIONAIRE DETERMINES YOUR PLACE IN SELECTION PECKING ORDER.
REVISED: MAR 5th, 2025

DISCLOSURE: The Varona Village(VV) Program may be changed, modified, amended, or cancelled at any time without notice at the sole discretion of the Developer, Savio/Hawaii Habitat Varona Village LLC. By submitting this form, you acknowledge and agree to receive updates regarding our projects.
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First Name *
Last Name *
Registration Date *
MM
/
DD
/
YYYY
Address (# APT, Street) *
City *
State *
Zip *
Home phone number (Enter only numbers. If you don't have, please enter 0.) *
Work phone number (Enter only numbers. If you don't have, please enter 0.) *
Cell phone number (Enter only numbers. If you don't have, please enter 0.) *
Primary Email *
Secondary Email (If you have)
Do you presently own your own home? *
Have you owned a home within the last 3 years? *
Are you applying thru a Tenant of Record (TOR)? *
Name of TOR *
What Company did the TOR work for? *
No. of Years? (about the previous question) *
What Village did the TOR reside in? *
No. of Years? (about the previous question) *
Is the TOR and/or Spouse alive? *
If surviving, present address of TOR/Spouse
If deceased, what year?
What is your relationship to the TOR? *
If Other, did you live with the TOR?
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If yes, how long and in what capacity?
Did you live with the TOR in one of the Village? *
If Yes, what is the name of Village?
Was the family evicted from a village? *
If Yes, please provide reason for the eviction
Do you understand that purchasing this home must be your Primary residence? *
Do you understand this home cannot be sold for 10 years from purchase date? *
Do you understand that a Community Center will be built as part of this development and maintenance fees (TBD) for the upkeep of the center will be added to your monthly costs which will be separate from your mortgage and Real Property Taxes? *
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