Yellow Springs Home, Inc. Home Buyer Application
Thank you for your interest in Yellow Springs Home, Inc.’s Home Ownership Program*! Please complete the application below; generally, it takes about 15-20 minutes to complete.

Please complete the application to the best of your ability; the information will help Home, Inc. provide you with high-level home buyer coaching as you work toward mortgage-readiness.

If you have not already done so, please view the Homebuyer Kick-off Video on our website: https://www.yshome.org/homebuyer.html

Upon submission Home, Inc.’s program manager will contact you about what services you may be eligible for as well as to schedule an intake meeting to determine your path forward through our program.

* Program restrictions apply. Please note that client information is kept strictly confidential and that any reporting will not disclose any personally identification information. By completing the application to the best of your ability, Home, Inc. will best be able to serve your individual needs.

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Last Name *
First Name *
Date of Birth *
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Phone Number *
Email Address *
Address *
City *
County *
State *
Zip Code *
Demographic Information *
Yellow Springs Home, Inc. invites applicants to voluntarily self-identify their gender, ethnicity, sexual orientation, race, veteran status, or disability. Submission information will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders, and regulations. When reported, data will not identify any specific individual. Yellow Springs Home, Inc. strongly encourages applicants to participate in this voluntary survey to assist us in meeting our Affirmative Fair Housing goals and compliance obligations. Please check the box below to indicate you understand.
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Required
Race
Ethnicity
Clear selection
Veteran Status
Do you self-identify as a member of the LGBTQ community?
Clear selection
Please indicate whether you are a person with a disability.
Gender
Household Size *
Primary Applicant Employment Status *
Marital Status *
Household Type *
Are you a current homeowner or have you owned a home in the last 3 years?
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Occupation *
Occupation Description *
Household Size Change Expected?
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How many times have you been late with your bill payments in the last year?
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What is your current living situation?
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What are your monthly housing costs (excluding utilities)? *
What are your monthly utility costs? *
If you have a lease on your current housing, when does it expire?
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If you have owned a home, what was the date you last sold a home?
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What are your accessibility needs?
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What are your housing and financial goals?
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Primary Applicant: Monthly Gross (Pre-Tax) Income
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Primary Applicant: Assets (bank and savings accounts, stock, bonds, etc.)
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Primary Applicant: Monthly Debt Payments (auto, student loan, credit cards payments, child support, etc.)
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Primary Applicant: Debts (Overall)
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If you know your credit score (a range is okay) please list it below *
How much of your household's savings have you set aside for buying a home?
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How did you hear about Yellow Springs Home, Inc?
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Do you have a co-applicant? (A co-applicant is any adult who will reside in the home and who will be on the mortgage note with the primary applicant.)
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Co-applicant's Last Name
Co-applicant's First Name *
Co-applicant's date of birth
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Co-applicant's email address
Co-applicant's race
Co-applicant's ethnicity
Co-applicant's veteran status
Does the co-applicant self-identify as a member of the LGBT+ community?
Co-applicant's gender
Co-applicant's employment status
Co-Applicant: Monthly Gross (Pre-Tax) Income
Co-Applicant: Assets
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Co-Applicant: Debts (Monthly)
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Co-Applicant: Debts (Overall)
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If known, please list the co-applicant's credit score (a range is okay) below *
Please check which of the following opportunities you may be interested in (select all that apply):
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Required
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