Habitat for Humanity Pre-Qualification Form
Please fill out the form below completely if you would like to apply for a Habitat Home and mail to Stephens County Habitat for Humanity Inc Att: Sandra Waters. P.O. Box 1771 Toccoa, GA 30577.
Applicant's Name *
Your answer
Date of Birth *
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DD
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YYYY
Street Address *
Your answer
City *
Your answer
Phone Number *
Your answer
Number in Household *
Your answer
Estimated Household Monthly Income *
Your answer
Social Security Number *
Your answer
Authorization to Obtain Credit Report
The undersigned potential homeowner(s) do hereby authorize Stephens County Habitat for Humanity to obtain a credit report and possible background report to be used by Stephens County Habitat for Humanity in the homeowner application process. I understand that said reports shall be kept confidential and shall be used only by Stephens County Habitat for Humanity.
Applicant's Signature *
Your answer
Co-Applicant signature
Your answer
Today's Date *
Your answer
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