1PRE-QUALIFYING HOMEOWNER APPLICATION FORM
(PLEASE PRINT Partially Completed Applications Will Not Be Considered )
1MCHH complies with all Federal and State Laws, the Fair Housing Act and Equal Credit Opportunity Act. It is unlawful to discriminate against any person in the sale or financing of housing on the basis of race, color, religion, sex, handicaps, family status or origin
Applicant #1: Name_____________________________________ Date of Birth ______/_____/_______
Applicant #2: Name_____________________________________ Date of Birth _____/_____/________
Address:_______________________________________City__________________ Zip______________
Phone Numbers:
Applicant #1: Home_____________________ Work ____________________Other_______________
Applicant #2: Home_____________________ Work ____________________Other_______________
Length of residency in Taney or Stone County: Years______________ Months_______________
Marital Status: [] Married [] Separated [] Single (Included widowed or divorced)
How many people will be living FULL TIME in the house? Adults (over 18)_____ Children ______
Current Housing Status:
[] Sub-standard conditions. Explain:_______________________________________________________
[] Over-crowded conditions.Explain:_______________________________________________________
[] Renting and would like to own.
Current Employer:
Applicant #1____________________________________ Phone _______________How Long _______
Applicant #2 ____________________________________ Phone _______________How long ________
Name, address and phone of current Landlord:_____________________________________________
_____________________________________________________________________________________
Monthly Rent: ____________________ How Long: Years _______________ Months______________
Monthly take home income: (If hours vary, add last two paychecks and divide by two)
Applicant #1_________________________ Applicant #2 _______________________
Approximate total monthly household bills: (Include: credit card payments, car payments, child care, food, utilities, medical/insurance, cable, phone, etc. Do Not include rent.) $__________________________
TURN PAGE OVER AND FILL OUT INFORMATION ON REVERSE
Return this form and a copy of all applicants’ most recent W-2 forms or copy of most recent tax return to:
Mountain Country Homes of Hope
P.O. Box 6549 * Branson, MO 65615 * 417-335-2015