Application Section 8 Home Choice

Name

First

Last

Date Of Birth

SS#

Phone

Email

Current Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Years at current address

APPLICANT INFORMATION

Borrowers Name

First

Last

Household Composition-List the Name, Age and Gender of each person in your household

Income Source or Sources

Monthly Income Other Income: Show Total Income

Employment & Income- Occupation

Employer Name

Phone

Length of Employment

Monthly Gross Income

Housing Voucher Details

PHA NAME

Voucher Number

Date of Voucher Issuance

Is this your first home purchase?

Have you completed HUD – approved housing counseling?

Yes or No

Counselor Name/Agency

Date Completed

Date

Time

Loan Request

Desired Loan Amount: $

Estimated Home Price: $

Down Payment Available: $

Are you seeking down payment assistance:

Yes or No

Preferred Lender (If any):

Name

First

Last

Phone

Email

DECLARATIONS

I certify that all information provided is true and complete and true and correct to the best of my knowledge. I authorize verification of all information provided.

Signature Line

Down household Desired

Date / Time

Date

Time

Information for Banks and Authorities

Resident Forms
Bank/Lender Forms
Housing Authority Forms

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Loan Request

Preferred Lender (If any):

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