Homeownership Inquiry Form

The information on this form will be used to identify your interest in Habitat’s Homeownership Program, as well as to help Habitat identify the need for housing in Bucks County. All personal information such as name, address and phone number will be kept confidential unless otherwise requested.

Please Note: Information regarding a person’s age, gender, race and familial status is being collected for federal monitoring purposes. Providing this information is optional.

Prospective Applicant Information

Prospective Co-Applicant Information

Please list the age, gender, race and the relationship to the applicant of each person who will be living with you if you are accepted into the program (do not list applicant or co-applicant).

Additional Household Members