Name
Occupation
Partner or Spouse
Current Address
Home Phone:
Cell Phone
Email
How many adults (including yourself) presently live in your home?
How many children presently live in your home?
List the age and gender of each child
To be considered as a partner family you must be willing to volunteer 500 hours of Sweat Equity, either by helping with construction of the home, at the ReStore, or by other approved activities. This Sweat Equity has no monetary value to you, but it is mandatory.
Becoming a Habitat Homeowner means that you will be able to own a home with an interest free, no down payment mortgage. In order to qualify you we need to have details of your financial situation. Please indicate the annual total gross income (from line 150 of your most recent Canada Revenue Agency Notice of Assessment) for each member of the family over the age of 18 who will live in the home.
Applicant Before Tax Income
Co-Applicants Before Tax Income
Annual Canada Child Benefit
Other family members (over 18) before tax income
Rent
Utilities (electricity, gas, oil, water, sewage, etc.):
Telephone, Cell, TV, Internet
Insurance (Medical, house, car, etc.)
Specify types of insurance
Child Care Expenses
Car Payment
Long term debt (student loan, credit cards, personal loan, etc.)
List long term debt type(s)
Other expenses
Specify
Please tell us about yourself and your family, why you would like to be considered for our program
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