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How to Apply

Pre-qualify Online Questionnaire


West Pasco Habitat for Humanity is excited to announce the Town and Country Villas Neighborhood Revitalization Initiative. The initiative is a 5-year project dedicated to the complete revitalization of the Town and Country Villas Subdivision.

The two streets that make up this neighborhood, Leisure Lane and Van Doren Avenue, are surrounded by multi-million-dollar condominiums and booming shopping centers. It is an ideal location with enormous potential for growth.

West Pasco Habitat for Humanity offers expertise and leadership in affordable housing development. However, we must collaborate with partners who share a common vision. YOU hold the key that unlocks doors to a solid foundation for future generations!

** Notice to applicants** The Town & Country Villas Subdivision will be the only neighborhood we will be building in for the next 5 years.


Make a CONTRIBUTION today.

Register to VOLUNTEER today.

Do you have an interest in the West Pasco Habitat for Humanity's Home Ownership Program?

Please complete the pre-qualification form below to see if the West Pasco Habitat for Humanity's Home Ownership Program is right for you. Once submitted, someone from Habitat will contact you with the results and may invite you to complete a HOME OWNERSHIP PROGRAM Application.

Please enter applicant full name.

First Name
Middle Initial/Name
Last Name
Suffix

Please enter co-applicant full name, if applicable.

First Name
Middle Initial/Name
Last Name

Please tell us where you live.

Country
Address Line 1
Address Line 2
City
State
Postal Code
If your mailing address is different, please enter it here.
Country
Address Line 1
Address Line 2
City
State
Postal Code

Please provide your best contact number & email address.

Phone Number
ext Extension

To prequalify you must live or work in West Pasco County, Florida for a minimum of one (1) year. Do you live or work in West Pasco County, Florida?

To prequalify you and your co-applicant must not have any bankruptcies, foreclosures or repossessions within the last seven (7) years.

Have you or your co-applicant filed for bankruptcy in the last seven (7) years?:
Have you or your co-applicant had any repossession in the last seven (7) years?:
Have you or your co-applicant had any foreclosures in the last seven (7) years?:

If approved, how many adults (18+) will be living in the Habitat home? Including applicant & co-applicant.

If approved, how many children under the age of 18 will be living in the Habitat home.

Please tell us about you and your co-applicants MONTHLY GROSS INCOME. Only include income expected to continue a minimum of three (3) years.

Please enter the total monthly gross income from employment for you and your co-applicant.

$

Please enter the total monthly Social Security or Disability income received by you and your co-applicant. Do not enter your social security number.

$

Please enter the total monthly Alimony income received by you and your co-applicant.

$

Please enter the total monthly child support income received by you and your co-applicant.

$

Please enter all other monthly income received by you and your co-applicant. Include self-employment income here.

$

Please tell us about you and your co-applicants monthly debts.

**DO NOT INCLUDE RENT, UTILITIES, CELL PHONE BILLS, INSURANCE OR TV/INTERNET BILLS.

$
$
$
$
$
$
$

Do you or your co-applicant have any non-medical accounts in collection?

Have you or your co-applicant made arragements with creditors to satisfy or payoff accounts in collection?

Are you willing to make a commitment to the Habitat program, which requires that homeowner candidates earn sweat-equity hours and attend a series of workshops?

How did you hear about the West Pasco Habitat for Humanity Home Ownership Program?
By signing and submitting this form, I affirm that I have read and understand the Underwriting Guidelines and the information on this form is true. I understand that providing false information could cause me to be disqualified from the Habitat program. I understand that someone from West Pasco Habitat for Humanity will contact me with the results from this questionnaire, and that I may be invited to complete a homeowner application.
Applicant
First Name
Last Name
By signing and submitting this form, I affirm that I have read and understand the Underwriting Guidelines and the information on this form is true. I understand that providing false information could cause me to be disqualified from the Habitat program. I understand that someone from West Pasco Habitat for Humanity will contact me with the results from this questionnaire, and that I may be invited to complete a homeowner application.
Co-applicant
First Name
Last Name
*if not applicable write N/A

Our Impact This Fiscal Year 2018 - 2019

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