Expression of Interest Form

PLEASE NOTE: This is NOT an application! Once an application cycle opens, we will mail applications and invite you to a Homebuyer Information Session. An interested applicant needs to only complete this Expression of Interest form ONE time.
Primary Contact: First Name(*)

Please enter your first name.

Primary Contact: Last Name(*)

Please enter your last name.

Do you have a secondary contact?

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Secondary Contact: First Name

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Secondary Contact: Last Name

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Mailing Address(*)

Please enter your street address.


Please enter your city.


Please select a state.

Zip Code(*)

Please enter your zip code.

Email Address(*)

Please enter your email address.

Best Contact Phone #(*)

Please enter your phone number.

Alternative Phone #

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I am a US Citizen or Legal Permanent Resident.(*)

Please make a selection.

Do you have a NEED: Are you experiencing any of these?(*)

Please make a selection.

I have the Ability to pay my expenses and a monthly mortgage.(*)

Please make a selection

If your gross (before deductions)* household income is between these amounts you may qualify:

Household Annual Income Size (Louisville, KY)

Family Size Minimum Income Maximum Income
1 Person $16,050 $42,800
2 People $18,350 $48,900
3 People $20,650 $55,000
4 People $22,900 $61,100
5 People $24,750 $66,000
6 People $26,600 $70,900
7 People $28,400 $75,800
8 People $30,250 $80,700

I have worked or received steady income for the last 12 months(*)

Please make a selection.

I have made on-time payments for the last 12 months on any current debts or open accounts.(*)

Please make a selection.

In order to become a participant in our homebuyer program you must be willing to:

  • • Pay a $20 pre-application fee (required per application).
  • • Pay approximately $1,800 to cover closing costs and homeowner's insurance.
  • • Each household must complete 400 volunteer Or Sweat Equity hours.
  • • Homeowner's are required to participate in a series of workshops including personal finance and budgeting.
I have read the qualifications and I believe that I satisfy the requirements.
Please make a selection.

Family Size: How Many Adults?(*)

Please enter the number of residents for the home.

Family Size: How Many Children?(*)

Please enter the number of residents for the home.

How did you hear about Habitat?(*)

Please make a selection.

PLEASE NOTE: By completing this form, you are expressing your interest in our housing programs. This form is confidential. We will not share your information with anyone without your written consent. This form is NOT a program application or a loan application. Completing this form does not put your name on a waiting list for housing.

If you have any questions, please contact Kathy Kessinger at (502) 805-1401 or Office hours: Monday - Friday 8:30am - 5:00pm.


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