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.
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.

City(*)

Please enter your city.

State(*)

Please select a state.

Zip Code(*)

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Email Address(*)

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Best Contact Phone #(*)

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Alternative Phone #

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

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

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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 $15,050 $40,050
2 People $17,200 $45,800
3 People $19,350 $51,500
4 People $21,450 $57,200
5 People $23,200 $61,800
6 People $24,900 $66,400
7 People $26,600 $70,950
8 People $28,350 $75,550



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

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

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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?(*)

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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 Ziberia Puryear at (502) 805-1401 or zpuryear@louisvillehabitat.org. Office hours: Monday - Friday 8:30am - 5:00pm.




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