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Own a Habitat Home

The 2021 Application Period will be open from June 1 to Aug. 31 or until all slots are full.

Interested in owning your own home? Submit this form today and let us begin the application process.

Once this form is submitted you should expect to hear back via letter within 30 days.

Homeownership Application
First Name
Middle Initial/Name
Last Name
Suffix
Country
Address Line 1
Address Line 2
City
State
Postal Code
Country
Address Line 1
Address Line 2
City
State
Postal Code
First Name
Middle Initial/Name
Last Name
Suffix
Country
Address Line 1
Address Line 2
City
State
Postal Code

Is the applicant married?
Is the co-applicant married?
Have you or any member of your household served in the U.S. Armed Forces, including the Coast Guard?
Have you worked in Wayne County for at least the last 12 months?
Please list all sources of income AND amounts AND frequencies for applicant (and co-applicant) including jobs, Social Security, disability, retirement, child support, etc. You MUST include the amounts in order to be considered.
Number of people to live in the home
Names & birthdates of those who will live in the home
Information affirmation
I affirm that the information on this application is true to the best of my knowledge. I understand that providing false information could disqualify me from the application process. I understand that providing false information could disqualify me from the application process. I give Habitat Goldsboro-Wayne permission to do a full background check on me, including credit, sex offender and criminal.

Demographic Information: The following information is requested in order to report accurate information to lenders, grantors and other funding and government agencies. You are not required to provide this information, but you are encouraged to do so. Habitat for Humanity of Goldsboro-Wayne will not discriminate on the basis of this information or whether you choose to furnish it or not. However, if you do not furnish it, in order to comply with the requests of lendors, grantors and other funding and government agencies, Habitat will estimate, to the best of its abilities, the requested demographic information on the basis of visual observation. If you do not wish to provide this information, please just check the applicable box below.

Applicant Race/National Origin
Co-Applicant Race/National Origin
Applicant Ethnicity
Co-Applicant Ethnicity
Applicant Sex
Co-Applicant Sex
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