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P. O. Box 364 Winter Park, FL 32790Mon - Fri: 9AM - 5PM(407) 643-9111

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Hannibal Square Community Land Trust

Nonprofit Community-based Organization

EXPLORE HOUSING OPTIONS:
(407) 643-9111

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Home
About Us
- About
- History
- Board Members
- Gallery
Our Communities
- Future Projects
- Completed Projects
Applications
News
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Contact

Dev Home Buyer Application

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Dev Home Buyer Application

Home Buyer Application

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Step 1 of 7

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CONTACT INFORMATION

The co-applicant listed below may be contacted in the event that HSCLT is unable to reach the primary applicant. By signing this application, both applicants acknowledge that the co-applicant is authorized to make housing decisions on behalf of the household. Please note: It is not necessary to list a co-applicant.

Are you Applying with Co Applicant?*

Yes

No

Applicant Name*

Applicant Name

Co-Applicant Name

Applicant Current Address**

Street Address City State ZIP Code

Co-Applicant Current Address

Street Address City State ZIP Code

Applicant Current Address**

Street Address City State ZIP Code

Applicant Day Time Phone**

Co-Applicant Phone

Applicant Phone**

Co-Applicant Phone

Applicant Email**

Co-Applicant Email

Email is a great way to communicate with me!

Email is a great way to communicate with me!

Email is a great way to communicate with me! (co-applicant)

Email is a great way to communicate with me!

Please indicate the specific address or name of the house you are applying for with this application

If you do not have a specific address, please indicate the minimum number of bedrooms you desire?

One-Bedroom

Two-Bedroom

Three-Bedroom

CURRENT RESIDENTIAL INFORMATION

Beginning with current address, please provide a minimum of five (5) years or two (2) landlords residential history. You may go back further than 5 years, but you must give an address for all the time during that period. If you were not on a lease, indicate who allowed you to reside at the address in the LANDLORD NAME column. This must be completed for all household members over the age of 18.

Rent/Own

Rent

Own

Monthly Payment

How long have you lived at your present address?

Does any adult in the household currently own a home?

Has any adult in the household owned a home in the past three years?

If you rent, Current Landlord Name

First

If you rent, Current Landlord Address

Street Address City State ZIP Code

If you rent, Current Landlord Phone

ADDITIONAL RESIDENTIAL HISTORY

ADDITIONAL RESIDENTIAL HISTORY (LIST)

Household Member

From-To (month/year)

Address (Street, City, State, Zip)

Landlord Name, Address & Phone

Click (+) to add more row

HOUSEHOLD INFORMATION

All household members over the age of 18 (including the buyer(s) must be listed below.

Number of Adult (18+)

Number of Children

This field is hidden when viewing the form

Name*

Name

Social Security #

DOB

MM slash DD slash YYYY

Gender (M/F)

Relationship to Applicant

Name*

Name

Social Security #

DOB

MM slash DD slash YYYY

Gender (M/F)

Relationship to Applicant

Name*

Name

Social Security #

DOB

MM slash DD slash YYYY

Gender (M/F)

Relationship to Applicant

Name*

Name

Social Security #

DOB

MM slash DD slash YYYY

Gender (M/F)

Relationship to Applicant

Children Information

Name*

Name

School Name

DOB

MM slash DD slash YYYY

Gender (M/F)

Relationship to Applicant

Name*

Name

School Name

DOB

MM slash DD slash YYYY

Gender (M/F)

Relationship to Applicant

Name*

Name

School Name

DOB

MM slash DD slash YYYY

Gender (M/F)

Relationship to Applicant

TELL US MORE ABOUT YOUR FAMILY

Please describe your current housing (ex., number of bedrooms/bathrooms, location, length of residency, whether a lease is in effect, when lease will terminate, whether you are at risk of being displaced, etc.). What’s good and what’s bad about it?

Have you ever lived in a co-op, collective, or property located in a homeowners’ association?

Please describe your current neighborhood. What’s good and what’s bad about it?

Are you a part of any community organization?

Yes

No

If so, tell us about it?

Tell us why you are moving

If you or any member of your household participate in any community volunteer activities that you would like to tell us about below, or check here and describe on another sheet.

Volunteer describe on another sheet

I will describe in another sheet

What skills would you be willing to offer as part of a work exchange?

Child Care

Accounting/Bookkeeping

Clerical/Data Entry

Gardening

Carpentry/Minor Repairs

Landscaping/Lawn Work

Event Planning/Hosting

Cooking/Baking for Fundraising

Other

If Other Volunteer

How did you learn about Hannibal Square Community Land Trust?

What is your understanding of the community land trust model for owning a home?

What do you and your family like about the possibility of living in a community land trust home?

What are your concerns or reservations about living in a community land trust home?

Please list at least three references. One should be a landlord and two should be employers or supervisors of volunteer work:

Ref Landlord Name / Affiliation / Time Known*

Landlord

Ref. Landlord Phone*

Ref Employer1 Name / Affiliation / Time Known

Employer 1

Ref. Employer1 Phone

Ref Employer2 Name / Affiliation / Time Known

Employer 2

Ref. Employer2 Phone

Ref Other1 Name / Affiliation / Time Known

Other 1

Ref. Other1 Phone

Ref Other2 Name / Affiliation / Time Known

Other 2

Ref. Other2 Phone

FINANCIAL INFORMATION

List all household members over 18 years of age who are employed (include previous employment if less than one year).

Number of Adults Employed*

This field is hidden when viewing the form

Name

Name

Employer

Position/Title:

Employer Contact

Contact Phone

Street

City

Address

State

Zip

Employment from

MM slash DD slash YYYY

mm/dd/yyyy

Employment to

MM slash DD slash YYYY

mm/dd/yyyy

Years Employed in this line of work

Gross Monthly Income

Pay Cycle

Bi-weekly

Monthly

Other

If other, specify

This field is hidden when viewing the form

Name

Name

Employer

Position/Title:

Employer Contact

Contact Phone

Street

City

Address

State

Zip

Employment from

MM slash DD slash YYYY

mm/dd/yyyy

Employment to

MM slash DD slash YYYY

mm/dd/yyyy

Years Employed in this line of work

Gross Monthly Income

Pay Cycle

Bi-weekly

Monthly

Other

If other, specify

This field is hidden when viewing the form

Name

Name

Employer

Position/Title:

Employer Contact

Contact Phone

Street

City

Address

State

Zip

Employment from

MM slash DD slash YYYY

mm/dd/yyyy

Employment to

MM slash DD slash YYYY

mm/dd/yyyy

Years Employed in this line of work

Gross Monthly Income

Pay Cycle

Bi-weekly

Monthly

Other

If other, specify

ASSETS

Please indicate type of assets and amounts for all adult members of the household

Type of Asset

Total Value

Available Funds

Institution Name

Cash on Hand

Total Value Cash on Hand

Available Funds Cash on Hand

Institution Name Cash on Hand

Checking Account

Total Value Checking Account

Available Funds Checking Account

Institution Name Checking Account

Savings Account

Total Value Savings Account

Available Funds Savings Account

Institution Name Savings Account

Retirement Account

Total Value Retirement Account

Available Funds Retirement Account

Institution Name Retirement Account

Gift

Total Value Gift

Available Funds Gift

Institution Name Gift

Down Payment Assistance

Total Value Down Payment Assistance

Available Funds Down Payment Assistance

Institution Name Down Payment Assistance

Money Market/Mutual Fund

Total Value Money Market/Mutual Fund

Available Funds Money Market/Mutual Fund

Institution Name Money Market/Mutual Fund

Inheritance

Total Value Inheritance

Available Funds Inheritance

Institution Name Inheritance

Other

Total Value Other

Available Funds Other

Institution Name Other

Additional assets?*

Yes

No

If Yes, Please list on a separate sheet and upload.*

Max. file size: 2 MB.

Amount currently available for down payment

How much money (avg./month) does your household put toward down payment savings, if any?

LIAIBILITIES

Please indicate debts and amounts for applicant and co-applicant only

Type of Liability

Monthly Payment

Outstanding Balance

Creditor Name

Delinquent

Auto

Auto Monthly Payment

Auto Outstanding Balance

Auto Creditor Name

Auto Delinquent (Y/N)

Credit Card

Credit Card Monthly Payment

Credit Card Outstanding Balance

Credit Card Creditor Name

Credit Card Delinquent (Y/N)

Credit Card

Credit Card2 Monthly Payment

Credit Card 2 Outstanding Balance

Credit Card 2 Creditor Name

Credit Card 2 Delinquent (Y/N)

Lease Payment

Lease Payment Monthly Payment

Lease Payment Outstanding Balance

Lease Payment Creditor Name

Lease Payment Delinquent (Y/N)

Student Loan

Student Loan Monthly Payment

Student Loan Outstanding Balance

Student Loan Creditor Name

Student Loan Delinquent (Y/N)

Medical Bills

Medical Bills Monthly Payment

Medical Bills Outstanding Balance

Medical Bills Creditor Name

Medical Bills Delinquent (Y/N)

Other 1

Other 1 Monthly Payment

Other 1 Outstanding Balance

Other 1 Creditor Name

Other 1 Delinquent (Y/N)

Other 2

Other 2 Monthly Payment

Other 2 Outstanding Balance

Other 2 Creditor Name

Other 2 Delinquent (Y/N)

Other 3

Other 3 Monthly Payment

Other 3 Outstanding Balance

Other 3 Creditor Name

Other 3 Delinquent (Y/N)

Additional Debt?*

Yes

No

If Yes, Please list on a separate sheet and upload.*

Max. file size: 2 MB.

Do you know of any issues in your credit history that may make it difficult for you to obtain a mortgage (i.e. bankruptcy, loan default, late payments, etc.)?*

Yes

No

Not Sure

*Answering “YES” to this question will not disqualify you from our program. There may be services available to help you resolve these issues before you approach a lender, and we are happy to refer you to them. On a separate sheet, please feel free to describe any circumstances that would help us understand your credit situation.

In order to purchase a home through Hannibal Square CLT, it will be necessary for you to obtain mortgage from a lender who finances community land trust homes. Have you received PRE-APPROVAL for a mortgage loan within the past two years?*

Yes

No

If yes, please attach a copy of your approval letter to this application or indicate the lender, loan consultant’s name and amount approved below

Approval Letter / Lender Details*

Approval Letter

Lender Details

Please upload a copy of your approval letter*

Max. file size: 2 MB.

This field is hidden when viewing the form

Lender

Loan Consultant’s Name

Amount Approved

This field is hidden when viewing the form

Section Break

**Hannibal Square CLT has lenders who are experienced with the community land trust model and ground leases. The list of these lenders is available on our website.

FINALLY, PLEASE TAKE A MOMENT TO MAKE SURE THAT THIS APPLICATION IS COMPLETE. Incomplete applications may be returned to the applicant for additional information before they are processed. Please feelfree to contact us at(407) 643-9111 if you have any questions aboutthis application.

EVERY HOUSEHOLD MEMBER OVER THE AGE OF 18 MUST SIGN BELOW

The information I (we) have provided here is true and correct to the best of my (our) knowledge. I (we) give permission for reference checks and income verification from my (our) sources named in this application. I (we) understand that more detailed information about my (our) finances, employment and/or housing situation may be required before my (our) eligibility for any home can be determined. I (we) give permission for HSCLT to obtain information about any household member from credit bureau services. If the application is approved, I (we) give permission for HSCLT to obtain or report information from or to credit bureau services. Further, my (our) signature below indicates my (our) support and commitment to the Hannibal Square Community Land Trust.

Applicant Signature*

Date Signed*

MM slash DD slash YYYY

Co-Applicant Signature*

Date Signed*

MM slash DD slash YYYY

Applicant Signature

Date Signed

MM slash DD slash YYYY

Applicant Signature

Date Signed

MM slash DD slash YYYY

Phone

This field is for validation purposes and should be left unchanged.

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Contact

Address:
P. O. Box 364
Winter Park, FL 32790
Business hours:
Mon - Fri: 9AM - 5PM
Phone number:
(407) 643-9111

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© Hannibal Square Community Land Trust Inc. 2019. All rights reserved.

Home
About Us
- About
- History
- Board Members
- Gallery
Our Communities
- Future Projects
- Completed Projects
Applications
News
Partners
Contact

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