2020 CHT Homebuyer Application

Chaffee Housing Trust Homebuyer Application

Submit to: PO Box 305, Salida, CO 81201 or claudia@chaffeehousing.org

Please fill out this application as completely as possible. If a question does not apply to you, write N/A in the space provided. If you need more space to answer questions, please use additional paper. If you have any questions, please contact Claudia Palzkill (719) 239-1579 or email claudia@chaffeehousing.org

Name(s)

Address

Street Address Line 2

CityState

Zip

work

1. How long have you lived, and/or worked in Chaffee County?

2. Family (or Household) Composition and Income (include you & anyone living in your home) Please list all household members including children (members do not have to be related):

2. Current Employment Information. Please list employment from all household members

Employer Name (if applicable)

3. Do you own or have you owned a home in the last three years? YesNoPay Schedule(monthly, 2xmonth, biweekly, weekly)

If yes, please explain

4. Do you have childcare expenses? YesNoIf yes, how much?

If yes, please explain

If yes, how much?

5. Do you have medical or disability expenses beyond health insurance and regular co-pays?

Yes NoIf yes, how much?

If yes, how much?

Debt #2: balance owed = $

Current minimum monthly payment

Current minimum monthly payment =

Debt #3: balance owed

6. Do you have any debt? YesNoIf yes, please fill out the following for each one: Current minimum monthly payment = $ Current minimum monthly payment = $ Current minimum monthly payment

Debt #3: balance owed

7. Do you have Student Loans? YesNoIf yes, please fill out the following for each one: Total Student Loan balance owed = $Min. monthly paymentDebt #5: balance owed

Current minimum monthly payment

Debt #5: balance owed

Do you have a repayment plan in place? YesNoDebt #4: balance owed = $ Current minimum monthly payment = $ Current minimum monthly payment = $ If you are applying with a co-applicant, we will need information on both of you see backside

Debt #5: balance owed =

Current minimum monthly payment =

Total Student Loan balance owed =

Min. monthly payment =

Is your loan in deferral? YesNo

Are you current on payments? YesNo

Yes

Is your loan in deferral? YesNoWas it forgiven? YesNoYesNo

Yes

Are you participating in an Income-based Repayment program? YesNoNo

If yes, how much?

(please continue to the back side >>3)

8. Do you receive SNAP benefits? YesNoIf yes, how much?

Yes

(please continue to the back side >>3)/month

If yes, how much?

12. Do you receive Child Support payments? YesNoIf yes, how much?9. Do you receive Social Security / Disability payments?YesNo

If yes, how much?

11. Do you receive alimony payments? YesNoIf yes, how much?10. Have you been divorced? YesNoIf yes, what is the date of the decree?

If yes, how much?

Yes NoIf yes, please describe

If yes, how much?

Yes

/monthIf yes, how much?

If yes, what is the date of the decree?

Date

If yes, how much?

Yes No

15. Have you currently been pre-qualified by a Mortgage Lender? YesNo Loan Amount? $ If yes, who is the lender?/month

If yes, please describe

14. Have you attended a HUD Approved Homebuyer Education Class? YesNo13. Do you own or have an interest in any real estate, stocks, bonds, inheritance, or other assets?

If yes, please describe

If yes, who is the lender?

Loan Amount?

Yes

Yes NoHow much can you put towards down payment?

How much can you put towards down payment?

YesNo17. Are you a U.S. Citizen or do you have Legal Status?

How much can you put towards down payment? $

17. Are you a U.S. Citizen or do you have Legal Status?

19. How did you hear about CHT? Check one: WebsiteCHT HomeownerSocial MediaPhone16. Do you or could you have the funds available for a down payment of $1,000 or more?

18. Are you working with a Realtor?

YesNoVerified by obtaining a copy of a current Colorado Driver's License or Colorado ID Card, a signed Declaration of Citizenship Status form, and other documentation, as necessary.

If yes, who?

Company

Phone

Friends or Family

Other:Community EventOther

cPlease provide any additional information or comments that are pertinent to your application, including co applicant information that does not fit on the first page

The information I (we) have provided here is true and correct to the best of my (our) knowledge. Verification may be obtained from any source 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 can be determined.

Applicant 1 signature

Date

Applicant 2 signature

Date

Number