Muncie Urban Enterprise Association
Home Ownership and Development Center
Home Ownership Application
Date: ______Phone: ______
Email address: ______
Applicant 1
Name: ______SS#: ______
Date of Birth: ______Race: ______
Address: ______
City: ______State: ______Zip: ______
Phone #: ______Education Level – (years of school completed) ____
Applicant Employer: ______
Address: ______
City: ______State: ______Zip: ______
Work #: ______
Length of Employment: ______Pay per Hour: $______Hours worked weekly:_____
Applicant 2 : ______SS#: ______
Date of Birth: ______Race: ______
Co Applicant Employer: ______
Address: ______
City: ______State: ______Zip: ______
Work #: ______
Length of Employment: ______Pay per Hour: $______Hours worked weekly:_____
Dependents: Include Name, Age, Date of Birth, Race, & Income:
______
What goals have you set towards Home Ownership?
______
Have you made attempts to reach these goals on your own?
______
Do you know your current credit scores?
______
Do you have delinquent debts on your credit report? Yes______No______
Have you ever filed bankruptcy? Yes______No______
If so, when? ______
Please list ALL monthly household debts and amounts
Rent $______Phone $______Car Payment $______
Sewer/Water $______Cable $______Car Insurance $______
Gas $______Internet $______Personal Loans $______
Electric $______Cell Phones $______Credit Cards $______
Other $______Other $______Other $______
Total $______Total $______Total $______
Do you have a Savings Account? Yes ______No______
If so what is your balance? $______
Do you have a checking Account? Yes ______No ______
If so what is your balance? $______
Do you have a problem with saving money? Yes ______No ______
Do you spend money you shouldn’t? Yes ______No ______
Do you receive any type of Public Assistance? Yes ______No ______If so please check the ones that apply to you and how much you receive.
TANF _____ Amount $______
Food Stamps _____ Amount $______
Section 8 _____ Amount $______
Public Housing _____ Amount $______
Social Security _____ Amount $______
Medicaid _____
Medicare ____
Hoosier Health ____
Have you been employed 2 or more years? Yes ______No ______
Can you provide 2 years of W2’s? Yes ______No ______
Can you provide 12 months of rent receipts? Yes ______No ______
Signature: ______Date: ______
Signature: ______Date: ______
AUTHORIZATION for CREDIT REPORT
I authorize Muncie Home Ownership and Development Center to pull a credit report for Home Ownership Counseling purposes. I authorize Muncie Home Ownership to share this credit report with my Financial Institution and to communicate on my behalf with my Lender in regard, to my mortgage application with said Lender.
Signature: ______Date: ______
Signature: ______Date: ______
Please attach the following documents for verification of your identity.
This agency can only request a Credit Report for individuals that provide the following. If you are requesting a joint application BOTH parties must be present, and provide identification.
· State ID or Drivers License
· Social Security Card