Homeownership Program Interest Form

 
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1. Please provide each of the following:
2. Please answer the following (if applicable):
3. Has anyone in your household ever served in any branch of the United States military, or not?
4. Is anyone in your household currently serving in the United States military, or not?
5. Is anyone in your household a widow of a former veteran, or not?
6. Is anyone in your household a senior citizen?
7. Are you or is anyone in your household physically, mentally, or emotionally disabled?
8. How did you hear about our program?
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