Housing Questionnaire

1. ARE YOU LOOKING TO BUY AN AFFORDABLE HOME?
DO YOU NEED HELP RENOVATING YOUR HOME?

Sullivan County and the Sullivan County Land Bank are applying for grants that can help potential homebuyers purchase quality affordable homes, and fund existing homeowners’ essential home repairs. Tell us a bit about your housing needs, and we will keep you posted as funds become available.

All answers are confidential and your information will not be shared with anyone.

Question Title

* 1. Name

Question Title

* 2. Contact Information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Housing Questionnaire

1. ARE YOU LOOKING TO BUY AN AFFORDABLE HOME?
DO YOU NEED HELP RENOVATING YOUR HOME?

Question Title

* 1. Name

Question Title

* 2. Contact Information

Question Title

* 3. Number of people in your household
Include yourself, your spouse, and anyone that lives with you who you claim as a dependent.

Question Title

* 4. Estimated gross household income for 2018
This includes the full amount that everyone in your household earns from all sources before taxes

Question Title

* 1. Name

Question Title

* 2. Contact Information

Question Title

* 3. Number of people in your householdInclude yourself, your spouse, and anyone that lives with you who you claim as a dependent.

Question Title

* 4. Estimated gross household income for 2018 This includes the full amount that everyone in your household earns from all sources before taxes

* 3. Number of people in your household
Include yourself, your spouse, and anyone that lives with you who you claim as a dependent.

* 4. Estimated gross household income for 2018
This includes the full amount that everyone in your household earns from all sources before taxes