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  • Habitat for Humanity of East and Central Pasco County

1A, 1B. Applicant Info, Military Svcs.

2. Willingness To Partner

3. Present Housing

4. Property Info

5. Employment Info

6. Monthly Income

7. Down Payment & Closing Cost

8. Assets

9. Liabilities And Expenses

10. Declarations

11, 12. Signature, Right for Appraisal

13. Demographic Information

14. Unmarried Addendum

Reasons to be Selected

Equal Credit Opportunity Act Notice

IRS Form

Application Checklist

We are pledged to the letter and spirit of U.S. policy for the achievement of equal housing opportunity throughout the nation. We encourage and support an affirmative advertising and marketing program in which there are no barriers to obtaining housing because of race, color, religion, sex, handicap, familial status or national origin.

Dear Applicant: Please complete this application for the Habitat for Humanity homeownership program truthfully, completely and accurately.  All information you include on this application will be maintained in accordance with our privacy policy. 

We want this process to be open and accessible to everyone. If you have questions or need special accommodations, please reach out to Jere Ferguson at jferguson@habitatpasco.org or (352) 437-5383.

Applicants may save their progress and return to complete the application in multiple sessions. However, once the application is submitted, it can no longer be accessed or edited. Please note that partial or incomplete applications will not be processed.

The list of required verification documents is available on our website and must be submitted in addition to your online application. All documents must be received or postmarked by midnight, October 1. Missing documents will result in an incomplete application and denial. Documents may be dropped off at our office or mailed by the deadline.

Applicant Information
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Present Address
Co-applicant Information


Dependents of Applicant
Dependents and others who will live with you (not listed by co-applicant)
Add A New Dependent

Military Service

If yes, check all that apply:




If yes, check all that apply: