Please fill out the following fields to submit your application. Fields marked with * are required.
* misrepresenting martial status will automatically disqualify an applicant
Please list all sources of income. This includes jobs, social security, disability, KTAP, food stamps, and child support. (Listing child support is optional.)
By submitting this form, I/we affirm that the above information is true. I/we understand that providing false information could cause me/us not to qualify to purchase a Habitat home. I/we also give Habitat for Humanity of Metro Louisville permission to do a credit check on me.
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