Springfield Community Land Trust Application

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

How long have you lived at this address? *

Home phone

Cell Phone

How did you hear about the shared equity program? *

yes, been Company

Marital Status *

Single
Married
Widowed

Single parent? *

Current Employer *

How long have you been employed?

Years

Months

Race and Ethnicity (Please indicate the number in each household)

African-American

Hispanic

Native American

Pacific Islander

Multi-racial

Have you ever filed bankruptcy? *

If yes, when discharged?

What is your highest level of education? *

Less than high school diploma
High school diploma
Some college, including associates degree
Bachelor’s degree
Some post-graduate work or advanced degree

Have you owned a home in the last three years? *

If yes, how did you purchase your home?

Keeps records of expenses
Checking account
Savings account
Use money orders
Other (please explain)

If other, please explain:

Does your family have any of the following debts? *

Credit cards
Bank loans
Medical/hospital bills
Rent-to-own
No debts

Regarding your family’s taxes, please check all that apply: *

Use a paid preparer
Use a volunteer preparer
E-file
Rapid refund
Received Earned Income Credit
Received Property Tax Credit
Did not file but should have
No income to file on

Total number in household *

List all household members, including yourself (members do not have to be related)

Name *

First

Last

Date of Birth *

Gross Annual Income (if over 18)

Annual Child Support Income

Annual Alimony/Support Income (copy)

Other annual income

Do you know your credit score? *

If yes, what is your credit score?

Describe your employment type: *

Full time
Part time

Do any ADULT household members anticipate becoming a student in the next 12 months? *

Have you attended a Home Buyer Workshop that has been approved by Housing and Urban Development (HUD)? *

Yes (please upload copy of certificate below)
No

Upload copy of Home Buyer Workshop Certificate (if applicable)

Click or drag a file to this area to upload.

Have you recently been pre-qualified by a mortgage lender? *

If yes:

Lender Name

Loan Amount

Are you a U.S. citizen or have legal status? *

To be verified upload a copy of a current Missouri Driver’s License or Missouri Identification Card, a signed Declaration of Citizen Status form, or a signed affidavit or legal residency, and other documentation as necessary.

Click or drag a file to this area to upload.

Are you working with a realtor? *

If yes:

Realtor® name

Realtor® Phone

Company

I am most interested in the following properties (please list addresses below):

1st choice:

2nd choice:

3rd choice:

Applicant Signatures

The information I (we) have provided here is true and correct to the best of my (our) knowledge. Verification may be obtained from any source named in this application. I (we) understand that more detailed information about my (our) finances, employment, and/or housing situation may be required before my (our) eligibility can be determined. I (We) give permission to the financial institution providing me (us) financing on the shared equity home to provide Springfield Community Land Trust (SCLT) and the City of Springfield my (our) financial information, including, but not limited to: credit report info and score, debt-to-income information, and employment information. Since SCLT and the City are both interested parties to this transaction, it is important for them to have access to this information.

Applicant #1 *

Clear Signature

Applicant #1 Signature Date *

Applicant #2 Signature (if applicable)

Clear Signature

Applicant #2 Signature Date

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Start Your Journey to a New Future Here

Complete and submit the application to get the process started.

Start Your Journey to a New Future Here

Complete and submit the application to get the process started.

Springfield Community Land Trust Application

List all household members, including yourself (members do not have to be related)

Applicant Signatures

Reach Out

Quick Links

Start Your Journey to a New Future Here

Complete and submit the application to get the process started.

Start Your Journey to a New Future Here

Complete and submit the application to get the process started.

Springfield Community Land Trust Application

List all household members, including yourself (members do not have to be related)

Applicant Signatures

Reach Out

Quick Links

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