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Are you interested in becoming a home owner?
 yes no

Do you rent/lease a house?
 yes no

do you rent/lease an apartment?
 yes no

Under which Housing Authority is your voucher?

How many bedrooms is the voucher for?
123456

Have you been employed full time for at least one continuous year?
 yes no

Do you have at least $14,300 in annual earned income wages? (For participants who are elderly and/or disabled only, welfare assistance and social security disability income may be counted towards the minimum.)
 yes no

Are you in good standing with your current landlord?
 yes no

How much money do you have saved for the purchase of your new home?

When does your rent/lease expire?

Your Name (required)

Your Email (required)

Phone Number

Current Address (include City and State)

Current Home Ownership Status
 Own Rent

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