Application - 4524 Mattson Ln SE, Lacey WA 98503

This application is not a sales contract, a loan application, or a
commitment to loan money or extend credit. Any loans need to be
arranged with a 3rd party lender.

INSTRUCTIONS

Please read all instructions carefully and complete the application in its entirety before submitting it.

Assistance is available if needed. For questions pertaining to this application please contact our Director of Housing;

Karen Hall
Director of Housing
karen@spshabitat.org
360-362-7497


Please be sure that all of your attachments are clear and include all necessary information (months, name, etc.) We ask that you monitor your inbox frequently during the application phase as our housing department may need to reach you to seek clarification or additional documentation.

To complete this application

Every section of this application must be completed if applicable. If required fields are left blank, you will not be allowed to save the application. Please put text in those required fields as a placeholder before clicking save.

To qualify - you must not be above top-end income limits. To verify, see below household size and limit:

1 $56,560 5 $ 87,200

2 $64,640 6 $ 93,680

3 $72,720 7 $100,160

4 $80,720 8 $106,560

Fill out or attach the following required documents, and declarations in the order listed (where applicable).

Pre-Approval document from a Lender
Willingness to Partner
Declarations
Income
Background Authorization forms for any household member that is over the age of 10 - no exceptions.

PRE-APPROVAL DOCUMENT FROM LENDER
Pre-approval letter to include the purchase price, loan program, interest rate, loan amount, down payment amount, expiration date, and property address.

Attach pre-approval document here

WILLINGNESS TO PARTNER

To be considered for the program, both Applicant and Co-Applicant must be willing to partner with South Puget Sound Habitat for Humanity. Both the Applicant and Co-Applicant (those who will sign the loan) is considered program participant. All participants who are over the age of 18 are required to complete the obligations of the program. Participants must each complete 200 volunteer hours. This includes 100 on our construction site plus 100 spread out over our Stores, homebuyer education classes, community engagements, events, and marketing campaigns.

Applicant - are you willing to partner?

YesNo

Co-Applicant - are you willing to partner?

YesNo

DECLARATIONS

If you mark yes to any of the following questions, please include a written explanation for each that applies in the space provided below. We may require additional documentation if necessary. for instance, if you have filed for bankruptcy, we may require your bankruptcy filing and discharge order.

Have you or your co-applicant declared bankruptcy in the last seven years?

YesNo

If yes, what year(s)

Have you or your co-applicant had property foreclosed in the last 10 years?

YesNo

If yes, what year(s)

APPLICANT'S INFORMATION

Applicant Full Legal Name

Other Names Used / Pronouns

Address

City

State

Zip Code

Email address

Phone number

CO-APPLICANT'S INFORMATION

Co-Applicant Full Legal Name

Other Names Used / Pronouns

Full Address (If different)

Email address

Phone number

INCOME

Documentation of all income. You must include 6 months of your most recent income for both the applicant and co-applicant. Please include it in the download fields below.
Employment – include at of paystubs. Provide additional pay stubs - if income is variable.
Public assistance – include any award letter(s) or statement(s) showing the benefit you receive. For Social Security programs, submit your annual award letter. For other public programs, please submit any recent documentation like re-certification paperwork.
Child support, alimony, or separate maintenance income – please note that you may ask us to exclude this income from our analysis. If you wish for us to exclude this income, please indicate so on within the Exclusion of Income Statement section below.
Self-employment – please complete the self-employment fields for the applicant and/or co-applicant.

The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant's income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is the Federal Trade Commission, Washington, D.C. 20580.

Applicant documentation

Co-Applicant documentation

Is there anything you would like to share with us regarding any income attachments?

Exclusion of Income Statement

APPLICANT'S INCOME

Applicant's Full-Time Income Report

Employer Name

Date Started

Is the work seasonal?

YesNo

If yes, what months do you work:

APPLICANT'S INCOME

Applicant's Part-Time Income Report

Employer Name

Part-Time Income Report

Date Started

Is the work seasonal?

YesNo

If yes, what months do you work:

APPLICANT'S INCOME

Applicant's Self-Employment Income Report

Business Name

Self-Employment Income Report

Business Address

Self-Employment Income Report

Date Business Started

Self-Employment Income Report

Business License/Tax ID #?

Self-Employment Income Report

Business Type

Is the business seasonal?

YesNo

If yes, what months is business active:

Do you have a bank account specifically for the business?

YesNo

If yes, please provide a complete copy if each of the last three statments: 1

Do you file a business tax return?

YesNo

If yes, please provide copies of tax returns for the last two years.1

Please list the following to show Business Income for the last three months:

Income of sale of product(s) or services provided for month 1

Income of sale of product(s) or services provided for month 2

Income of sale of product(s) or services provided for month 3

CO-APPLICANT'S INCOME

Co-Applicant's Full-Time Income Report

Employer Name

Date Started

Is the work seasonal?

YesNo

If yes, what months do you work:

CO-APPLICANT'S INCOME

Co-Applicant's Part-Time Income Report

Employer Name

Part-Time Income Report

Date Started

Is the work seasonal?

YesNo

If yes, what months do you work:

CO-APPLICANT'S INCOME

Co-Applicant's Self-Employment Income Report

Business Name

Self-Employment Income Report

Business Address

Self-Employment Income Report

Date Business Started

Self-Employment Income Report

Business License/Tax ID #?

Self-Employment Income Report

Business Type

Is the business seasonal?

YesNo

If yes, what months is business active:

Do you have a bank account specifically for the business?

YesNo

If yes, please provide a complete copy if each of the last three statments: 1

Do you file a business tax return?

YesNo

If yes, please provide copies of tax returns for the last two years.1

Please list the following to show Business Income for the last three months:

Income of sale of product(s) or services provided for month 1

Income of sale of product(s) or services provided for month 2

Income of sale of product(s) or services provided for month 3

BACKGROUND CHECK

A background check is required for all applicant(s) or household members over the age of 10 (ten). South Puget Sound Habitat for Humanity utilizes the Washington State Patrol's (WSP) portal to retrieve your and your household's information. Please complete the following Disclosure Statement. The answers below may not necessarily disqualify you from program.

If there is more than one person(s) over the age of 10 (ten), please fill out their information accordingly. If you have nothing to report, please type " N/A " in the required field.

I (type Applicant name) give South Puget Sound Habitat for Humanity to run a Washington State Patrol Request for Criminal History for myself:

Applicant's Social Security number:

I (type Co-Applicant name) give South Puget Sound Habitat for Humanity to run a Washington State Patrol Request for Criminal History for myself (type N/A if none):

Co-Applicant's Social Security number (type N/A if none):

I (type guardian(s) name below) give South Puget Sound Habitat for Humanity to run a Washington State Patrol Request for Criminal History for myself or my minor child(ren): In below space, please include your name, with your social security number. Then add the minor child's name and age, with their social security number. If multiple children, click add and repeat for each.

Has anyone listed above presently charged with, but not convicted of, a crime? (Exclude civil infractions, such as minor traffic citations.) If yes, include their name in the space below for an explanation of the nature of the charge, place, date, and court.

Has anyone listed above ever been convicted of a crime? (The term "convicted" means all adverse dispositions, including a finding of guilty, a plea of guilty or nolo contendere, an Alford plea, a stipulation to the facts, a deferred or suspended sentence, or a deferred prosecution. Exclude civil infractions, such as minor traffic citations.) If yes, include their name in the space below for an explanation of the nature of the charge, place, date, and court.

Has anyone listed above ever been (a) found by a court in a protection proceeding under Chapter 74.34 to have abused or financially exploited a vulnerable adult or (b) convicted of any of the following crimes where the victim was a vulnerable adult: (Vulnerable adult means adult as defined by Chapter 74.34 and adults of any age who lack the functional, mental, or physical ability to care for themselves.) If yes, include their name and use the space below for an explanation.

First, second-, or third-degree extortion
Forgery
First second or third-degree theft
Any of the foregoing crimes as they may have been renamed
First- or second-degree robbery

Has anyone listed above ever been convicted of any crime involving the manufacture, delivery, or possession with intent to manufacture or deliver a controlled substanceIf yes, include their name and use the space below for an explanation.

Has anyone listed above ever been found in any dependency action under RCW 13.34.040 to have sexually assaulted or exploited any minor or to have physically abused any minor? If yes, include their name and use the space below for an explanation.

Has anyone listed above ever been found by a court in a domestic relation proceeding under Title 26 RCW to have sexually abused or exploited any minor, or to have physically abused any minor? If yes, include their name and use the space below for an explanation.

Has anyone listed above ever been found in any disciplinary board final decision to have sexually or physically abused or exploited any minor or developmentally disabled person, or to have abused or financially exploited any vulnerable adult? "Disciplinary board final decision" means (a) any final decision issued by the director of the Department of Licensing for real estate brokers and salespersons and (b) any final decision issued by a disciplinary authority under Chapter 18.130 RCW or the secretary of the Department of Health for the following businesses or professions: chiropractic, dentistry, dental hygiene, naturopathy, massage, midwifery, osteopathic medicine and surgery, physical therapy, physicians, practical nursing, registered nursing, and psychology. If yes, include their name and use the space below for an explanation.

Are you or anyone listed above now being investigated for any alleged misconduct or other alleged grounds for discipline by any licensing, certification, or other regulatory body (teacher certification or otherwise) or by your current or any previous employer? If you answer yes, you must provide the name, address and telephone number of the employer or licensing body and statement of the accusation against you. If yes, include their name and use the space below for an explanation.

Has anyone listed above ever been a party to, or are you currently a party in, or do you anticipate becoming a party in, litigation? If yes, include their name and use the space below for an explanation.

Has anyone listed above ever been named by an aggrieved employee as someone responsible for the action grieved? If yes, include who, and their name. If yes, include their name and use the space below for an explanation.

Is there anyone listed above who are presently charged with, but not convicted of, any of the crimes or offenses described in the questions described above? If yes, include their name and use the space below for an explanation.

Please list all other names or alias (previous names) that you have used in the past.

An inquiry may be made to the Washington State Patrol, a Federal, or other Law enforcement agency to verify your responses to the above inquiries. A copy of any response received pursuant to such inquiry will be made available to you upon request.

I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct.

Type name(s) below as the signature to certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct.

If signing for a minor type name(s) of minor and below that type name of authorized guardian to certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. (Type N/A if no minors)

HOMEOWNERS ASSOCIATION - All Habitat for Humanity neighborhoods are governed through active homeowner-led HOA's (Homeowner Associations). HOA for this home requires monthly dues and for all homeowners to follow their Covenants, Conditions & Restrictions (CCR's)

INFORMATION FOR GOVERNMENT MONITORING PURPOSES

Please Read This Statement Before Completing the Box Below: The following information is requested by the federal government for loans related to the purchase of homes, in order to monitor the lender’s compliance with equal credit opportunity and fair housing laws. You are not required to furnish this information but are encouraged to do so. The law provides that a lender may neither discriminate on the basis of this information, nor on whether you choose to furnish it or not. However, if you choose not to furnish it, under federal regulations this lender is required to note race and sex on the basis of visual observation or surname. If you do not wish to furnish the information below, please check the box below. (Lender must review the above material to assure that the disclosures satisfy all requirements to which the lender is subject under applicable state law for the loan applied for.

Has anyone in your household ever served in the U.S. military? This includes any service in the Army, Navy, Air Force, National Guard, Coast Guard, or other branches of the U.S. military. This includes short and long enlistments, and reserves, and includes all related services, not just deployments or combat.

YesNo

I do not wish to furnish the below information (Applicant)

Applicant Race/National Origin:

American Indian or Alaskan Native

Native Hawaiian or other Pacific IslanderBlack/African AmericanWhite/CaucasianAsianAmerican Indian or Alaskan Native AND White/CaucasianAsian AND White/CaucasianBlack/African American AND White/CaucasianAmerican Indian or Alaskan Native AND Black/African American

Other/Additional - Please Specify

Applicant Ethnicity:

HispanicNon-Hispanic

Applicant Sex:

MaleFemalePrefer not to answer

Applicant Date of Birth:

Applicant Marital Status:

MarriedSeparatedUnmarried (including single, divorced, widowed)

I do not wish to furnish the information (Co-Applicant)

Co-Applicant Race/National Origin:

American Indian or Alaskan Native

Other/Additional - Please Specify

Co-Applicant Ethnicity:

HispanicNon-Hispanic

Co-Applicant Sex:

MaleFemalePrefer not to answer

Co-Applicant Date of Birth:

Co-Applicant Marital Status:

MarriedSeparatedUnmarried (including single, divorced, widowed)

Contact Information