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  • Habitat for Humanity of Northern Arizona, Inc.

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

Employment Verif. Authorization

Landlord Reference Authorization

10. Declarations

11, 12. Signature, Right for Appraisal

13. Demographic Information

14. Unmarried Addendum

Reasons to be Selected

Equal Credit Opportunity Act Notice

Thank you for your interest in applying for a Habitat for Humanity of Northern Arizona Starter Home!

Applicants are evaluated based on:

1. Need for housing

2. Willingness to partner

3. Ability to pay 

Though your application can be completed online you will need to separately provide the Required Documents.

For each applicant age 18 and over, please provide copies of the following:

                      Social Security card

                      Valid government-issued photo ID

                      Birth certificate

                      Signed federal tax returns and W-2 forms for 2024 and 2025

                      Four most recent pay stubs

                      Documentation of any additional income

                      Bank statements for the most recent 3 months

                      Marriage certificate or divorce decree (if applicable)

                      Current lease or rental payment history

*Please take a screenshot or make a note of all documents that need to be submitted. Applications cannot be fully evaluated until all required information and supporting documents have been received.

How to Submit

                      Drop off: ReStore, 2016 N Fourth St, Flagstaff, AZ 86004

                      Mail: Habitat for Humanity, PO Box 3783, Flagstaff, AZ 86003

                      Email: Laurie Hagen at laurie@h4hnaz.

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: