Expression of Interest - Progressive Home Ownership

Habitat for Humanity Northern

Habitat for Humanity’s Progressive Home Ownership Programme is a rent to own model that supports working families and couples to make homeownership a reality.

Habitat currently has eight affordable, brand new, two-bedroom homes in Māngere East, and we are looking for potential homeowners to move in this year. By filling out this application form you may be one step closer to achieving your homeownership dreams.

Please answer all questions to the best of your ability.

*One application per household*

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* 1. APPLICANT INFORMATION

First name

Middle name

Last name

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* 2. Phone Number

Country Code

Phone number

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* 3. Email Address

Email address

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* 4. Address

Street address

Street address line 2

City

Region

Postal Code

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* 5. Have you owned a house before?

Yes

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* 6. How many adults and children currently live in the same house as you?

No. of Adults

No. of Children

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* 7. How many adults and children do you intend to house with you in your application?

No. of Adults

No. of Children

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* 8. Are you currently renting or boarding?

Renting

Boarding

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* 9. If renting, what is your current housing status?

Emergency Housing

Social Housing

Kainga Ora (Housing NZ)

Private Rental

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* 10. How much rent / board do you pay weekly?

Renting $

Boarding $

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* 11. Are you currently sharing rent costs?

Yes

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* 12. Are you receiving any weekly income support?

Main Benefit $

Family Tax Credit $

Child Support $

Accommodation Supplement $

Other Income Support $

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* 13. Are you employed?

Employer's Name

Yearly Gross Income $

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* 14. How long have you been at your current job?

Years

Months

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* 15. How much savings do you have?

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* 16. How much in cash or asset investments do you have?

Value $

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* 17. Do you have Kiwisaver deducted from your wages?

Yes

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* 18. If YES, what percentage of your wages do you contribute? And what is your current balance?

Contribution %

Balance $

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* 19. What is the total balance of ALL your debts, including:
• Loans • Vehicles • Hire purchases • Credit cards • Personal loans • Work and income • Any other debts / loans

Total Debt Amount Owing $

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* 20. How much do you pay in TOTAL towards your debts/loans?

Weekly Amount $

Expression of Interest - Progressive Home Ownership

Habitat for Humanity Northern

Question Title

* 1. APPLICANT INFORMATION

Question Title

* 2. Phone Number

Question Title

* 3. Email Address

Question Title

* 4. Address

Question Title

* 5. Have you owned a house before?

Question Title

* 6. How many adults and children currently live in the same house as you?

Question Title

* 7. How many adults and children do you intend to house with you in your application?

Question Title

* 8. Are you currently renting or boarding?

Question Title

* 9. If renting, what is your current housing status?

Question Title

* 10. How much rent / board do you pay weekly?

Question Title

* 11. Are you currently sharing rent costs?

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* 12. Are you receiving any weekly income support?

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* 13. Are you employed?

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* 14. How long have you been at your current job?

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* 15. How much savings do you have?

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* 16. How much in cash or asset investments do you have?

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* 17. Do you have Kiwisaver deducted from your wages?

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* 18. If YES, what percentage of your wages do you contribute? And what is your current balance?

Question Title

* 19. What is the total balance of ALL your debts, including: • Loans • Vehicles • Hire purchases • Credit cards • Personal loans • Work and income • Any other debts / loans

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* 20. How much do you pay in TOTAL towards your debts/loans?

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* 21. Is there any further information you would like to submit?

* 19. What is the total balance of ALL your debts, including:
• Loans • Vehicles • Hire purchases • Credit cards • Personal loans • Work and income • Any other debts / loans