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2. Homeownership Option Application
   Please complete this form if you are interested in purchasing a home using the Mesquite Housing Division Homeownership Option.
4. First & Last Name (Head of Household)
6. First & Last Name (Co-Head/Spouse)
8. Address1
10. City
11. State
12. Zip
14. Phone (Main)
15. Cell
16. E-mail
18. 1. Are you currently receiving assistance under the Mesquite Housing Division's (MHD) Housing Choice Voucher (HCV) Program? *

    1. Yes
    2. No
20. 2. Have you received assistance from MHD consecutively for one year? *

    1. Yes
    2. No
22. 3. Have you been continuously employed for the past year? *

    1. Yes
    2. No
24. 4. Did you port from another housing authority? *

    1. Yes
    2. No
26. 5. Are you a first time home-buyer? *

    1. Yes
    2. No
28. 6. Has any member of your family owned a home or interest in a home in the past three years? *

    1. Yes
    2. No
30. 7. Are you willing to attend credit, budget, and home counseling classes? *

    1. Yes
    2. No
32. Head of Household
34. Name of Employer
36. Employer's Address
38. Date of Hire
39. Current Position
41. Salary Wage $_____
42. Per (Hour, Month, etc.)
43. # of Hours Per Week
45. Co-Head of Household/Spouse
47. Name of Employer
49. Employer's Address
51. Date of Hire
52. Current Position
54. Salary Wage $___
55. Per (Hour, Month, etc.)
56. # of Hours per Week
Leave This Blank:


58. 1. Receive an email copy of this form.
59. Email address

    This field is not part of the form submission.

60. Submit

* indicates a required field