South Baltimore CLT Eligibility Form

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Interested in applying for a Community Land Trust home or for a Buyer-Initiated downpayment assistance grant? Complete this form below to start the process.

Household Size (Include all adults AND children living at least 50% of their time in the household) *

Combined Annual Income for all Adults (For applicant, co-applicant, any other adults in the home receiving income and children over 18 years of age - Includes regular employment, self-employment, gratuities and commissions BEFORE tax and other deductions, child or spousal support, employment insurance, Pension, Social Security, disability pension, Worker’s Compensation, investment income, etc.)

Credit score (if known)

Are you applying for our Buyer-Initiated Down Payment Assistance program?

Yes

Don't Know

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First Name

Last Name

Preferred Contact

Phone: ###-###-####

Street

City

State

SBCLT has partnered with ______ to provide homebuyer education and pre-purchase counseling to residents interested in purchasing a Community Land Trust home. By checking below, you give permission to both _________, a HUD-certified Housing Counseling Agency, and SBCLT to share information between the organizations regarding your readiness for home purchase. Additionally, by checking below, you authorize SBCLT to share your contact information with ________ for follow-up and enrollment into their pre-purchase counseling and education program. This information sharing release is in effect for 18 months from this date.

I do consent to this information sharing

I do not consent to this information sharing

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