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US/Habitat for Humanity Int'l

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Pre-Application for Housing Form

Please complete the following information on-line (or print this printable PDF form and mail it to us later). To use the PDF file, you will need Adobe Reader. Adobe Reader

 



List annual gross income (before taxes) for everyone in your household and the source.

Head of Household Income:

Spouse Income:

Other Income:

Please check your information. Press "Send" to submit, and "Clear" to erase all input and start over.

 

Donate Online

You can now donate to the Washington County Habitat for Humanity affiliate online.

When you click the link below you will go to a secure Habitat donation site. There you will see a Designate Your Gift Image. Click on it, and a new window will appear. In that window you need to identify our Washington County Ohio Affilliate to receive your gift. Zip code identification is sufficient — 45750.

Donate Online