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HabitatNRV Home Inquiry

Applicant

First Name

Last Name

Phone

Email

Street Address

City

Region/State/Province

Postal / Zip code

I am a U.S. Citizen

Have you filed for bankruptcy in the last 3 years? *

yes

no

Do you currently Rent or Own your home? *

Rent

Own

Monthly Rent/Mortgage Amount

Form(s) of Income (check all that apply) *

Employed (Full time)

Employed (Part time)

TANF

Child Support

Social Security

SSI

Disability

Section 8 Housing

Other

Estimated Total Monthly Income (based on all options above)

Co-Applicant (if applicable)

First Name

Last Name

Phone

Email

Street Address

City

Region/State/Province

Postal / Zip code

I am a U.S. Citizen

Have you filed for bankruptcy in the last 3 years?

yes

no

Do you currently Rent or Own your home?

Rent

Own

Monthly Rent/Mortgage Amount

Form(s) of Income (check all that apply)

Employed (Full time)

Employed (Part time)

TANF

Child Support

Social Security

SSI

Disability

Section 8 Housing

Other

Estimated Total Monthly Income (based on all options above)

Total Household Size

Household members under 18

Thank you for your submission. Our selection committee will follow up with you regarding your application.

Habitat for Humanity of the New River Valley

1675 N Franklin St
Christiansburg, VA 24073

Office: 540-381-1144

ReStore: 540-381-1155

Email: info@habitatnrv.org

Store Hours:
Tuesday - Saturday: 10 am - 6:30 pm
Monday - Sunday: closed

Office Hours:
Monday - Friday: 10 am - 5 pm

FINANCIALS

IRS 990 (2023)

IRS 990 (2022)

IRS 990 (2021)