Homeownership Interest Form

Name *

First

Last

Social Security Number: *

Address: *

the question,

Phone Number: *

Email Address:

Are you interested in becoming a homeowner? *

Have you been employed for the last year? *

*If you selected “Yes” skip the next questions, if you selected “No” Please answer the next question to see if you qualify for this program.

If you selected No to the above question, are you elderly or disabled?

*If you selected “No” to both questions you do not qualify for this program

Wayne MHA:
For a schedule of records retention, Wayne Metropolitan Housing Authority follows the guidelines as specified in the General Schedule List developed by the Ohio Department of Administrative Services. https://rims.das.ohio.gov/GeneralSchedule

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