KCLB Home Purchase Program Interest Form

First Name (required)

Last Name (required)

Email Address (required)

Telephone (required)

Current Household Size (required)
---12345678910

Current Mailing Address (required)

City (required)

State (required)

Zip Code (required)

Do you have a recent prequalification letter from a bank? It is highly recommended you obtain this before completing this form. (must answer Yes or No)
---YesNo

Have you had a bankruptcy within the past 48 months? (required)
---YesNo

Approximately how much do you currently have in savings to pay for closing costs? (required)
---$1,000 or less$2,000$3,000$4,000$5,000$6,000$7,000$8,000$9,000$10k+

Estimated Adjusted Annual Gross Household Income before taxes and deductions: line 11 from IRS form 1040 (required)
---$5,000$10,000$15,000$20,000$25,000$30,000$35,000$40,000$45,000$50,000$55,000$60,000$65,000$70,000$75,000$80,000$85,000$90,000$95,000$100,000$105,000$110,000$115,000$120,000$125,000$130,000$135,000$140,000$145,000$150,000$150,000+

Please estimate your current credit score (required)
---500550600650700750800I'm not sure

If there will more than one purchaser of a home in your household, please estimate their current credit score (required)
---500550600650700750800I'm not sure

How much do you currently pay in monthly rent? (required)

How many bedrooms are there in your current residence? (required)
---12345+

How many bathrooms are there in your current residence? (required)
---12345+

Does the building where you currently reside have a history of health and safety or building code violations? if so please add detail below. (required)

Have you experienced a history of evictions? If so, please add detail below. (required)

How did you hear about this opportunity? (required)
---Hudson River HousingPathStoneKCLB FlyerKCLB Board MemberFacebookInstagramLocal Kingston paperLocal Kingston RadioMayor's NewsletterOther

I am interested in being considered to purchase a home from the Kingston City Land Bank (required)

I consent to allow the KCLB to share the information I have submitted with other housing organizations, and also consent to allow those other housing organizations to share the information I submit to them with the KCLB. I understand that this information will be shared in an effort to provide an equitable process for all. (required)

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