Application Information

Please complete the new home Application or Critical Home Repair Application. Review the appropriate letter and brochure and complete all documents. Read the cover letter as all documents are required. If you have questions please call the office at 641-828-8844.

Start with Cover Letter and Supply all Documents for Applications

Cover Letter and Requested Documents

All Items must be included that are listed in this section. Please start with Cover Letter and read thoroughly. Please note ALL documents must be included. Without all documents your Application will not be considered.

Asset Certification
Proof of Employment
Tax Returns
Permission for Electronic Communication
Zero Income Affidavit
Child Support Affidavit
Background Check Authorization
Full time student verification

Must be completed for every adult 18 years of age and older living in the home

New Home Application

Brochure Page 1

Brochure Page 2

Background Check Authorization Form

Asset Certification

Child Support Certification

VAWA Form

Electronic Communication Form

Full time student verification

Zero Income Affidavit

Verification of Self Employment Income

Required Supporting Documents:

Three months of paycheck stubs or annual social security statement

Three months of bank statements

Additional documents may be required

Habitat for Humanity of Marion County, Inc.

2004 Hempstead Drive
Pella, IA 50219
641-828-8844

Application Information

Start with Cover Letter and Supply all Documents for Applications

All Items must be included that are listed in this section. Please start with Cover Letter and read thoroughly. Please note ALL documents must be included. Without all documents your Application will not be considered.

Asset Certification
Proof of Employment
Tax Returns
Permission for Electronic Communication
Zero Income Affidavit
Child Support Affidavit
Background Check Authorization
Full time student verification

Must be completed for every adult 18 years of age and older living in the home

Application Information

Start with Cover Letter and Supply all Documents for Applications

All Items must be included that are listed in this section. Please start with Cover Letter and read thoroughly. Please note ALL documents must be included. Without all documents your Application will not be considered.

Asset Certification Proof of Employment Tax Returns Permission for Electronic Communication Zero Income Affidavit Child Support Affidavit Background Check Authorization Full time student verification Must be completed for every adult 18 years of age and older living in the home

Asset Certification
Proof of Employment
Tax Returns
Permission for Electronic Communication
Zero Income Affidavit
Child Support Affidavit
Background Check Authorization
Full time student verification

Must be completed for every adult 18 years of age and older living in the home