Applicant Self-Assessment 1. Have you lived or worked in Suffolk or Nassau county for the last 12 months? Yes No 2. Does your household yearly income fall within the limits listed on the website? Yes No 3. Has your household’s source of income been steady for at least two years? Yes No 4. Do you have $5,000 in savings to pay towards the down payment costs associated with the purchase of your new home and the ability to save additional money over the next 9 months? Yes No 5. If you have a credit score and know it, is your credit score above 620? Please note that you do NOT need to have a credit score to apply. Yes No 6. Are you a US citizen or a permanent, legal resident (must have a US birth certificate or green card)? Yes No 7. Do you have a need for housing due to overcrowding, high cost, poor maintenance, temporary housing, etc.? Yes No
