forms

Property Application: Expression of Interest Form

To submit a Property Application Expression of Interest Form:

Click here to print out this page (or its equivalent in Spanish see below), complete and mail to PHDC, 1234 Market St., 17th Floor, Philadelphia, PA 19107
or
Click here to submit an email request for us to contact you.

Applicant's Name______________________________Date____________
Address________________________City___________State_____Zip Code______
Date of Birth____/___/_______ Social Security # ______________ Household Size___
*Ethnic Origin - Black___ White___ Asian___ Native American___ Latino___ Other___
Home Telephone #__________________Work Telephone #___________________
Cell Phone #_______________________Annual Income______________________

Co-Applicant's Name______________________________________
Address____________________City_______________State______Zip Code_____
Date of Birth______/_____/_______ Social Security # _______________________
Home Telephone #__________________Work Telephone #___________________
Cell Phone #_______________________Annual Income______________________

Do you or a household member have a disability that requires accessible housing? Yes_______No______

Credit Verification
I/We authorize the Philadelphia Housing Development Corporation(PHDC) to secure any and all information it requires concerning me/us and my/our financial affairs and release PHDC, and any and all other organizations giving said information, of any and all liability.

_________________________________________________________________
Signature of Applicant Signature of Co-Applicant

YOU MUST LIST PROPERTY ADDRESS(ES) BELOW TO COMPLETE APPLICATION OR
THIS REQUEST WILL NOT BE CONSIDERED.

Property Choices

1._________________________________________
2._________________________________________
3._________________________________________

*The U.S.Department of Housing and Urban Development requires funding recipients to collect data on the ethnic origin of its clients.

En español - click here

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1234 Market Street, 17th Floor, Philadelphia, PA 19107 Tel: 215-448-3000 FAX: 215-448-3133
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