By submitting this form, you are allowing HabiJax the right to evaluate your income and credit to determine if you meet the program criteria.
ELIGIBILITY INFORMATION (APPLICANT 1)  -  Please answer every question.
How did you hear about HabiJax?   What is your current marital status? 
Do you currently own a home?  YES  NO   Have you lived OR worked in Duval County for the last 6 months?  YES  NO
How many people (including yourself) will live in the HabiJax home?   How many applicants for this loan? 
Current Job Type
(Seasonal means you don't work all year)
   Time at this job?  Yrs:    Mths: 
SSI (Social Security) ($ per month)
Disability ($ per month)
Court-ordered Child Support ($ per month)
Survivorís Benefits ($ per month)
Alimony ($ per month)
Pension ($ per month)
Total Monthly Income 1  ($ per month)
Qualifying Income Table
 Occupants of House  Lower Monthly Income Limit  Upper Monthly Income Limit 
 1  1,429.00  3,263.00 
 2  1,633.00  3,729.00 
 3  1,838.00  4,196.00 
 4  2,042.00  4,658.00 
 5  2,204.00  5,033.00 
 6  2,367.00  5,404.00 
 7  2,533.00  5,779.00 
 8  2,696.00  6,150.00 
 In order to qualify, your income must fall between the lower and upper monthly income limit for your household size.
For example, if you have a household of 1 person and your income is $2,000 per month, you would meet the income limits.
If you have a household of 1 and your income is $1,200 per month, you would not meet the income limits.