SCCLT Inquiry Form

Thank you for your interest in the State College Community Land Trust! After you submit your inquiry, SCCLT will be in contact with you to answer any additional questions you may have. Questions about the form? Please email us at SCCLTadmin@scclandtrust.org or call us at (814) 867-0656.

CONTACT INFORMATION

First Name

Last Name

Preferred Pronouns (Ex: They/Them, She/Hers, etc.)

Email Address

Phone

Street

City

State

Zip Code

How did you hear about us?

ADDITIONAL HOUSEHOLD INFORMATION

Co-Applicant First Name (If applicable)

Last Name

Co-Applicant Email Address

Marital Status

Number of Children in Household

Total Household Size

Include all adults and children living at least 50% of their time in the household.

Total Annual Household Income $

Include applicant, co-applicant, any other adults in the home receiving income, and children over 18 years of age. Valid sources of income include regular employment, self-employment, child or spousal support, employment insurance, Pension, Social Security, disability pension, Worker’s Compensation, investment income, etc.

CURRENT LIVING SITUATION

Current Living Situation

Quality of Living Situation

Have you previously owned a home?

How Long Ago (yrs.)?

Current Monthly Housing Costs (Rent, etc.) $

Utilities Included in Rent?

Monthly Utility Costs (if not included in rent) $

HOUSING GOALS

Primary Reason for Purchase

Number of Bedrooms Desired

Number of Bathrooms Desired

Any additional comments

DEMOGRAPHIC INFORMATION (OPTIONAL)

The following questions are entirely optional and are NOT used to evaluate your eligibility. They are included so that we can assess our marketing efforts.

What is your gender identity?

What is your race?

What is your ethnicity?

As part of the homebuying process in our program, you will meet with HUD-certified budget/housing counselors to prepare for future homeownership. Please check below if give permission for SCCLT to share your information with these program partners. Your information will be kept confidential.

Yes, I give my permission