Henrico County Employee Home Purchase Assistance Program Please complete the questionnaire below to determine if you meet the initial eligibility criteria to apply for down payment and closing cost assistance through EHPAP. Please note that submission of this form does not constitute a completed program application, nor does it guarantee acceptance to the program or the receipt of EHPAP funds. Failure to submit this form will result in your application not being processed.Name(Required) First Last Phone(Required)Henrico County or HCPS Email Address(Required) Organization(Required)General GovernmentHCPSDepartment/Division name(Required)School name(Required)Human Resources EHPAP Eligibility Email(Required)Accepted file types: pdf, Max. file size: 50 MB.Do you currently own a home or vacant land, or have any ownership interest (i.e. inheriting a share of a home as an heir) in real estate, including property in another country or foreign land?(Required) Yes No Have you or any members of your household owned a home or held any ownership interest in any real estate within the last 5 years, including property in another country or foreign land?(Required) Yes No Do you have at least $1,000 of your own funds to contribute toward purchasing a home?(Required) Yes No Are you planning to purchase a home in Henrico County, Virginia?(Required) Yes No Do you have a minimum credit score of 600 or better?(Required) Yes No If you plan to apply for a mortgage loan with someone else, does that individual(s) have a minimum credit score of 600? If you are not planning to apply for a mortgage with anyone else, select N/A.(Required) Yes No N/A Do you have any outstanding judgments, liens, charge-offs, or collections totaling more than $1,000?(Required) Yes No If you plan to apply for a mortgage loan with someone else, does that individual(s) have any outstanding judgments, liens, charge-offs, or collections totaling more than $1,000? If you are not planning to apply for a mortgage with anyone else, select N/A.(Required) Yes No N/A Do you have a bankruptcy that was discharged less than 2 years ago?(Required) Yes No If you plan to apply for a mortgage loan with someone else, does that individual(s) have a bankruptcy that was discharged less than 2 years ago? If you are not planning to apply for a mortgage with anyone else, select N/A.(Required) Yes No N/A Do you have a foreclosure on your record that is less than 5 years old?(Required) Yes No If you plan to apply for a mortgage loan with someone else, does that individual(s) have a foreclosure on their record that is less than 5 years old? If you are not planning to apply for a mortgage with anyone else, select N/A.(Required) Yes No N/A Do your household’s total assets (cash, bank accounts, investment accounts, stocks, bonds, etc.) fall UNDER the program limit of $50,000?(Required) Yes No Do you currently have a lease agreement?(Required) Yes No Lease Expiration Date(Required) Month Day Year Please note that your household income must include all sources of income (i.e. wages, retirement, social security, alimony, child support, etc.) for ALL individuals aged 18 or older occupying the home, regardless of familial status or relationship. The program’s current household income limits are: $92,760 for 1-person households $140,000 for 2-person households $160,000 for households of 3 or more Does your household income fall below the current program limits?(Required)YesNoCAPTCHA