Application Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Qualifications *Income is less than or equal to 140% of median income for family sizeProperty must be their PRIMARY RESIDENCEThe Property is located within the City of Miami Gardens city limitsSingle-family home, townhomes, and condosPurchase price up to $500,000Assistance is $5000.00 (Please mark ALL that applies to you)Applicant's Name *FirstLastPhone Number *Applicant's Email Address *Realtor's Name *FirstLastRealtor's License Number *Realtor's Phone Number *Realtor's Email Address *Are you a NAREB South Florida member? *YesNoNo, but I am interested to be a memberFull Address of Property Under Contract *Date of Closing *Name of Mortgage Lender Company *Mortgage Lender's Contact Person *FirstLast Realtor's Address Person Name of Home Inspection Company *Name of Title Closing Company *Title Closing Company's Contact Person *FirstLastTitle Closing Contact Person's Phone NumberSubmit
