Property Address:

Neighborhood : Black Rock / RiversideDelaware / Elmwood StripDowntown / WaterfrontEast Side / Lovejoy / Schiller ParkFruit BeltHamlin ParkKaisertownMasten / Humboldt Park / Cold SpringsNorth BuffaloSouth Buffalo / First WardUniversity Heights / University District / Kensington / Kensington HeightsWest Side

City:

State : ALABAMAALASKAARIZONAARKANSASCALIFORNIACOLORADOCONNECTICUTDELAWAREDISTRICT OF COLUMBIAFLORIDAGEORGIAHAWAIIIDAHOILLINOISINDIANAIOWAKANSASKENTUCKYLOUISIANAMAINEMARYLANDMASSACHUSETTSMICHIGANMINNESOTAMISSISSIPPIMISSOURIMONTANANEBRASKANEVADANEW HAMPSHIRENEW JERSEYNEW MEXICONEW YORKNORTH CAROLINANORTH DAKOTAOHIOOKLAHOMAOREGONPENNSYLVANIARHODE ISLANDSOUTH CAROLINASOUTH DAKOTATENNESSEETEXASUTAHVERMONTVIRGINIAWASHINGTONWEST VIRGINIAWISCONSINWYOMING

Zip Code:

Owner’s Name: *(First, M, Last)

Owner’s Address:

City:

State : ALABAMAALASKAARIZONAARKANSASCALIFORNIACOLORADOCONNECTICUTDELAWAREDISTRICT OF COLUMBIAFLORIDAGEORGIAHAWAIIIDAHOILLINOISINDIANAIOWAKANSASKENTUCKYLOUISIANAMAINEMARYLANDMASSACHUSETTSMICHIGANMINNESOTAMISSISSIPPIMISSOURIMONTANANEBRASKANEVADANEW HAMPSHIRENEW JERSEYNEW MEXICONEW YORKNORTH CAROLINANORTH DAKOTAOHIOOKLAHOMAOREGONPENNSYLVANIARHODE ISLANDSOUTH CAROLINASOUTH DAKOTATENNESSEETEXASUTAHVERMONTVIRGINIAWASHINGTONWEST VIRGINIAWISCONSINWYOMING

Zip Code:

Telephone: * (Area Code + Number)

Email Address: * (First, M, Last)

Is there a mortgage or other liens on property and for what amounts:

Is the home Vacant?
Yes No

Type of Unit Select Type Single Home Double Multiple Unit

What is the general condition of the home?

Is the property in Housing Court?
No Yes

If yes, when is it due in court next?

Is the property being foreclosed by a Lender, City, Water Dept or County? If yes, please explain.

How much of the following are outstanding:

Property taxes (city and county)

Water bill:

Garbage User Fee:

If HomeFront is interested in exploring the sale or donation of your property, we will need access to the interior of the home. Please provide contact information about who can open up the home for HomeFront staff?