Application for Reduced Home Inspection Fees

Reduced Fee Application

This form is to help process applications for reduced fees for Nonprofit Home Inspections' services. This program is designed to help insure that low and moderate income households have the opportunity to have critical home inspection services performed on their homes. Please only complete this form when you have all of the documentation available and ready to upload (i.e. letter confirming participation in another home buyer program or tax returns). Please white out or delete your social security number from any documents provided. Information you provide us with be kept confidential, but you give us permission to confirm information with other reliable sources as necessary.

Name
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone
Email
Enter Email Confirm Email
Are you buying or renting the home you would like inspected?
- Buying
- Renting
Are you currently participating in a home buyer's program designed to encourage home ownership for low and moderate income families?
- Yes
- No
If so, which home buyer program are you currently participating in?
Please upload either a copy of documentation that shows your participation in a program that supports home ownership for low / moderate income families or upload the first few pages of your most recent tax returns (with social security numbers obscured).
Drop files here or
How many people are in your household?*
If this number is different than information listed in your tax returns, please explain.
What is your gross annual income (prior to taxes, etc.)?*
Please sign to confirm that the information you have provided is accurate. By signing, you also give us permission to verify that the information you have provided us with other resource providers.