Reduced Fee Application

This form is to help process applications for reduced fees for Nonprofit Home Inspections' services. This program is designed to help ensure 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 block 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.

Please answer all of the questions honestly and completely. Misrepresenting household income or the number of members in your household would be considered fraud. The individual(s) listed on this application must match the name(s) that will be listed on the title for the property when the purchase has been completed. If the name on the title is different when checked after the purchase is complete, the applicant(s) will be responsible for the full inspection fee plus any collection fees. Thank you for not attempting to abuse this important resource.

Applicant's Name(s)
First Last
Applicant's Current Address*
Street Address Address Line 2 City State ZIP Code
Phone
Email
Enter Email Confirm Email
Address of Home to be Inspected
Street Address Address Line 2 City State ZIP Code
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?
If buying, whose name will be on the title for the home? (If this does not match the applicant's name when the title is checked after the purchase is complete, the full inspection fee will be due.)
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 upload 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). Alternatively, you may provide proof of some form of government assistance (e.g. SNAP). If you have trouble uploading your file, you can email it to us by responding to the confirmation email you get when you complete this form.*
Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx, bmp, Max. file size: 32 MB.
Please sign below to confirm that the information you have provided is complete and accurate. By signing, you give us permission to verify that the information you have provided us with other resource providers. By signing, you also acknowledge that you will be responsible for the full inspection cost plus collection fees if any of the information included in this application is found to be inaccurate.