Application For Housing

Building homes, strengthening faith, and serving Jay County—one family at a time.

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First Name

Last Name

Age

Email *

Phone *

Marital Status

Address

Street Address

City

State

Country

Postal Code

Do you rent or own?

Current Monthly House Payment

How long have you been at this address?

Dependents Names/Ages

Place of Employment

Include Employer name and address

Current Yearly Income

(Required Income is $35,000 plus yearly)(Background & Credit check)

How many years have you been working here?

Any Additional Information

Our team is here to answer your questions and help you become a home owner.

Building homes, strengthening faith, and serving Jay County—one family at a time.

Jay County Christian Home Builders

1100 North Meridian Street

Portland, IN 47371