RTB Application - Hmong | Habitat for Humanity of Greater Sacramento

Yog tias koj tsis tuaj yeem ua tiav daim ntawv thov online, thov nyem qhov no mus rub tawm pdf version.

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Thov nco ntsoov tias koj yuav tsis tuaj yeem xa daim ntawv thov tsis tiav. Daim ntawv thov ua tiav yuav tsum suav nrog kev xa daim ntawv thov ua tiav no thiab cov ntaub ntawv hauv qab no:

a. Pov thawj kev ua tswv lub vaj tsev (cov ntawv qhia txog nyiaj qiv yuav tsev uas tshiab tshaj plaws). b. Pov thawj kev tuav pov hwm cov tswv tsev tam sim no (nplooj ntawv tshaj tawm txog txoj cai kev tuav pov hwm cov tswv tsev tam sim no). c. Kev xa se raws xyoo uas tshiab tshaj plaws rau tej tus neeg uas muaj hnub nyoog tshaj li 18 xyoo nyob rau hauv tsev neeg; yog tias koj tsis muaj kev xa se, thov sau email rau repair@habitatgreatersac.org los sab laj txog lwm cov hauv kev xaiv rau kev lees txais kev muaj kev tsim nyog fab nyiaj txiag rau cov kev kho. d. CA daim ntawv tso cai tsav tsheb los sis lwm yam ntaub ntawv txheeb xyuas tej tus neeg uas muaj hnub nyoog tshaj li 18 xyoo nyob rau hauv tsev neeg.

Tus Neeg Thov Lub Npe: *

Lwm tus neeg thov npe:

Chaw Nyob Lub Vaj Tse: *

Address Line 1

Address Line 2

City

State

Zip Code

Nab Npawb Xov Tooj Uas Siv Heev: *

Email *

Nab npawb cov neeg nyob hauv lub tsev: *

Hnub nyoog cov neeg nyob rau hauv (kos cim rau txhua qhov uas siv tau): *

0-17 xyoo
18-64 xyoo
65+ xyoo rov sauv

Puas yog tus neeg thov yog tus tswv thiab tus neeg nyob rau ntawm lub vaj tsev? *

Puas yog tus neeg thov yog tus neeg xauj? *

Yog tias tus neeg thov tsis yog tus neeg nyob ntawm lub vaj tse, koj muaj kev sib txheeb ze li cas nrog rau tus neeg nyob rau hauv?

Puas yog tej tus neeg nyob rau hauv tsev neeg yog Qub Tub Rog Teb Chaws Mes Kas? *

Yog tias yog, thov muab daim foos DD214 nrog rau koj daim ntawv thov.

Click or drag a file to this area to upload.

Puas yog tej tus neeg hauv tsev neeg muaj teeb meem txog kev tuaj yeem nkag mus siv tau? Yog tias yog, peb yuav ntsuam yuas lub tsev rau kev nruab txoj kev laub. *

Koj lub tsev ua nyob rau xyoo twg? *

Puas yog tam sim no koj muaj kev tuav pov hwm cov tswv tsev lawm? *

Puas Yog Lub Tsev Txav Tau Mus Los? *

tuaj plaws tau

Puas Yog Ob Tshooj? *

Puas Yog HOA? *

Puas Yog Thim Rov Qab Nyiaj Qiv Yuav Tsev? *

Puas yog koj yog tswv ntawm lwm lub vaj tsev? *

Puas yog yav tag los Habitat tau ua hauj lwm nyob rau hauv lub vaj tsev? *

Thaum twg?

Ua haujlwm dabtsi?

Koj muaj kev nyiam raug hom kev kho twg? (xyuas txhua yam uas siv) *

Kev Tu Chaw Ncig/Tshav Puam
Kev Ua Laj Kab
Tha Xim Sab Nrauv
Hloov Cov Ntoo Lwj
Kev Tu Raj Cug Dej Nag
HVAC
Kev Hloov Pauv Ru Tsev
Kev Tua Kab Ntsaum
Hloov Cov Qov Ra
Hloov Pauv Tshuab Dej Kub
Kho Hluav Taws Xob

Lwm Yam (thov sau qhia)

Thov qhia peb paub txog tus yam txwv ntawm koj lub tsev thiab hais txog cov kev kho uas xav tau: *

Qhia peb txog koj tsev neeg, thiab seb cov kev kho no yuav muaj kev cuam tshuam tsis zoo li cas rau koj thiab koj tsev neeg: *

Dhau li no lawm thov xa cov ntaub ntawv txuas mus no nrog rau koj daim ntawv thov:

Pov thawj kev ua tswv lub vaj tsev (cov ntawv qhia txog nyiaj qiv yuav tsev uas tshiab tshaj plaws). *

Click or drag a file to this area to upload.

Pov thawj kev tuav pov hwm cov tswv tsev tam sim no (nplooj ntawv tshaj tawm txog txoj cai kev tuav pov hwm cov tswv tsev tam sim no) *

Click or drag a file to this area to upload.

Kev xa se raws xyoo uas tshiab tshaj plaws rau tej tus neeg uas muaj hnub nyoog tshaj li 18 xyoo nyob rau hauv tsev neeg; yog tias koj tsis muaj kev xa se, thov sau email rau repair@habitatgreatersac.org los sab laj txog lwm cov hauv kev xaiv rau kev lees txais kev muaj kev tsim nyog fab nyiaj txiag rau cov kev kho

Click or drag files to this area to upload. You can upload up to 4 files.

CA daim ntawv tso cai tsav tsheb los sis lwm yam ntaub ntawv txheeb xyuas tej tus neeg uas muaj hnub nyoog tshaj li 18 xyoo nyob rau hauv tsev neeg. *

Click or drag files to this area to upload. You can upload up to 4 files.

Yog tias kuv lub vaj tsev raug xaiv ua lub chaw ua teg dej num, kuv pom zoo rau cov txuas mus no (pib nyob rau hauv txhua tej kab):

Kuv yuav koom nrog txoj hauj lwm nyob rau hauv kuv lub vaj tsev nrog rau cov neeg yeem ua hauj lwm pab dawb. Cov neeg uas tsis tuaj yeem pab tau cov kev kho los sis muaj kev tsis sib haum xeeb tuaj yeem koom tau nrog lwm cov hwv tsam neeg yeem ua hauj lwm pab dawb *

Clear Signature

Kuv nkag siab tias tej zaum kuv yuav tsum tau muab cov ntaub ntawv fab nyiaj txiag ntxiv thiab daim ntawv thov nyiaj qiv uas muaj sau tiav lawm uas nce rau cheeb tsam teg dej num kev kho *

Clear Signature

Kuv nkag siab tias tus tswv cuab ntawm Habitat for Humanity of Greater Sacramento pab pawg neeg ua hauj lwm yuav ua qhov kev teem caij sib ntsib nrog rau kuv los tshab xyuas txoj hauj lwm kom tiav nyob rau ntawm kuv tsev thiab los ua kom tiav Daim Ntawv Cog Lus Koom Tes Nrog Tswv Tsev (Homeowner Partner Agreement) uas raug raws cai ua ntej teg dej num. *

Clear Signature

Txuag thiab rov pib dua tom qab

THOV NYEEM DAIM NTAWV QHIA NO UA NTEJ KEV UA TIAV LUB NPOV HAUV QAB:

Peb tab tom thov cov ntaub ntawv txuas mus no los kuaj xyuas
peb li kev ua raws li tsoom fwv Tsab Cai Hais Txog Kev Muaj Vaj Huam Sib Luag Ntawm Nuj Nqi (Equal Credit Opportunity Act), uas txwv tsis pub muaj kev
ntxub ntxaug uas txhaum cai lij choj. Koj tsis tas yuav yuav muab cov ntaub ntawv no. Peb yuav tsis siv cov ntaub ntawv no (los sis koj qhov kev txiav txim
siab tsis muab cov ntaub ntawv no) los ua kev txiav txim koj daim ntawv thov los sis kev ua ntaub ntawv txog nuj nqi. Txoj cai li choj teeb tseg tias tsis pub
tus neeg qiv nyiaj muaj kev ntxub ntxaug uas saib raws li cov ntaub ntawv no los sis saib raws li qhov uas koj xaiv muab los sis tsis muab. Yog tias koj xaiv
tsis muab cov ntaub ntawv no, peb yuav saib nws los ntawm kev siv qhov muag tsom kwm saib los sis lub xeem.

Kuv tsis tas muab cov ntaub ntawv no.

Haiv Neeg/Teb Chaws Yug (tej zaum tus neeg thov yuav xaiv tau ntau tshaj ib haiv neeg):

Neeg Mes Kas Is Dias los sis Neeg As Lav Xab Kas Ib Txwm
Es Xias
Neeg Es Xias Is Dias
Neeg Suav
Neeg Fis Liv Pij
Neeg Zij Pees
Neeg Kaus Lim
Neeg Nyab Laj
Neeg Dub los sis Neeg Mes Kas As Fiv Kas
Neeg Has Vais Ib Txwm los sis lwm yam Neeg Pov Txwv Pav Xis Fiv
Neeg Guamanian los sis Neeg Chamorro
Neeg Has Vais Ib Txwm
Neeg Xas Muas
Neeg Tawv Dawb
Lwm yam

Yog tias muaj lwm yam, thov qhia

Tsav Neeg

Neeg Hiv Xab Pees Niv los sis Las Tis Naus
Tsis Yog-Neeg Hiv Xab Pees Niv los sis Las Tis Naus

Neeg Kus Npas
Neeg Mev
Neeg Paws Taus Liv Kaus
Lwm yam

Yog tias muaj lwm yam, thov qhia

Poj Niam Los Txiv Neej

Poj Niam
Txiv
Tsis-Yog Poj Niam Txiv Neej Tib Si/Tsis Zoo Li Poj Niam-Txiv Neej Tib Si
Tsis Xav Teb

Hnub Yug

Qib kev muaj txij nkawm

Sib Yuav Ua Tshoob Lawm
Sib Cais Nyias Nyob Nyias Lawm
Tsis Tau Sib Yuav Ua Tshoob

Qhov twg ntawm cov txuas mus no siv tau rau tej tus neeg hauv tsev neeg?

Xiam Oob Qab
Tshaj 65 Xyoo
Qis Dua 18 Xyoo
Qub Tub Rog

Txuag thiab rov pib dua tom qab

Habitat for Humanity of Greater Sacramento Li Kev Paub Dhau Los thiab Lus Pab Tswv Yim:

Koj nyob hauv koj tsev tau ntev npaum cas los lawm? *

Luv dua 1 xyoo
1-5 xyoo
6-10 xyoo
Tshaj li 10 xyoo

Koj yuav piav qhia li cas hais txog tus yam ntxwv ntawm koj koog zej zog (xws li cov kev, cov tsev, cov tshav puam)? *

Zoo tshaj plaws
Zoo
Qib Feem Nrab
Tsis zoo

Koj yuav piav qhia li cas hais txog koj li kev sib raug zoo nrog rau koj cov neeg zej zog? *

Zoo tshaj plaws
Zoo
Qib Feem Nrab
Tsis zoo

Raws li ncua dav lawm, kuv koog zej zog yog ib thaj chaw uas xis nyob. *

Pom Zoo Heev
Pom Zoo
Tsis Pom Zoo
Tsis Pom Zoo Hlo Li

Hom lus twg yog koj hom lus uas nyiam siv? *

Yog tias lus Askiv tsis yog koj hom lus uas nyiam siv, puas yog muaj tus neeg hais lus Askiv uas tuaj yeem pab ua tau daim ntawv thov? *

Peb lub koom haum siv qhov kev pab cuam txhais lus tham hauv xov tooj rau cov tsab xov tooj hu tuaj.Puas yog koj xav kom peb siv qhov kev pab cuam ntawd thaum peb hu tuaj rau koj?

Koj hnov txog peb lub khoos kas li cas? *

Habitat Lub Vev Xaib
Xaus Saus Mis Dias
Npav Xa Ntawv
Ntawv Tseb
Lwm yam mis dias
Koom Haum
Hais Rau Ib Tug Dhau Ib Tug
Lwm yam

Lwm yam mis dias (hom):

Koom Haum (lub npe):

Hais Rau Ib Tug Dhau Ib Tug (leej twg):

Lwm yam (thov qhia kom meej):

Tus Neeg Thov Kos Npe *

Clear Signature

Txuag thiab rov pib dua tom qab

Koj daim foos nkag tau raug cawm thiab tsim ib qho txuas tshwj xeeb uas koj tuaj yeem nkag mus rau rov pib daim foos no.

Sau koj email chaw nyob kom tau txais qhov txuas ntawm email. Xwb, koj tuaj yeem luam thiab khaws qhov txuas hauv qab no.

Thov nco ntsoov, qhov txuas no yuav tsum tsis txhob muab faib thiab yuav tas sijhawm hauv 30 hnub, tom qab ntawd koj daim ntawv nkag yuav raug muab tshem tawm.

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