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Call Jordan DeJong, Family Services Manager, at 719.475.7800 ext. 202 or fill out the form below.
Full Name *
Address*
City, State, Zip *
Phone
Your Email *
Have you owned a house (not a mobile home) before? * Yes No
How long have you lived in El Paso County? *
Are you a US citizen or permanent resident? * Yes No
How many people are in your family? *
What is your monthly gross income? *
Have you ever declared bankruptcy?If yes, when was it discharged? *
Are you currently going through a divorce? * No Yes
Please describe your current housing situation. *