Affordable Housing Inventory Surplus Land Interest Request Form

Date * +

Company Name *

Contact First Name *

Contact Last Name *

Phone Number *

Contact Email Address *

Is the company a Not-For-Profit or a For-Profit organization? *

Not-for-Profit

For-Profit Organization

If selected to develop the subject property, what is the minimum income of the potential homeowner, relative to average median income (AMI), that you agree to sell to? *

<120%

<100%

<80%

<60%

Does your organization have housing construction experience? *

Yes

Parcel ID that you are interest in: (Please use the following format xx-xx-xx-xxxxx-xxx-xxxx) *