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Empty Nester Eligibility Form

This is NOT a loan application or a guarantee of a loan for a Habitat for Humanity of Omaha house. This is an eligibility questionnaire for Habitat Omaha's Empty Nester program.

Please note: Habitat for Humanity of Omaha reserves the right to refuse a home purchase based on the condition of the property. 

Please allow 30-45 days to evaluate your Empty Nester questionnaire. We will contact you via email or phone with additional information after we have assessed your completed questionnaire. 
























Income Information


*Proof of income will be required

Enter your household's individual earner information as applicable. 








Additional Information













If you are an immigrant to the U.S.