Affordability Subsidy Application – 1108 SYS AFFORDABILITY SUBSIDY INTAKE APPLICATION: 1108 SOUTH YELLOW SPRINGS ST. I am interested in purchasing 1108 S. Yellow Springs Street and am hereby applying for an affordability subsidy. Name * Name First First Last Last Email * Phone * I understand the following * The affordability subsidy operates as a reduction from the list price of a home purchased from 1159 South. It is not a cash payment to the buyer. I will be required to repay the affordability subsidy if I purchase the home and do not maintain it as my primary residence for at least 5 years. Upon request, I will provide required supporting financial documents relating to earnings, retirement, disability, social security, bank activity, taxes, assets, etc. Submission of this form by me and review by 1159 South does not establish any relationship and does not impose any obligations upon 1159 South. # of Adults in Household (over 18 Years Old) * Please Select12345678 Annual Household Income for All Adults in Household * Please Select$44,800 or less$44,801 – 51,200$51,201 – 64,000$64,601 – 69,150$69,151 – $74,250Over $74,250 Annual Household Income means all income for every person in the household who is 18 or older. You may use either prior year actual or current year expected annual household income, whichever is higher. Income is to be reported from all sources before taxes. It includes but is not limited to amounts from employment, business, gigs, Social Security, Disability, VA, retirement, child support, Unemployment, etc. $ Amount of Mortgage Prequalification Approval from Lender * Comments (add name, phone, and email for any co-applicants; add any other comments if needed) Submit If you are human, leave this field blank.