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NHA Form and Requirements

The document is a housing application form submitted to the National Housing Authority (NHA) for the purchase or rental of a house and lot. It contains information about the applicant such as name, address, contact details, family composition, income, and property holdings. The applicant certifies that they do not own other real property, are not a squatter or agent, and acknowledges that false statements will nullify the application and contract. Supporting documents like ID photos, pay slips and tax returns are also required.

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Princess Manalo Tafalla
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1K views

NHA Form and Requirements

The document is a housing application form submitted to the National Housing Authority (NHA) for the purchase or rental of a house and lot. It contains information about the applicant such as name, address, contact details, family composition, income, and property holdings. The applicant certifies that they do not own other real property, are not a squatter or agent, and acknowledges that false statements will nullify the application and contract. Supporting documents like ID photos, pay slips and tax returns are also required.

Uploaded by

Princess Manalo Tafalla
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Office of the President

NATIONAL HOUSING AUTHORITY


Northern & Central Luzon Office, Elliptical Road, Diliman, Quezon City

THE GENERAL MANAGER Date:________________________


NHA, Diliman, Quezon City

SIR:
In accordance with NHA rules and regulations and provisions of RA 7279 which I and my family agree to comply with
faithfully, I am hereby applying to purchase/rent:

House and Lot Unit: Lot ______ Block ______ Phase ______, ____________________________________

A. APPLICANT’S IDENTITY: (For female applicant maiden name only)


NAME:________________________________________________________________________________________
(Rank) (First Name) (Middle Name) (Last Name)
Residential Address: _____________________________________________________________________________
Comm. Tax Cert.: _______________ Issued On:_______________ Issued At: ____________________________
Place & Date of Birth:___________________________________ _________________ Citizenship:______________

Badge No.: _______________ Contact No.: ___________________ Email Address: __________________________


Office/Unit Assignment:__________________________________
Name of Spouse (For wife, give complete maiden name):
___________________________________________________________________________________________
(First Name) (Middle Name) (Last Name)
Place & Date of Birth of Spouse:___________________________________ __________________

B. APPLICANT’S FAMILY COMPOSITION:


NAME RELATION TO APPLICANT CIVIL STATUS AGE
________________________________ _________________________ ______________ _______
________________________________ _________________________ ______________ _______
________________________________ _________________________ ______________ _______

C. APPLICANT’S TOTAL FAMILY INCOME PER MONTH: Php _____________________

D. FAMILY REAL PROPERTY HOLDINGS: I and my wife,


( ) Do not own nor under contract to buy any lot/dwelling unit in the Philippines
( ) Own or under contract to buy the following lots/dwelling units as follows;
_________________________: Urban Residential Total Area (sq. m.) ____________________
_________________________: Commercial & Industrial Total Market Value P __________________

E. I and my family have never availed of any government housing assistance/accommodation, nor violated Section
14 of RA 7279.

F. That I am not a professional squatter nor a member of squatting syndicate.

I hereby certify that I am making this application for the sole purpose of acquiring a home lot for my family and not as
DUMMY or AGENT of any other party.

Any false statement given by me hereinabove shall be sufficient cause for the CANCELLATION of the award and
contract that maybe executed by NHA in my favor as a result of this application and the forfeiture of all payments that may have
been made therefore without prejudice to any administrative criminal or civil action, that maybe brought by the NHA against me
in accordance with existing laws.

______________________________________ ________________________________________
(Signature of Spouse) (Signature of Applicant)

SUBSCRIBED AND SWORN to before me in ___________________________, Philippines, this _____ day of


_____________, 20___, AFFIANT, having exhibited to me his/her Community Tax Certificate as stated above.

Doc. No.: __________________ NOTARY PUBLIC


Page No.: __________________
Book No.: __________________
Series of 20_____________
TABLE OF CONTENTS

APPLICATION FORM (NOTARIZED) (Tab “A”)

Birth Certificate (for Single)/ (Tab “B”)


Marriage Contract (for Married Applicant)

1 pc 2X2 ID Picture (Tab “C”)

Photocopy of ID (Tab “D”)

2 Consecutive Pay slip (Tab “E”)

Income Tax Return (ITR) (Tab “F”)

CEDULA (Tab “G”)

Certificate of Duty Status (original copy)/ (Tab “H”)


Certificate of Non- Pending Case
(original copy)

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