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Homeownership: Pre-Eligibility Questionnaire

Rocky Mount Housing Logo.

1065 Pinehurst Drive | PO Box 4717 | Rocky Mount, NC 27803
Phone: 252.977.3141
Fax: 252.977.2587
Emergency After-Hours: 252.977.6223
Office Hours: Monday - Friday | 8:30 am - 5:00 pm

Equal housing, handicap accessible, and ADA logos.

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If no Co-Applicant, put N/A or 0

After completing this form, please complete the next form: