First Time Land Ownership Program First-Time Land Ownership Program APPLICATION FOR FIRST TIME LAND OWNERSHIP PROGRAM INCOMPLETE AND DUPLICATE FORMS WILL NOT BE PROCESSED Biographic Information1. Name* First Middle Last Gender*MaleFemale2. Address* Street Address Address Line 2 City District AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country 3. Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Birth District*Select DistrictCorozalOrange WalkBelizeCayoStann CreekPunta GordaCountry of Birth*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsNationality*AfghanAlbanianAlgerianAndorranAngolanAntiguan or BarbudanArgentineArmenianAustralianAustrianAzerbaijani, AzeriBahamianBahrainiBengaliBarbadianBelarusianBelgianBelizeanBeninese, BeninoisBhutaneseBolivianBosnian or HerzegovinianMotswana, BotswananBrazilianBruneianBulgarianBurkinabéBurmeseBurundianCabo VerdeanCambodianCameroonianCanadianCentral AfricanChadianChileanChineseColombianComoran, ComorianCongoleseCongoleseCosta RicanIvorianCroatianCubanCypriotCzechDanishDjiboutianDominicanDominicanTimoreseEcuadorianEgyptianSalvadoranEquatorial Guinean, EquatoguineanEritreanEstonianEthiopianFijianFinnishFrenchGaboneseGambianGeorgianGermanGhanaianGibraltarGreek, HellenicGrenadianGuatemalanGuineanBissau-GuineanGuyaneseHaitianHonduranHungarian, MagyarIcelandicIndianIndonesianIranian, PersianIraqiIrishIsraeliItalianIvorianJamaicanJapaneseJordanianKazakhstani, KazakhKenyanI-KiribatiNorth KoreanSouth KoreanKuwaitiKyrgyzstani, Kyrgyz, Kirgiz, KirghizLao, LaotianLatvian, LettishLebaneseBasothoLiberianLibyanLiechtensteinerLithuanianLuxembourg, LuxembourgishMacedonianMalagasyMalawianMalaysianMaldivianMalian, MalineseMalteseMarshalleseMartiniquais, MartinicanMauritanianMauritianMexicanMicronesianMoldovanMonégasque, MonacanMongolianMontenegrinMoroccanMozambicanNamibianNauruanNepali, NepaleseDutch, NetherlandicNew Zealand, NZ, ZelanianNicaraguanNigerienNigerianNorthern MariananNorwegianOmaniPakistaniPalauanPalestinianPanamanianPapua New Guinean, PapuanParaguayanPeruvianFilipino, PhilippinePolishPortuguesePuerto RicanQatariRomanianRussianRwandanKittitian or NevisianSaint LucianSaint Vincentian, VincentianSamoanSammarineseSão ToméanSaudi, Saudi ArabianSenegaleseSerbianSeychelloisSierra LeoneanSingapore, SingaporeanSlovakSlovenian, SloveneSolomon IslandSomaliSouth AfricanSouth SudaneseSpanishSri LankanSudaneseSurinameseSwaziSwedishSwissSyrianTajikistaniTanzanianThaiTimoreseTogoleseTokelauanTonganTrinidadian or TobagonianTunisianTurkishTurkmenTuvaluanUgandanUkrainianEmirati, Emirian, EmiriUK, BritishUnited States, U.S., AmericanUruguayanUzbekistani, UzbekNi-Vanuatu, VanuatuanVaticanVenezuelanVietnameseYemeniZambianZimbabwean4. Personal InformationEmail Address:* Enter Email Confirm Email Cell Phone Number*Home Phone NumberWork Phone Number5. Occupation*6. Social Security Identification Card Number:*I have lived in Belize for the last [ ] Years.*Please enter a number from 1 to 99.Marital Status7. Marital Status*MarriedSingleCommon LawSpouse InformationFirstMiddleLastOccupation8. Size of Family*Please enter a number from 1 to 30.9. DependentsDependentsAge GirlsAge BoysLand Ownership Information10. Land Now Applied ForLotsAcresLocationPreferred District*Select DistrictCorozalOrange WalkBelizeCayoStann CreekPunta GordaLocation*Type of intended development* Residential Financial Ability* Personal Funds Loans Financial Ability: Give Evidence*Are you in a financial position to commence Building/Development in a year?*YesNoWhat is the expected time of completion? [Years]*Please enter a number from 1 to 5.Totaly family income per year:*$0-$12,000$12,000-$25,000$25,000-$40,000$40,000-$60,000Over $60,000Supporting Documents*A Scan or Photo of your Social Security card in PDF or JPG format is required to process your application. Drop files here or Accepted file types: pdf, jpg. CAPTCHAConsent* I certify that the above information are true and correct.EmailThis field is for validation purposes and should be left unchanged. Incomplete and duplicate applications submitted will not be processed.
