APPLICATION FOR FIRST TIME LAND OWNERSHIP PROGRAM

INCOMPLETE AND DUPLICATE FORMS WILL NOT BE PROCESSED

Biographic Information

1. Name*

First Middle Last

Gender*

Male
Female

2. Address*

Street Address Address Line 2 City District Country

3. Date of Birth*

Birth District*

Country of Birth*

Nationality*

4. Personal Information

Email Address:*

Enter Email Confirm Email

Cell Phone Number*

Home Phone Number

Work Phone Number

5. 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 Status

7. Marital Status*

Married
Single
Common Law

Spouse Information

First	Middle	Last	Occupation

8. Size of Family*

Please enter a number from 1 to 30.

9. Dependents

Dependents	Age Girls	Age Boys

Land Ownership Information

10. Land Now Applied For

Lots	Acres	Location

Preferred District*

Location*

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?*

Yes
No

What is the expected time of completion? [Years]*

Please enter a number from 1 to 5.

Totaly family income per year:*

Supporting 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

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Consent*

I certify that the above information are true and correct.

Phone

This field is for validation purposes and should be left unchanged.

First-Time Land Ownership Program

First Time Land Ownership Program

APPLICATION FOR FIRST TIME LAND OWNERSHIP PROGRAM

Biographic Information

4. Personal Information

Marital Status

Land Ownership Information

Incomplete and duplicate applications submitted will not be processed.