Statement of Interest

Thank you for your interest in the Litchfield Housing Trust. Please complete the Statement of Interest below. It will be received by our office and reviewed at the earliest opportunity. Someone from our team will be in touch with you shortly.

Your Name (required):

Your Street Address:

Your Town:

State

Zip

Your Phone Number (required):

Interested In (Check One or Both):

 Rental Home

Your Family Size:

Number of Bedrooms Needed:
 1 2 3 4 5

Please List Your Children - Name, Gender, Age (One Per Line):

Household Income (Include Any Child Support):

Reasons For Interest, Needs, Comments:

Your Email (required):