Advising Intake

Page 1 

Applicant











Co-applicant




Hidden Fields








Page 2

To demonstrate our commitment to equity and our service reach, we are required to collect demographic information from the clients we serve.  Please answer the following demographic questions.

MM/DD/YYYY






















Page 3

Income

Employment Income/Salary






Additional Income


Additional Information



If yes, please provide the following details for the property you have agreed to purchase.  If you don’t know leave blank.









When you click next on this page, your responses will be submitted and will no longer be editable.  And you will be redirected to review and sign a privacy act notice and a  information disclosure form.

Page 4

Foreclosure/Mortgage Default Details




First Mortgage Information
Provide the following information about your mortgage. Use exact information when possible. Otherwise, enter estimate to the best of your knowledge.









Second Mortgage Information
Provide the following information about your mortgage. Use exact information when possible. Otherwise, enter estimate to the best of your knowledge.








Homeowners Association/Other Liens





Property Taxes

Property Taxes Details



Homeowners Insurance

Homeowners Insurance Details

When you click next on this page, your responses will be submitted and will no longer be editable.  And you will be redirected to review and sign a privacy act notice and a  information disclosure form.