Down Payment Assistance Submission Package

Application Information

Loan Program Selection

Hold Ctrl (control button) to select multiple programs.

Borrower

First Name

Middle Initial

Last Name

Preferred Name/Nickname

Gender Pronouns

i.e. She/Her/Hers; He/Him/His; They/Them/Theirs

Email

If you do not have an email address, please visit gmail.com/signup.

Phone

Enter with dashes. E.g. 123-456-7890

Phone Type

Street Address

City

State

Zip Code

Birthdate

Social Security Number

Preferred Contact Type

Best time to contact

Limited English Proficiency

Primary Language Spoken

Borrower Additional Information

Employment Status

Are you active military?

Are you legally married?

Are you a veteran?

Is there another person who should be included as a part of the purchase (co-borrower)?

Co-Borrower

First Name

Middle Initial

Last Name

Preferred Name/Nickname

Gender Pronouns

i.e. She/Her/Hers; He/Him/His; They/Them/Theirs

Email

If you do not have an email address, please visit gmail.com/signup.

Phone

Enter with dashes. E.g. 123-456-7890

Phone Type

Does the co-borrower live at the same address?

Street Address

City

State

Zip Code

Birthdate

Social Security Number

Relationship to Primary Application

Co-Borrower Additional Information

Employment Status

Is this person active military?

Is this person legally married?

Is this person a veteran?

Hidden Fields

Service File ID

Owner ID

Owner Role/Agency formula

Contact ID

Additional Household Members

Are there additional people who are planning to live at the subject property?

Household Member

Please provide the following information for ALL OTHER persons who are planning to live at the subject property. Add additional members through the "Add another household member" link below.

First Name

Last Name

Birthdate

Relationship to Primary Application

Employment Status

Is this person legally married?

Is this person active military?

Is this person a veteran?

Demographics and Declarations

The following information is requested for all Clients by the federal government for certain types of loans related to a dwelling in order to monitor the lender’s compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may not discriminate on the basis of this information, or on whether you choose to furnish it. However, if you choose not to furnish the information and you have made this application in person, under federal regulations the lender is required to note ethnicity, race, and sex on the basis of visual observation or surname.

Borrower Demographics

Gender

What is your legal gender?

What gender do you identify as?

What is your race?

Which race in particular?

Are you Hispanic, Latino, or Spanish in origin?

I do not wish to furnish this information

Co-Borrower Demographics

Gender

What is your legal gender?

What gender do you identify as?

What is your race?

Which race in particular?

Are you Hispanic, Latino, or Spanish in origin?

I do not wish to furnish this information

Borrower Declarations

Are there any outstanding judgments or liens against you?

Have you declared bankruptcy within the last 36 months?

Have you had any property foreclosed upon or given title of deed in lieu thereof in the past 36 months?

Are you a co-maker or endorser of a note that is not mentioned in these other declaration questions?

Are you obligated to pay alimony or child support of maintenance?

Do you intend to occupy this property as your primary residence?

Are you a US citizen?

Are you a permanent resident alien?

Are you a first generation homebuyer?

Select no if your parents, grandparents, or siblings own a home.

Are you a first time home buyer?

if you have not owned a home for the past 3 years, answer yes

Have you owned any other real estate in the last 3 years?

Co-Borrower Declarations

Are there any outstanding judgments or liens against you?

Have you declared bankruptcy within the last 36 months?

Have you had any property foreclosed upon or given title of deed in lieu thereof in the past 36 months?

Are you a co-maker or endorser of a note that is not mentioned in these other declaration questions?

Are you obligated to pay alimony or child support of maintenance?

Do you intend to occupy this property as your primary residence?

Are you a US citizen?

Are you a permanent resident alien?

Are you a first generation homebuyer?

Select no if your parents, grandparents, or siblings own a home.

Are you a first time home buyer?

if you have not owned a home for the past 3 years, answer yes

Have you owned any other real estate in the last 3 years?

How did you hear about us?

Who introduced you to us?

Which Newspaper?

What Organization?

Which Website or Source?

Where did you see it?

Application Income Information

Employment Income

Employer Name

Employment Start Date

Annual Income

What is your annual income before taxes, insurance, etc. are taken out.

Income Type

Occupation

Please select the wage-earner

Other Occupation

Other Income

Do you receive other income from sources other than employment?

Child support, alimony, social security, disability, etc.

Other Income Source

Income Type

Please select the wage-earner

Annual Income

What is your annual income before taxes, insurance, etc. are taken out.

Other Income Type

Purchase Information

Have you signed a purchase agreement?

Please provide the following information about the property

Street Address

City

State

Zip Code

Building Type

Single Family	Duplex
Condominium	Townhome

Purchase Price

Enter just the number

Number of Units

Has a lender pre-approved you for a mortgage loan?

Please provide the following information about the loan

Lending Company

Loan Officer First Name

Loan Officer Last Name

Loan Officer Email

Loan Officer Phone

Loan Type

Other Loan Type

Pre-Approved Amount

Loan Amount

Do you have a realtor?

Please provide the following information about your realtor

Realty Company

Realtor First Name

Realtor Last Name

Realtor Email

Realtor Phone

When you click next on this page, your responses will be submitted and will no longer be editable and you'll be asked to sign and date this application.

If there is a co-borrower, an additional signature page will appear after the borrower signs.