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Community Partner Application

Applicant #1

First Name *
Middle *
Last Name *
Date of Birth
Marital Status – Please select all that apply
List all dependent(s) Full name, age, sex and amount of monthly income they receive if applicable.
Would you be interested in childcare?
If you have dependent(s) living in the home at least 50% of the time, would you be interested in childcare during the Homeownership Class?
Contact Information
Primary Phone Number
Alternative Contact Information
Current Address
Country
Address Line 1 *
Address Line 2
City *
State/Province *
Postal Code *
If you have not lived at this address for 2 years, list previous addresses
Employment
Applicant #1 Employment
Business Owner or Self-Employed
Employer or Name of Business
Start Date
Gross Monthly Income (before taxes are taken out)
No file selected
If at current employer less than 2 years – list previous employment and dates employed for past 2 years
Income from Other Sources

 (Fill out all that apply to applicant #1 ONLY)

Alimony
Month
/
Day
/
Year
Alimony has been current and regular for the past 12 months
Child Support
Month
/
Day
/
Year
Child Support has been current and regular for the past 12 months
Disability
Foster Care
Public Assistance
Retirement
Retirement (Pension, IRA) Frequency
Social Security
Unemployment Benefits
VA Compensation
Other
List where other income is coming from and when did it start
Assets
List how much you have saved for the down-payment
Where are funds for the down-payment?
Housing
Current Rent Payment
Do you use Section 8 Voucher to pay rent?
Maximum Mortgage Realistic House Payment
Have you ever owned a home before?
If Yes, when?
Education
Type of Education
(Select one)
Other Education Explanation
Military Service of Applicant #1
Currently Active Military
Veteran
Citizenship
Type of Citizenship
Demographics Opt-in

The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal law requires that we ask applicants for their demographic information (ethnicity, sex, and race) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for "Ethnicity" and one or more designations for "Race." The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, sex, and race on the basis of visual observation or surname. The law also provides that we may not discriminate on the basis of age or marital status information you provide in this application. If you do not wish to provide some or all of this information, please check below.  (Please select check boxes that apply)

Ethnicity
Race
Sex
Language(s) Spoken
Notes – Is there anything else we should know?

Consent to Receive Documents Electronically

By signing below, I consent to receive documents electronically.


Authorization for Use and Sharing of Information

By signing below, I expressly authorize the Lender and Other Loan Participants to obtain, use, and share with each other (i) the loan application and related loan information and documentation, (ii) a consumer credit report on me, and (iii) my tax return information, as necessary to perform the actions listed below, for so long as they have an interest in my loan or its servicing: (a) process and underwrite my loan; (b) verify any data contained in my consumer credit report, my loan application and other information supporting my loan application; (c) inform credit and investment decisions by the Lender and Other Loan Participants; (d) perform audit, quality control, and legal compliance analysis and reviews; (e) perform analysis and modeling for risk assessments; (f) monitor the account for this loan for potential delinquencies and determine any assistance that may be available to me; and (g) other actions permissible under applicable law.


Applicant #2

First Name *
Middle *
Last Name *
Date of Birth
Marital Status – Please select all that apply
List all dependent(s) Full name, age, sex and amount of monthly income they receive if applicable.
Would you be interested in childcare?
If you have dependent(s) living in the home at least 50% of the time, would you be interested in childcare during the Homeownership Class?
Contact Information
Primary Phone Number
Alternative Contact Information
Current Address
Country
Address Line 1 *
Address Line 2
City *
State/Province *
Postal Code *
If you have not lived at this address for 2 years, list previous addresses
Employment
Applicant #2 Employment
Business Owner or Self-Employed
Employer or Name of Business
Start Date
Month
/
Day
/
Year
Gross Monthly Income (before taxes are taken out)
No file selected
If at current employer less than 2 years – list previous employment and dates employed for past 2 years
Income from Other Sources

(Fill out all that apply to applicant #2 ONLY)

Alimony
Month
/
Day
/
Year
Alimony has been current and regular for the past 12 months
Child Support
Month
/
Day
/
Year
Child Support has been current and regular for the past 12 months
Disability
Foster Care
Public Assistance
Retirement
Retirement (Pension, IRA) Frequency
Social Security
Unemployment Benefits
VA Compensation
Other
List where other income is coming from and when did it start
Assets
List how much you have saved for the down-payment
Where are funds for the down-payment?
Housing
Current Rent Payment
Do you use Section 8 Voucher to pay rent?
Maximum Mortgage Realistic House Payment
Have you ever owned a home before?
If Yes, when?
Education
Type of Education
(Select one)
Other Education Explanation
Military Service of Applicant #2
Currently Active Military
Veteran
Citizenship
Type of Citizenship
Demographics Opt-in

The purpose of collecting this information is to help ensure that all applicants are treated fairly and that the housing needs of communities and neighborhoods are being fulfilled. For residential mortgage lending, Federal law requires that we ask applicants for their demographic information (ethnicity, sex, and race) in order to monitor our compliance with equal credit opportunity, fair housing, and home mortgage disclosure laws. You are not required to provide this information, but are encouraged to do so. You may select one or more designations for "Ethnicity" and one or more designations for "Race." The law provides that we may not discriminate on the basis of this information, or on whether you choose to provide it. However, if you choose not to provide the information and you have made this application in person, Federal regulations require us to note your ethnicity, sex, and race on the basis of visual observation or surname. The law also provides that we may not discriminate on the basis of age or marital status information you provide in this application. If you do not wish to provide some or all of this information, please check below.  (Please select check boxes that apply)

Ethnicity
Race
Sex
Language(s) Spoken
Notes – Is there anything else we should know?

Consent to Receive Documents Electronically

By signing below, I consent to receive documents electronically.


Authorization for Use and Sharing of Information

By signing below, I expressly authorize the Lender and Other Loan Participants to obtain, use, and share with each other (i) the loan application and related loan information and documentation, (ii) a consumer credit report on me, and (iii) my tax return information, as necessary to perform the actions listed below, for so long as they have an interest in my loan or its servicing: (a) process and underwrite my loan; (b) verify any data contained in my consumer credit report, my loan application and other information supporting my loan application; (c) inform credit and investment decisions by the Lender and Other Loan Participants; (d) perform audit, quality control, and legal compliance analysis and reviews; (e) perform analysis and modeling for risk assessments; (f) monitor the account for this loan for potential delinquencies and determine any assistance that may be available to me; and (g) other actions permissible under applicable law.


Applicant #3

Which Community Partner Program are you completing?
List other

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