Homebuying Profile Form

Please complete this form so we can start the process of evaulating your homebuying needs.

BORROWER		CO-BORROWER
First Name		First Name
Middle Initial		Middle Initial
Last Name		Last Name
Address		Address
City		City
State		State
Zip Code		Zip Code
Social Security Number		Social Security Number
Date of Birth		Date of Birth
Home Phone		Homne Phone
Years of School Completed		Years of School Completed
Number of Dependents		Number of Dependents
Ages of Dependents		Ages of Dependents
Are there any non-dependents that will be living in the home?		Are there any non-dependents that will be living in the home?
BORROWER		CO-BORROWER
Employer		Employer
Address		Address
City		City
State		State
Zip Code		Zip Code
Position/Title		Position/Title
Phone Number		Phone Number
Date Hired		Date Hired
Number of hours per week		Number of hours per week
Hourly Rate or Salary Amount		Hourly Rate or Salary Amount
Pay Frequency		Pay Frequency
BORROWER		CO-BORROWER
Previous or Second Employer		Previous or Second Employer
Address		Address
City		City
State		State
Zip Code		Zip Code
Position/Title		Position/Title
Phone Number		Phone Number
Date Hired		Date Hired
Number of hours per week		Number of hours per week
Hourly Rate or Salary Amount		Hourly Rate or Salary Amount
Pay Frequency		Pay Frequency

INCOME, CREDIT, SAVINGS	BORROWER	CO-BORROWER
What is your current rent, NOT including utilities?
How long have you lived there?
Have you owned a home in the last three years?
Marital Status?
Have you ever filed Bankrupcy?
If yes, when was it discharged?
Part-time seasonal employment not listed before?
How long in this field?
Approximate yearly income?
Do you receive Child Support or Alimony
Can you document this income?
How long will it continue?
Monthly amount received?
Monthly Income from Social Security/Disability/Retirement/Death Benefits?
Other monthly income not listed before?
LIABILITIES	BORROWER	CO-BORROWER
Rate your credit:
Do you have any outstanding collections or judgments?
If yes, approximate amount you still owe:
Monthly Child Care, Child Support or Alimony payments:
ADDITIONAL INFORMATION
Do you have a contract on a house at this time?
Are you working with a real estate agent?
Email Address:
Do you recieve assistance from the Section 8 rental assistance program?
Are you a US veteran?
Are you Foreign Born?
How did you hear about our services?
OTHER INFORMATION	BORROWER	CO-BORROWER
Ethnicity:
Sex:
Any Additional Information: