Homeownership Intake Form | NeighborWorks Waco

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After completing this form indicating your interest in NeighborWorks Waco's Housing and Credit Counseling programs, you will be contacted by a counselor from our office to set an appointment time. We look forward to meeting with you!

In which services are you interested? *

Homebuyer Education
Pre-Purchase Counseling
Financial Counseling

Check all that apply.

Name *

First

Last

Phone *

Address *

Email *

Social Security Number *

This is the number we will use to pull your credit report in preparation for our session.

Gender *

Male
Female
Non-Binary/Other
Prefer not to say

Date of Birth *

Education Level Attained *

Marital Status *

Single
Married
Separated
Divorced
Married with Dependents
Married without Dependents
Unrelated Adults
Widowed
Unknown
Prefer Not to Say

Race *

Ethnicity *

Hispanic
Not Hispanic
Prefer not to say

Current Housing Situation *

Household Size *

Check All that Apply to You: *

First-Time Homebuyer
Active Military
Veteran
Disabled

Present Employer (for primary applicant) *

Employer Phone *

Start Date *

Occupation *

Gross Monthly Income *

Hours Worked per Week *

Co-Applicant Name

First

Last

Co-Applicant Phone

Co-Applicant Address

Co-Applicant Email

Co-Applicant Social Security Number

This is what we will use to pull the co-applicant's credit in preparation for our meeting.

Co-Applicant Gender

Male
Female
Non-Binary/Other
Prefer not to say

Co-Applicant Education Level Attained

Co-Applicant Marital Status

Single
Married
Separated
Divorced
Married with Dependents
Married without Dependents
Unrelated Adults
Widowed
Unknown
Prefer Not to Say

Co-Applicant Race

Co-Applicant Date of Birth

Relationship to Applicant

Check All that Apply to Co-Applicant:

First-Time Homebuyer
Active Military
Veteran
Disabled
Hispanic

Present Employer (for primary co-applicant)

Co-Applicant Employer Phone

Co-Applicant Start Date

Co-Applicant Occupation

Co-Applicant Gross Monthly Income

Co-Applicant Hours Worked per Week

Additional Household Income (Monthly)

Please include the type of income (i.e. SSI, Retirement, Child Support, etc), the monthly amount of income, and to whom it is paid (applicant, co-applicant, dependent).

How did you hear about us? *

Phone

Remember to submit payment for credit reporting fee ($30 for one applicant and $60 for two) by clicking the link below!

Pay for Credit Report(s)

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