Docstoc

HBC - APPLICATION ENGLISH

Document Sample
HBC - APPLICATION ENGLISH Powered By Docstoc
					                        Tampa Bay Community Development Corporation
                        Housing Counseling Services
                        2139 N.E. Coachman Road, Suite 1, Clearwater, FL 33765
                        Phone: (727) 446-6222 • (813) 849-1121 • (866) 608-3220 • Fax: (727) 446-8727
                        www.tampabaycdc.org
                        A on-Profit, HUD-Approved Housing Counseling Agency




   Thank you for your interest in becoming a HomeBuyers Club member! We look forward to having you join
   our family of members who want to change their financial lives and own a home of their own.

       ARE YOU:
         • A Tampa Bay area resident who is interested in purchasing a home?
         • Are you steadily employed or have sufficient income to pay a monthly mortgage?
         • Are you willing to take the necessary and sometimes difficult steps to repair your credit and/or
            reduce your debt in order to qualify for the best possible mortgage at the best interest rate?
         • Are you interested in receiving down payment assistance to help you purchase your home?

   If you answered YES to the above questions, we welcome you to join our current HomeBuyers Club members
   who are working on completing their personalized plan.

   Please fill out the attached application completely. Incomplete information may delay the processing of your
   application. Sign, date, and mail the completed application along with a TRIMERGE credit report (with
   scores) or $15 per person for each credit report.

   Once we receive your application, we will obtain a complete copy of your credit report, set up your file, and
   call you to schedule your first appointment. OTE: Due to the number of members we see on a daily basis, if
   you cannot keep your scheduled appointment, please call at least 24 hours in advance to reschedule so that we
   may give the time to another member.

       FIRST VISIT:
          • Please bring a copy of your last two pay stubs, letter of income from SSI or SSD, or any other
            recent proof of income.

   We look forward to you becoming a HomeBuyers Club member!

Sincerely,




William J. Sanchez
Vice-President
Program Manager
Tampa Bay Community Development Corporation


             A non-profit housing counseling program providing guidance, education and support to Tampa Bay area residents.
                                                                                                                              Rev. 3/2010
                          Tampa Bay Community Development Corp.
                                 Client Information Form

    Homebuyer Education Workshop                      Pre-Purchase Homebuyer Counseling
    Credit Repair                                     Post-Purchase Homebuyer Counseling
    Budgeting/Debt Reduction                          Mortgage Default / Foreclosure                         HCS #:


Applicant ame: ____________________________________________________________________________________
                          First                     MI                        Last

Co-Applicant ame: _________________________________________________________________________________
                         First                      MI                        Last

Address: _____________________________________________ City/ Zip: _____________________________________
             (PO Box not accepted)

  ame of Apartment Complex (if applicable): _____________________________________________________________

Home Phone: __________________ Cell Phone: ____________________ Work Phone: _________________________

E-mail: ___________________________________________ How Did You Hear about Us? _______________________

                                           APPLICA T I FORMATIO O LY
Marital Status: □ Single             □ Engaged        □ Married        □ Divorced        □ Widowed

Demographic Information - Household Size: Number of Adults: ________ Number of Children: _______

Race/ ational Origin: □ American Indian/Alaskan                       □ African American                    □ Asian American
                      □ Hispanic/Latino                               □ White                               □ Other

Applicant's Gender: □ Male              □ Female           Is Applicant Head of Household: □ Yes                 □ No

Applicant's Age: ________                                  Is someone in the Household Disabled? If so, please check who:
                                                           □ Applicant □ Co-Applicant □ Child

Total Gross Household Income: $_________________________ □ hourly □ weekly □ bi-weekly □ monthly □ yearly
(Include all sources of income: Salary, SSI/SSD, Unemployment, Child Support, etc. from ALL household members.)


I CERTIFY THIS I FORMATIO                                  _____________________________________________________________
TO BE TRUE A D CORRECT.                                    Applicant's Signature                               Date

In order to provide these services at no charge to you, we must provide our funding sources with the information for all people who attend our programs.
                      Please be advised that this information is strictly confidential and will not be shared with anyone. Thank you.
                                                   FOR TAMPA BAY CDC USE O LY

MFI CALCULATION:             HH SIZE ________________                TOTAL HH INCOME $ ________________               MFI ________________

                             GROSS _________________                 NET ________________

FUNDING SOURCE:               □ Pinellas County            □ City/Clearwater            □ City/Largo     □ City/St. Pete
                              □ FHFC                       □ HUD                        □ Other _____________________________________

VERIFIED BY:       □ Property Appraiser Website            □ Spoke to __________________________ @ Property Appraiser Office
                                                                                                                                Rev. 3/2010
                           Tampa Bay Community Development Corporation
                           Housing Counseling Services
                           2139 N.E. Coachman Road, Suite 1, Clearwater, FL 33765
                           Phone: (727) 446-6222 • (813) 849-1121 • (866) 608-3220 • Fax: (727) 446-8727
                           www.tampabaycdc.org
                           A on-Profit, HUD-Approved Housing Counseling Agency

                      APPLICATIO FOR PRE-PURCHASE A D POST-PURCHASE PROGRAM
                    PLEASE RETUR THIS APPLICATIO ALO G WITH A TRI-MERGE CREDIT REPORT (WITH SCORES)
                                       OR $15 PER PERSO FOR EACH CREDIT REPORT.

RE TAL I FORMATIO
Rent Amount $__________ How long at present address? __________ Do you have a lease?__________ Exp. Date___________

EMPLOYME T I FORMATIO
Applicant:
Name of Employer _____________________________________                   Position _______________________________________
Gross Annual Income $ _________________________________                  Dates of Employment_____________________________

Co-Applicant:
Name of Employer _____________________________________                   Position _______________________________________
Gross Annual Income $ _________________________________                  Dates of Employment_____________________________

Other Household Income:
Name of Recipient_____________________________________      Source ________________________________________
Gross Annual Income $_________________________________
                                                    Total Gross Annual Household Income: $__________________

IMPORTA T OTICE: MEMBERSHIP I THE HOMEBUYERS CLUB DOES OT OBLIGATE OR REQUIRE YOU TO USE A Y SERVICES OR PRODUCTS THAT
              MAY BE SUGGESTED, OFFERED OR RECOMME DED BY TAMPA BAY CDC OR THE HOMEBUYERS CLUB.


                                         AUTHORIZATIO TO RELEASE I FORMATIO
I hereby authorize The HOMEBUYERS CLUB to obtain all information necessary, including a credit report, to assist me/us in an
evaluation of our capacity to successfully accomplish, or maintain homeownership. I understand that the information may be shared with
volunteer advisors and/or lenders in an effort to determine eligibility for mortgage financing, develop a plan to correct qualification
deficiencies in the pursuit of a mortgage approval, or for a workable solution to prevent foreclosure.

                          A COPY OF THIS AUTHORIZATIO MAY BE ACCEPTED AS A ORIGI AL
I hereby acknowledge the above information to be true and accurate to the best of my knowledge. Tampa Bay CDC-The HomeBuyers
Club contracts with HUD, Pinellas County, Hillsborough County, Cities of Clearwater, Largo, St. Petersburg, and Tampa to provide
services to residents of those jurisdictions, or to individuals who purchase homes within those areas. I agree that Tampa Bay CDC-The
HomeBuyers Club may release information about my membership, to the proper officials, in compliance with those contracts. These
jurisdictions, in return will provide financial donations to The HomeBuyers Club based on the appropriate members served.

                                        SOCIAL SECURITY UMBER COLLECTIO POLICY
Tampa Bay CDC and its funding sources collect your Social Security number for the following purposes: classification of accounts,
identification and verification, credit worthiness, billing and payments, data collection, reconciliation, tracking, benefit processing, tax
reporting and qualification for grant or loan processing under Section 119.071(5), Florida Statutes (2007). Social Security numbers serve
as a unique numeric identifier and may be used for such purposes. By signing below, I/We acknowledge receipt of the Social Security
Number Collection Policy Disclosure.

_____________________________________                                             ____________________________________
Applicant's Signature                                                             Co-Applicant's Signature
_____________________________________                                             ____________________________________
Social Security #                                                                 Social Security #
_____________________________________                                             ____________________________________
Date of Birth                                                                     Date of Birth

For Tampa Bay CDC Use Only
□ $15 Pd. □ $30 Pd.                 □ Cash     □ Check     □ Money Order
                                                                                                                       Rev. 3/2010
                        Tampa Bay Community Development Corporation
                        Housing Counseling Services
                        2139 N.E. Coachman Road, Suite 1, Clearwater, FL 33765
                        Phone: (727) 446-6222 • (813) 849-1121 • (866) 608-3220 • Fax: (727) 446-8727
                        www.tampabaycdc.org
                        A HUD Approved Housing Counseling Agency



                   SOCIAL SECURITY UMBER COLLECTIO POLICY DISCLOSURE

Effective October 1, 2007

Please be advised that Tampa Bay CDC and its government funding sources collect your Social Security number for the
following purposes:

        Classification of accounts; identification and verification; credit worthiness; billing and payments;
        data collection, reconciliation, tracking, benefit processing, tax reporting and qualification for grant
        or loan processing under Section 119.071(5), Florida Statutes (2007). Social Security numbers serve
        as a unique numeric identifier and may be used for such purposes.

                            PLEASE RETAI THIS DISCLOSURE FOR YOUR RECORDS
                            DO OT RETUR THIS FORM WITH YOUR APPLICATIO




                                                                                                             Rev. 3/2010

				
DOCUMENT INFO
Shared By:
Tags: best, mortgage
Stats:
views:3
posted:3/14/2011
language:English
pages:4