Mortgage Counseling Questionnaire - English

Mortgage Counseling Questionnaire

$25 processing fee required. This is not an application.

Borrower

Co-Borrower

If you are legally married, you must both fill in and sign this form.

Contact & Housing Information

Borrower Employment Information

Co-Borrower Employment Information

Borrower

Co-Borrower

My signature below confirms that I have truthfully answered all questions. In addition, I authorize Trinity Habitat for Humanity to obtain a consumer report and other information necessary for the purposes of evaluating my qualifications for the Habitat program.

Signature

Signature

$25 non-refundable

Credit Card

We are pledged to the letter and spirit of U.S. policy for the achievement of equal housing opportunity throughout the nation. We encourage and support an affirmative advertising and marketing program in which there are no barriers to obtaining housing because of race, color, religion, sex, handicap, familial status, or national origin.