Sioux Empire Housing Partnership Pre-Registration Form

   
Name:
First Middle Last
Address:
Phone Number:
Home Cell
Birthdate (mm/dd/yyyy):
Email Address:
Marital Status:
Gender:
Race:
Citizenship:
Current Housing Arrangements:
First-Time Homebuyer:
Household Type:
Family/Household Size:
Annual Family or Household Income:
Referred to the Sioux Empire Housing Partnership by:
If you were referred by a Lender or Realtor, which ones?
If purchasing a home, new address:
May we contact your Lender/Realtor to let them know you have completed the class(es)?
Employment Information
Primary Employer:
Part-time or Full-time:
Employer's Address:
Phone:
Supervisor's Name:
Position/Title:
Gross Annual Income
(before taxes):
Secondary Employer:
Part-time or Full-time:
Employer's Address:
Phone:
Supervisor's Name
Position Title:
Gross Annual Income
(before taxes):
Are you using any of the following down payment assistance? (please mark all that apply)
Community Development EMAP loan
ADDI Funds LAP loan Gift Funds
Not sure
Which, if any, of the following steps have you taken toward homeownership? (please mark all that apply)
Developed a financial plan/budget, looked at future financial goals
Met with a Realtor
Fixed credit issues
Met with a real estate professional
If so, how would you rate your Realtor:
Excellent Good Fair Poor
Applied for a loan with a lender
If so, how would you rate your lender:
Excellent Good Fair Poor
Obtained pre-approval for a loan
Made an offer on a home & signed purchase agreement
If so, NEW ADDRESS:
If so, CLOSING DATE:
Other (please list: )
I feel very knowledgeable about the process of buying a home:
Have you attended education classes or had any training on homeownership before? None
Yes (please list: )
What are you most interested in learning from this session? (please mark all that apply) Advantages and disadvantages of homeownership
Costs of homeownership compared to costs of renting
Financial management/budgeting skills that lead to homeownership
Managing credit (both fixing and maintaining credit)
Steps involved in purchasing a home
Determining how much can be spent for a home
Working with a real estate professional
Mortgage products
Down payment assistance
Terms like escrow accounts, dual agency and title insurance
The responsibility in owning your own home
Others (please list: )