Housing Program Application

Please fill out the Application below. If there is not a co-borrower, you may leave the right side blank up until the assets and liabilities section of the form. Thank you!


Assets:

Liabilities:

Information needed for equal credit opportunity, fair housing, and other laws.

The following information is requested by the Federal Government for certain types of loans related to a dwelling in order to monitor the lender’s compliance with equal credit opportunity, fair housing and home mortgage disclosure laws. You are not required to furnish this information, but are encouraged to do so. The law provides that a lender may discriminate neither on the basis of this information, nor on whether you choose to provide it. If you provide the information, please give both ethnicity and race. For race, you may check more than one designation. If you do not furnish ethnicity, race, or sex, under Federal regulations, this lender is required to note the information on the basis of visual observation or surname. If you do not wish to provide the information, please check the box below.