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First-Time Homebuyer Counseling
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First-Time Homebuyer Counseling
Name
First
Last
What county do you currently live in?
*
Physical Address
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Street Address
Address Line 2
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Armed Forces Americas
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State
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Phone
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What type of programs or services are you interested in?
*
Home Purchase
Mortgage Assistance
Seeking Shelter or Homeless Services
Rental Topics
Homeowner Services
Financial Management, Education & Credit Coaching
Reverse Mortgage Counseling
Preparedness Planning & Financial Recovery Counseling
Other
Date of Birth
*
MM slash DD slash YYYY
Marital Status
Married
Single
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Highest Education Level
College
Graduate School
Junior College
High School/GED
Junior High School
Vocational
None
Other
Active Military?
Yes
No
Not Available
Military Veteran?
Yes
No
Not Available
Are you disabled or disabled dependent?
Yes
No
What is your race?
American Indian/Alaskan Native
Asian
Black/African-American
Native Hawaiian or Other Pacific Islander
White
American Indian or Alaskan Native and White
Asian and White
Black or African-American and White
American Indian or Alaskan Native and Black or African-American
Other multiple race
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What is your ethnicity?
Indicates if you are Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
Hispanic
Not Hispanic
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Gender
Male
Female
What is your English proficiency level?
Household is Limited English Proficient
Household is not Limited English Proficient
Choose not to respond
Are you a first-time homebuyer?
Yes
No
Not applicable
What is the size of your household?
The number of people currently residing in your household (e.g. the number of people living in the house at the time service was provided).
Please enter a number from
0
to
50
.
What is your annual family or household income?
The household gross (pre-tax) income during the year as reflected in your loan or grant application.
Please enter a number from
0
to
500000
.
Privacy Notice Opt-out?
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No
Is there any other information you would like to provide?
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Home
About Us
Services
Agency Disclosures
Emergency Financial Assistance
First-Time Homebuyer Counseling
First-Time Homebuyers Education
Foreclosure Prevention and Loss Mitigation
Credit Counseling Registration Form
Group Education Registration Form
Online Classes
Media
Donate
Upcoming Events
Contact
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