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2. Housing Expo Registration Questionnaire
4. Borrower
6. First Name*
7. Last Name*
9. Address1*
10. City*
11. State*
12. Zip*
14. Phone Number*
15. Email Address*
17. Are you a current home owner?*

    1. Yes
    2. No
18. If so, are you looking to:

    1. Adjust Mortgage Payment
    2. Refinance
    3. Reverse Mortgage
    4. Other or none of the above
19. Have you owned a home in the last three years?*

    1. Yes
    2. No
23. Co-Borrower
25. First Name
26. Last Name
28. Address1
30. City
31. State
32. Zip
34. Have you owned a home in the last three years?

    1. Yes
    2. No
38. How many people in household?*
    Please note the number of adults and the number of children under the age of 18. Example: 2 adults, 1 child
39. Current housing arrangement*

    1. Living rent free/mortgage free
    2. Paying a mortgage
    3. Paying rent
40. What is your current mortgage or rental cost?*
44. Borrower
46. Please rate your credit*

    1. Excellent (761-850)
    2. Very Good (701-760)
    3. Good (621-700)
    4. Average (590-620)
    5. Below Average (300-589)
    6. Unsure
47. Prior foreclosure or bankruptcy in the last 7 years?*

    1. Yes
    2. No
49. Current source of income*

    1. Full-time job
    2. Fixed income (social security, disability, pension)
    3. Other
50. If employed, please indicate the length of time in current position*
    Please note number of years and months. Example: 7 years 5 months
52. Annual income before taxes*
54. Please Note

    Bring a copy of your credit report to the event. To avoid potentially impacting your current credit score, you can pull all three of your annual credit reports (excluding your credit score) for free at www.annualcreditreport.com. To view a copy of your free credit score you may visit www.creditkarma.com. Utilizing these sites will not impact your credit. Problems with adding your information? Call Evelyn, 708.283.5621.

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56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit

* indicates a required field