My First Home WSFC

Neighborhood Stabilization Program Pre-application form

This form is for pre-application only. You will be contacted for further information.

Please answer every question. Some of the information that is asked for will be used for statistical purposes only. All information provided is kept confidential.

Borrower name(s):	first last
		Co-borrower name
Borrower home phone:
Borrower e-mail:
Borrower current address- Street:
City:
State (xx):	zip code:
Current residence:	Rent Section 8 Other
Household and Income
Total number in household:
Total household income:	(total yearly income)
(ANNUAL income includes child support, part-time job, etc.

If you are working with a Real Estate Agent or have located a home in which you are interested in purchasing, please complete the fields below. Otherwise, enter "TBD" in the fields (to be determined).
Prospective home address - Street:
City:		zip code:
Realtor's name:		Realtor's phone:
Lender (Bank) name:		Lender's phone:

By adding your name and pressing the "SEND" button, you are verifying that the information you have provided on the pre-application is valid and accurate.
Name(s):
Date (xx/xx/xxxx):
	borrower	co-borrower

This form will be submitted to the Center for Homeownership, 500 West Fourth Street, Suite 200, Winston-Salem, NC 27101. For more information, call (336)722-0954