HUD Home Network
HUD Home Network Online Application

Welcome to the HUD Home Network Application Center. When you finish this form, simply click "send" to submit.

Credit Report Authorization and Privacy Disclosure

I hereby authorize and instruct HUD Home Network to obtain and review my credit report. My credit report will be obtained from a credit-reporting agency chosen by HUD Home Network. I understand and agree that HUD Home Network intends to use the report for the purpose of evaluating my financial readiness to purchase a home from the U.S. Department of Housing & Urban Development.

Submitting this form also authorizes the release to credit reporting agencies of financial or other information that I have supplied to HUD Home Network in connection with such evaluation. Authorization is further granted to the credit reporting-agency to use a copy to obtain any information the credit reporting agency deems necessary to complete my credit report.

In addition, connection with determining my ability to obtain a loan. I authorize HUD Home Network to share with potential mortgage lenders and/or counseling agencies my credit report and any information that I have provided, including any computations and assessments that have been produced based upon such information.

These lenders may contact me to discuss loans for which I may be eligible, and these counseling agencies may contact me to discuss counseling services. I agree to pay HUD Home Network a fee of $21.00 by cash, check, credit card or debit card which will be payable to the credit reporting agency.

I understand that I may revoke my consent to these disclosures by notifying HUD Home Network in writing.
Contact Information:  
Buyer's First Name:
Buyer's Last Name:
Email Address:
Address Line 1
Address Line 2
City
State
Zip
Home Phone
Work Phone
General Information:  
How long have you been looking? Under a Year
A Year
Two Years
Three Years
Over Three Years
   
How many people are in your family? (Including yourself, other adults, and/or children) One
Two
Three
Four
5 or Over
If more than Five people, how many?
Do you.... Own your current home?
Rent your current home?
If you rent, how much are your payments?
Must you sell your house, or complete a lease period before buying? Yes
No		  
How soon are you able to move, and why?
Have you inspected a house than fits your wants and needs? Yes
No		  
If we email you an adequate property, are you prepared to make a bid? Yes
No		  
How much cash would you use for your purchase?

Preferences:  
Amount of bedrooms?  
Square feet?  
Property location    
Is there anyone who will help you in the decision-making process? Yes
No 		 
Housing Requirements:  
Do you have any special requirements for your property?
How will you use your property? As a residence.
As an investment.
Employment:  
Where are you employed?
How long have you been employed there?
If applicable, where is your spouse employed?
Credit:  
Have you ever filed for bankruptcy? Yes
No 		 
If yes, has it been discharged? Yes
No		  
Would you like credit assistance? Yes
No		  
Please check preferred ways of communication (Check all that apply) Snail-Mail
Telephone
Email
Fax 		 
What is your estimated gross (Before taxes) monthly income?  
What is your estimated amount of monthly expenses (EXCLUDING Rent)?  
What is your social security number?  
Credit Card number:  
Name on Card:  
Card type:  
--OPTIONAL--  
Any comments?  
     

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