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The password must have at least 8 characters, at least 1 digit(s), at least 1 lower case letter(s), at least 1 upper case letter(s), at least 1 special character(s) such as as *, -, or #
Password
Email address
Email (again)
First name
Last name
City/town
Country
Select a country
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (the Democratic Republic of the)
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (the Democratic People's Republic of)
Korea (the Republic of)
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (the Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Contact Information
Street Address (Dirección Postal)
Zipcode (Código Postal)
Home Phone Number (Número de Teléfono Particular)
Cell Phone Number (Número de Teléfono Móvil)
Demographic Information
Age Group (Grupo Etario)
Choose...
18-29
30-49
50-64
65+
I choose not to respond
Gender (Género)
Choose...
Male
Female
I choose not to respond
Race (Raza)
Choose...
American Indian or Alaskan Native
Asian or Pacific Islander
Black
White
Other
I choose not to respond
Ethnicity (Etnia)
Choose...
Hispanic
Not Hispanic
I choose not to respond
Marital Status (Estado Civil)
Choose...
Single
Married
Widowed
Separated
Divorced
I choose not to respond
How many people live in your household? (¿Cuántas personas componen su grupo familiar?)
Choose...
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16+
Number of Dependents (Número de Dependientes)
Choose...
0
1
2
3
4
5
6
7
8
9
10+
Female Head of Household? (¿El Jefe de Familia es una mujer?)
Choose...
Yes
No
I choose not to respond
Single Head of Household? (¿El Jefe de Familia es soltero?)
Choose...
Yes
No
I choose not to respond
What is your combined gross Yearly household income? (¿Cuál es el ingreso bruto Anual combinado del grupo familiar?)
Choose...
$0.00-$10,000.00
$10,000.00-$20,000.00
$20,000.00-$30,000.00
$30,000.00-$40,000.00
$40,000.00-$50,000.00
$50,000.00-$60,000.00
$60,000.00-$70,000.00
$70,000.00-$80,000.00
$80,000.00-$90,000.00
$90,000.00-$100,000.00
$100,000.00-$110,000.00
$110,000.00-$120,000.00
$120,000.00-$130,000.00
$130,000.00-$140,000.00
$140,000.00-$150,000.00
$150,000.00-$160,000.00
$160,000.00-$170,000.00
$170,000.00-$180,000.00
$180,000.00-$190,000.00
$190,000.00-$200,000.00
$200,000.00+
Credit Score (Puntaje FICO)
Choose...
Below 400
400-425
425-450
450-475
475-500
500-525
525-550
550-575
575-600
600-625
625-650
650-675
675-700
700-725
725-750
750-775
775-800
800-825
825-850
Highest Education Level (Mayor Nivel de Educación Alcanzado)
Choose...
No High School Diploma
High School Diploma
College Degree
I choose not to respond
Citizenship (United States) (Ciudadanía (Estados Unidos))
Choose...
Yes
No
I choose not to respond
Preferred Language (Idioma Preferido)
Choose...
English
Spanish
Chinese
Tagalog
Vietnamese
Arabic
French
Korean
Russian
Portuguese
Haitian Creole
Hindi
German
Polish
Italian
Other, not listed
Is anyone in your home disabled? (¿Hay algún discapacitado?)
Choose...
Yes
No
I choose not to respond
What is your combined gross Monthly household income? (¿Cuál es el ingreso bruto Mensual combinado del grupo familiar?)
Choose...
$0.00-$1,000.00
$1,000.00-$2,000.00
$2,000.00-$3,000.00
$3,000.00-$4,000.00
$4,000.00-$5,000.00
$5,000.00-$6,000.00
$6,000.00-$7,000.00
$7,000.00-$8,000.00
$8,000.00-$9,000.00
$9,000.00-$10,000.00
$10,000.00-$11,000.00
$11,000.00-$12,000.00
$12,000.00-$13,000.00
$13,000.00-$14,000.00
$14,000.00-$15,000.00
$15,000.00-$16,000.00
$16,000.00-$17,000.00
$17,000.00-$18,000.00
$18,000.00-$19,000.00
$19,000.00-$20,000.00
$20,000.00+
First Time Homebuyer? (¿Es la primera vez que compra una vivienda?)
Choose...
Yes
No
I choose not to respond
Are you a Veteran? (¿Es usted un Veterano?)
Choose...
Yes
No
I choose not to respond
Have you owned a home in the last three years? (¿Ha sido propietario de una vivienda durante los últimos tres años?)
Choose...
Yes
No
I choose not to respond
Counseling Referral Information
Are you a First Front Door user? (¿Es la primera vez que utiliza First Front Door?)
Choose...
Yes
No
Are you a Turn the Key user? (¿Eres un usuario de Turn the Key?)
Choose...
Yes
No
Co-Borrower First Name (Nombre del Coprestatario)
Co-Borrower Last Name (Apellido del Coprestatario)
Lender's Name (Apellido del Coprestatario)
Choose...
ACNB Bank
Acre Mortgage & Financial Inc
Advisors Mortgage Group LLC
AFC Mortgage Group, LLC
Affordable Mortgage Advisors LLC dba Holland Mortgage Advisors
All Western Mortgage, Inc.
Allied Mortgage Group Inc
American Bank ( Pennvest lender)
American Financial Mortgage Corp
American Financial Network, Inc.
American Pacific Mortgage Corporation
Ark-La-Tex Financial Services LLC
Atlantic Coast Mortgage LLC
Bay Equity LLC
Better Mortgage Corporation
Cardinal Financial Company Limited Partnership
Citizens & Northern Bank
CMG Mortgage Inc
CrossCountry Mortgage LLC
Customers Bank
DAS Acquisition Company LLC
EMM Loans LLC
Envoy Mortgage, Ltd.
Equity Resources Inc DBA Pennsylvania Equity Resources Inc
Fairway Independent Mortgage Corp
Federated Mortgage Corporation
First Citizens Community Bank
First Commonwealth Bank
First Heritage Financial LLC
Firstrust Savings Bank
Flanagan State Bank
Fulton Bank
Gateway First Bank
Go Mortgage LLC
Guaranteed Rate Affinity LLC
Guaranteed Rate Inc
Guild Mortgage Company LLC
Homestead Funding Corporation
Honesdale National Bank
Howard Hanna Financial Services Inc
Integrity Home Mortgage Corporation
Intercoastal Mortgage, LLC
Jersey Shore State Bank
Journey Bank
Keystone Funding, Inc.
Kish Bank
Lending Capital Group Inc
Loan Depot.com LLC
MDE Home Loans, LLC
Meridian Bank
Michigan Mutual Inc
Mid Penn Bank
Mortgage America
MortgageCountry LLC
Movement Mortgage LLC
Nation One Mortgage Corporation
New American Funding LLC
NewRez LLC
NFM Inc
Novus Home Mortgage a division of Ixonia Bank
Philadelphia Mortgage Advisors Inc
Plains Commerce Bank
Primary Residential Mortgage Inc
Primelending A Plains Capital Company
Princeton Mortgage Corporation
Prosperity Home Mortgage LLC
Quaint Oak Mortgage LLC
Radius Financial Group Inc
Sierra Pacific Mortgage Company Inc
Somerset Trust Company
Stellar Mortgage Corporation
Stockton Mortgage Corporation
Success Mortgage Partners Inc dba Centennial Lending Group
Summit Mortgage Corporation
Susquehanna Community Bank
SWBC Mortgage Corporation
Synergy One Lending, Inc.
T2 Financial LLC dba Revolution Mortgage
The Ephrata National Bank
The Federal Savings Bank
The Lending Group Company
The Mortgage Link, Inc.
The Northumberland National Bank
Tidewater Mortgage Services
TowneBank Mortgage
Traditions Bank
Union Home Mortgage Corp
Union Savings Bank
Univest National Bank & Trust Company
U.S. Bank National Association
VIP Mortgage Inc
West Penn Financial
Widget Federal Credit Union ( Pennvest lender)
William Penn Bank
Other (Not listed)
Other Lender/ Not Working With Lender (Otro Prestamista/que No Trabaje con el Prestamista)
Proposed Loan Closing Date (Fecha Propuesta de Cancelación del Préstamo)
Proposed Loan Closing Date (Fecha Propuesta de Cancelación del Préstamo)
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
Enable
Loan Amount (Projected) $ (Monto del Préstamo (Proyectado) $)
Lender / LPA Name (Prestamista/Nombre del LPA)
Address (Dirección)
Contact Person (Persona de Contacto)
Telephone (Teléfono)
Fax Number (Número de Fax)
Primary Loan Officer / Processor Name (Oficial de Préstamo Primario/Nombre del Procesador)
Primary Loan Officer / Processor Email (Oficial de Préstamo Primario/Correo Electrónico del Procesador)
Borrower Name (Nombre del Prestatario)
FICO Score (Puntaje FICO)
Borrower Name (Nombre del Prestatario)
FICO Score (Puntaje FICO)
Purchased Property Address (Dirección de la Vivienda Comprada)
Counseling Agency (Agencia de Asesoramiento)
Choose...
ACTION-Housing
Advantage Credit Counseling Service
Affordable Housing Centers of PA
Alliance for Building Communities
American Angel Housing Counseling, Inc.
American Credit Alliance, Inc.
American Credit Counseling Institute
Armstrong County Community Action Agency
Association Puertorriquenos En Marcha
BASE, Inc
Berks Community Action Program
Blair County Community Action
Blueprints
Bucks County Housing Group, inc
Butler Homeownership Program
CCCS of Northeastern PA, Inc
Ceiba
Center for Family Services, Inc
Center in the Park
Central Pennsylvania Community Action
Chester Community Improvement Project
Clarifi
Commission on Economic Opportunity
Community Action Commission
Community Action Committee of the Lehigh Valley
Community Action Partnership of Mercer County
Community Action Southwest
Community Progress Council, inc.
Concilio, Council of Spanish Speaking Organizations
Congreso De Latinos Unidos, Inc.
Credit Counseling Center
Cumberland County Hsg & Redevelopment Authorities
Deliverance Community Development Corporation
Diversified Community Services
DON Services
Esperanza
Fayette County Community Action Agency, Inc
Genesis Housing Corporation
Grace Neighborhood Development Corporation
Greater Erie Community Action Committee
Greater Philadelphia Asian Social Service Center
Greater Philadelphia Community Alliance
Hispanic Association of Contractors & Enterprises
Housing Development Corporation NEPA
Housing Opportunities of Beaver County, Inc
Housing Partnership of Chester County
Housing Transitions/The HOME Foundation
Indiana County Community Action Program, Inc.
Intercommunity Action, Inc.
Intercultural Family Services, Inc
Korean Community Development Services Center
Lancaster Housing Opportunity Partnership
Lawrence County Social Services, Inc.
Liberty Resources
Lycoming Counties Commission for Community Action
Media Fellowship House
Mon Valley Initiative
Money Management International
Mt. Airy USA
Neighborhood Housing Services of Greater Berks, Inc.
NeighborWorks NEPA
NeighborWorks of Western Pennsylvania
New Kensington Community Development Corporation
Norris Square Civic Association
Northwest Counseling Service, Inc
PathStone Corporation
Pennsylvania Interfaith Community Programs, Inc
PHFA
Philadelphia Chinatown Development Corporation (PCDC)
Philadelphia Council for Community Advancement
Schuylkill Community Action
Southwest Community Development Corporation
Southwestern PA Legal Services ,Inc
St Martin Center, Inc
Tabor Community Services
The Fair Housing Council of the Capital Region
The Partnership CDC
Trehab
Tri-County HDC
Unemployment Information Center
United Communities Southeast Philadelphia
United Neigh Centers of NEPA
Urban League of Philadelphia
Urban League of Pittsburgh
WarrenForest Counties Economic Opportunity Council
West Oak Lane CDC
Westmoreland Community Action
Willissae’s Agency for Vision & Empowerment (WAVE)
Other (Indicate in field below)
Not working with a counseling agency
Other Counseling Agency (Otra Agencia de Asesoramiento)
Name of Agency (Nombre de la Agencia)
Agency Address (Dirección de la Agencia)
Agency Telephone (Teléfono de la Agencia)
Date online course was completed (Fecha en la que se completó el curso en línea)
Lender referral date (Fecha de referencia para el prestamista)
Comments (Comentarios)
Required