English FASTRAC Intake Form

STUDENT/APPLICANT

First
Middle
Last

If yes, list below:

$
$

STUDENT/APPLICANT – CO APPLICANT

First
Middle
Last
Street
Apt#
City
State
Zip Code
$

AUTHORIZATION & CERTIFICATION

Student’s Certification:

I/We certify that the information included in this form is true and complete to the best of my/our knowledge and belief.

I authorize Release of Information for NHS HomeOwnership Center to:

(a) Pull my/ our credit report to review my/ our credit counseling in connection with my pursuit of a loan to purchase real property;

(b) Obtain a copy of the closing disclosure, appraisal, real estate Note(s), Credit Score, and income Documentation when I purchase a home, from the lender who made me/us a loan and/or the title company that closed the loan.