Ralston Hills Townhomes Martindale Brightwood Interest Form Please complete this form to sign up for updates. "*" indicates required fields Step 1 of 2 50% Today's Date Name* First Middle Name Last Suffix Email* Phone*Preferred Method of Contact* Email Phone Letter Other List other preferred method of contactAddress* Street Address City State / Province / Region ZIP / Postal Code Date of Birth* Month Day Year Gender* Female Male Prefer not to answer Race* African-American/Black American Indian/Alaskan Native Asian Bi-racial Caucasian/White Hawaiian/Pacific Islander Multi-Racial Other Estimated Annual Household IncomeEthnicity* Hispanic / Latino Non-Hispanic Prefer not to answer MBCDC Program Interest*Please check all that apply. Community Education Employment Services (25-35 years old) Financial Education Homeownership Homeowner Repair Individual Development Account (Savings Program) Small Business Volunteer YES - Youth Employment Services (16-24) Other Jumpstart List Other Program Interest Below*Homeownership InterestWhat home are you interest in purchasing? 2417 Rural Street Ralston Renaissance - 2 bedroom Ralston Renewal - 2 bedroom / 2 stories Ralston Revival - 3 bedroom / 3 stories How soon are you planning to purchase? Within 3 months 3–6 months 6–12 months More than 12 months Are you a first-time homebuyer? Yes No Not Sure Are you currently working with a real estate agent? Yes No Are already pre-approved? Yes No Are you interested in financial education and budget resources? Yes No Please share your availability for the next three business days for a 30-minute phone call to discuss the next steps.All information provided will be maintained in a confidential manner and used solely for the purpose of determining eligibility for the applicable homeownership program and mortgage financing. By signing below, I/We authorize Martindale Brightwood Community Development Corporation (MBCDC) to collect, review, and use the information provided to determine my/our eligibility for the program and to facilitate the home purchase process. I/We further authorize my/our mortgage lender, housing counselor, and any participating program partners to disclose and share with MBCDC any information necessary to verify my/our eligibility, including but not limited to credit information, income documentation, financial records, loan application status, underwriting updates, and other information relevant to my/our participation in the program. Such information may be shared electronically, verbally, or in writing. I/We understand that the information disclosed may include personal, financial, and other nonpublic information necessary to determine eligibility, coordinate services, and complete the home purchase process. I/We acknowledge that this authorization is voluntary and may be revoked at any time by providing written notice to MBCDC. I/We understand that any revocation will not apply to information that has already been disclosed or relied upon prior to MBCDC's receipt of the revocation. I/We certify that the information provided is true and complete to the best of my/our knowledge and authorize the exchange of information as described above.
