NACA Ready Now Survey
This questionnaire is to identify people who will be ready soon to begin the housing search. We are committed to assisting everyone in purchasing a home with NACA’s Best in America Mortgage. Any answers provided below will not disqualify anyone from the NACA program or In-House Real Estate Agent services. All persons who complete this form should continue the program and take the next step in having an intake counseling session with a NACA counselor.
PLEASE ANSWER THE FOLLOWING QUESTIONS
Office location
*
Please Select
Atlanta, GA
Augusta, GA
Baltimore, MD
Baton Rouge, LA
Birmingham, AL
Boston, MA
Buffalo, NY
Charleston, SC
Charlotte, NC
Chicago, IL
Cleveland, OH
Columbia, SC
Dallas, TX
Delaware, DE
Denver, CO
Detroit, MI
Hartford, CT
Honolulu, HI
Houston, TX
Jackson, MS
Jacksonville FL
Kansas, MO
Las Vegas, NV
Lawrence, MA
Little Rock, AR
Los Angeles, CA
Memphis, TN
Miami FL
Milwaukee, WI
Minneapolis, MN
New Orleans, LA
Newark, NJ
New York, NY
Oakland, CA
Orlando, FL
Philadelphia, PA
Phoenix, AZ
Pittsburg, PA
Raleigh, NC
Richmond, VA
Rochester, NY
Sacramento, CA
San Antonio, TX
St Louis, MO
Savannah, GA
Tampa, FL
Upland, CA
Washington, DC
Worcester, MA
NACA ID number
Name:
*
Email
*
example@example.com
Mobile Phone:
*
Have you been qualified by NACA or another Lender?
*
Yes
No
Have you signed a Buyer Representation Agreement to work with a Real Estate Agent?
*
Yes
No
Do you have any Judgments or liens?
*
Yes
No
Do you have any collections within the past 2 years?
*
Yes
No
Do you have a foreclosure, short sale, bankruptcy 7 within the past 2 years?
*
Yes
No
Have you paid your rent on-time within the past 12 months?
*
Yes
No
Do you have stable income for the past 2 years?
*
Yes
No
Do you have $3,500 to $5,000 saved?
*
Yes
No
When do you want to be in your home?
*
Immediately
1-3 months
3-6 months
6+ months
Status
Please Select
BRA Pending
BRA Uploaded
Member Portal Completed
Appointment Scheduled
Intake Completed
Follow up Completed
Approved
Agent Notes
Status Date
-
Month
-
Day
Year
Date
Where do you want to live?
Next steps:
Schedule
Please Select
Preview PDF
Submit
Should be Empty: