SPLASH & WISH Interest & Eligibility Form

SPLASH, WISH and Refresh Interest Form
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Employment Status*

Full-TimePart-TimeFreelance/ContractorSelf-EmployedRetiredDisabledUnemployed
Household Size*
Gross Annual Household Income*
Please include all income from all sources for all adult household members (18 years of age and older), whether or not such income is exempt from federal income tax. This includes unemployment and social security.
Which Down Payment Assistance Program are you inquiring about?*

SPLASHWISHRefreshAll Programs
Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Co-borrower Information

First NameLast Name
Are you pre-qualified with a mortgage lender?*

YesNo
Are you currently working with a real estate agent?*

YesNo
Are you currently in contract?*

YesNo
Are your household assets more than $250,000?*

YesNo
Are you a first-time homebuyer?*

YesNo
Are you planning to purchase a home in the Incorporated City of San Pablo?*

YesNo
Refer to map on the left-hand side of https://www.sanpabloedc.org/SPLASH
If no, please specify the city/county you intend to purchase a home
Do you own the property above?

YesNo
Do you live in the property above?

YesNo
Do you have homeowners insurance?

YesNo
Do you have a reverse mortgage on the property above?

YesNo
Per Section 4.2.2 of the SPLASH guidelines, all persons appearing on the mortgage shall have a minimum FICO credit rating of 620 points from all three credit agencies. Do you and all persons who would appear on the mortgage have a minimum FICO credit score of 620 from all three credit agencies?*

YesNo
Per Section 4.2.2 of the SPLASH guidelines, all persons appearing on the mortgage shall have a minimum of seven (7) years since Chapter 7 or Chapter 13 bankruptcy discharge. Persons with records of deeds-in-lieu of foreclosure or judicial or non-judicial foreclosure are subject to a seven- year waiting period before they may be considered for a SPLASH loan.
Has any person who would appear on the mortgage filed a Chapter 7 or Chapter 13 bankruptcy?*

YesNo
Do you and all persons who would appear on the mortgage have a minimum of seven (7) years since Chapter 7 or Chapter 13 bankruptcy discharge?

YesNo
How did you hear about the program?

Flyer/AdvertisementWord of MouthWebsiteSocial MediaOther
Please review the SPLASH FIRST-TIME HOMEBUYER AND RESIDENTIAL REHABILITATION LOAN PROGRAM GUIDELINES carefully and if you have any questions, please contact San Pablo EDC at 510-215-3207 or SepidehK@sanpabloedc.org.
I confirm all the answers I have provided on this form are correct.*

Confirm
I've read and understand the Program guidelines.*

Confirm
Type your full name*
Today's Date*

MonthDayYear
Date
Signature*
Note:

➤ Once potential eligibility is determined, an email with the program enrollment application and a list of required documentation will be sent to the email provided.

➤ Potential applicants need to be working with a real estate professional and lender who understand first-time homebuyer programs. Applicants must have a HUD first-time homebuyer education certification and be entering into contract on a home before submitting an application.
Should be Empty:

SPLASH, WISH and Refresh Interest Form