Affordable Housing Solutions Hub Questionnaire
Your name
First Name
Last Name
E-mail
example@example.com
Phone Number
Age
Are you a veteran?
Are you a Returning Citizen from being incarcerated? If yes. Add conviction and conditions of release.
What type of are you looking for
Mobile/ Manufactured Home
Single Family
Room Rental
Multi-Family units
Are interested in Rent to Own or Owner Finance?
Are you interested in Mortgage readiness, Credit Optimization, or Tax Code Optimization?
Please Select
YES
NO
Have you been 30 days late in last 2 years on Mortgage, rent or any loan?
Please Select
YES
NO
Any Judgements or Evictions on Credit report?
Please Select
YES
NO
Do you have a Section 8 Voucher?
Are you Employed or receive other forms of income?
Do you rent or own your current residence?
Are you looking for a shared bedroom or private
How many Bathrooms are you looking for?
Lot size?
What is your preferred location? Raleigh, Durham, Wilson or Rocky Mount
What schools, workplaces, social activities and community amenities would you like to be near?
Save
Submit
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