Foreclosure Prevention Intakes Logo

  • Northwest Center

    Foreclosure Prevention / Prevención de ejecución hipotecaria

  • Thank you for reaching out to the Northwest Side Housing Center. We are a HUD-certified, non-profit organization that offers FREE counseling. Please complete this intake form to proceed with your counselor.

    Gracias por comunicarse con el Northwest Side Housing Center. Somos una organización sin fines de lucro certificada por HUD que ofrece asesoramiento GRATUITO. Complete este formulario de admisión para continuar con su consejero.

  • Before you begin

    • Allot 30 minutes to complete this intake form
    • Have pictures/digital uploads of the following documents ready to submit:
      • Letter of contribution: a letter from the person helping you financially detailing the amount of assistance and frequency of assistance. This letter must be signed and dated.
      • 2 months bank statements: showing income deposit confirming the amount and frequency in the above letter
      • Proof of income: 2 months of consecutive pay stubs showing year-to-date earnings
      • 2 years of tax returns/4506T signed by contributor

     

    Antes de que empieces

    • Asigne 30 minutos para completar este formulario de admisión
    • Tenga listas / subidas digitales de los siguientes documentos listos para enviar:
      • Carta de contribución: una carta de la persona que lo ayuda financieramente detallando la cantidad de asistencia y la frecuencia de la asistencia. Esta carta debe estar firmada y fechada.
      • Estados de cuenta bancarios de 2 meses muestra el depósito de ingresos confirmando el monto y la frecuencia en la carta anterior
      • Comprobante de ingresos: 2 meses de recibos de pago consecutivos que muestren las ganancias del año hasta la fecha
      • 2 años de declaraciones de impuestos / 4506T firmadas por el contribuyente

  • Primary Borrower Information

    Información del prestatario principal
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  • Employment Income Information of Borrower / Información de ingresos de empleo del prestatario

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  • Co-Borrower Information

    Información del coprestatario
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  • Employment Income Information of Co-Borrower /  Información de ingresos de empleo del coprestatario

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  • Property & Loan Information

    Información de propiedad y préstamo

  • Property Information

  • Loan Information

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  • Additional Information

    Información Adicional
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  • Profit and Loss Statement | Self-Employed Borrowers

    Declaración de ganancias y pérdidas | Prestatarios independientes – Solo complete esta sección si trabaja por cuenta propia.
    • Only fill out this section if you are self-employed 
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  • Monthly budget

    Presupuesto mensual
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  • Homeowner Documents / Documentos del propietario

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  • Loan Modification Contributor Letter

    Carta del contribuyente de modificación de préstamo

  • Contributor are persons who reside in your property together with you (not as tenants paying rent, but as co-habitants, like family members or roommates) and who contribute to the monthly housing expenses, including mortgage, taxes and insurance, utilities, groceries, maintenance, etc. 

    Los contribuyentes son personas que residen en su propiedad junto con usted (no como inquilinos que pagan el alquiler, sino como cohabitantes, como miembros de la familia o compañeros de habitación) y que contribuyen a los gastos mensuales de vivienda, incluidos hipotecas, impuestos y seguros, servicios públicos, comestibles, mantenimiento, etc.

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  • To whom it may concern:

    I, {contributorsName} residing at {contributorsAddress} contribute ${amountContributing}. My relationship to the borrower is {relationshipTo}. 

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  • Contributors' Documents

    Documentos de contribuyentes

  • Please upload legible copies of the following. If you do not have these documents readily available, your counselor will follow up to ask for them. 

     

    Cargue copias legibles de lo siguiente. Si no tiene estos documentos disponibles, su consejero hará seguimiento para solicitarlos.

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  • Expectations & Understandings

    Expectativas y entendimientos

  • SCOPE OF NWSHC SERVICES

    1. The NWSHC has a successful track record of educating homeowners, renters, and others to achieve their financial education. Goals of increasing credit scores, reducing debt, and creating a realistic budget are often met through the process, but not guaranteed.
    2. While the NWSHC may be able to explain various legal processes, we do not provide legal advice and you are encouraged to meet with a licensed legal professional should you feel it necessary.
    3. NWSHC employees, board members, contractors, and any others connected to the organization CANNOT accept personal gifts from clients. If you feel compelled to give a donation, please consider a tax-deductible donation to the organization.
    4. You are NOT obligated to receive or participate in any other NWSHC services or programs.

    UNDERSTANDINGS & EXPECTATIONS

    1. You are expected to be 100% honest in in the completion of all forms and in disclosure of your situation with us. If you are not honest, we reserve the right to close your file.
    2. You are expected to respond to communication attempts on our behalf within 24-48 hours (during business days). We will respond within the same timeframe.
    3. Per HUD guidelines, we are required to follow up with you monthly, or every 60 days. If we do not hear back from you (three attempts over a six- week period) we will close out your file.
    4. You are required to inform us if you cannot make an appointment. Every no call/no show appointment we experience is a missed opportunity for another client.
    5. Your HUD certified counselor will determine the time frame of your scheduled time together per your goal, please be mindful of both our time and yours.
    6. We do not provide any funds toward your home purchase. Set aside as much money as possible toward your personal resolution.
    • En español 

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      1. El NWSHC tiene un historial exitoso de educación de propietarios, inquilinos y otros para lograr su educación financiera. Los objetivos de aumentar los puntajes de crédito, reducir la deuda y crear un presupuesto realista a menudo se cumplen a través del proceso, pero no se garantizan.
      2. Si bien el NWSHC puede explicar varios procesos legales, no brindamos asesoramiento legal y le recomendamos que se reúna con un profesional legal con licencia si lo considera necesario.
      3. Los empleados de NWSHC, los miembros de la junta, los contratistas y cualquier otra persona relacionada con la organización NO PUEDEN aceptar obsequios personales de los clientes. Si se siente obligado a hacer una donación, considere una donación deducible de impuestos a la organización.
      4. NO está obligado a recibir ni participar en ningún otro servicio o programa de NWSHC.

       

      1. Se espera que sea 100% honesto al completar todos los formularios y al revelar su situación con nosotros. Si no es honesto, nos reservamos el derecho de cerrar su archivo.
      2. Se espera que responda a los intentos de comunicación en nuestro nombre dentro de las 24-48 horas (durante los días hábiles). Responderemos dentro del mismo plazo.
      3. Según las pautas de HUD, estamos obligados a hacer un seguimiento mensual con usted o cada 60 días. Si no tenemos noticias suyas (tres intentos durante un período de seis semanas) cerraremos su archivo.
      4. Debe informarnos si no puede hacer una cita. Cada cita de no llamada / no presentación que experimentamos es una oportunidad perdida para otro cliente.
      5. Su asesor financiero determinará el período de tiempo de su tiempo programado juntos según su objetivo, tenga en cuenta tanto nuestro tiempo como el suyo.
      6. No proporcionamos fondos para la compra de su casa. Reserve la mayor cantidad de dinero posible para su resolución personal.
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  • Consumer Credit Authorization Release

    Autorización de crédito al consumo

  • I hereby authorize CoreLogic Credco LLC (“CREDCO” or “FAC”) and/or  TransUnion Direct, to obtain my consumer report/credit information, credit risk scores and other enhancements to my consumer Report (hereinafter collectively referred to as “Report”) from one or more of the three national credit repositories (Equifax, Experian, Trans Union) and provide a copy of the Report to my housing counseling agency, Northwest Side Housing Center (“Counselor”) for Counselor to provide housing counseling services. This authorization is intended to comply with a consumer report request as set forth in 15 U.S.C.1681b(a)(2).

    I acknowledge that the Report is provided “AS IS” and that Credo and Transunion Direct makes no representation warranty, express or implied, including, but not Limited Implied warranties of merchantability or fitness for a particular purpose and implied warranties arising from a couse of dealing or a course of performance with respect to the accuracy, validity, or completeness of the report or that it will meet my needs and Credco expressly disclaims all such representations and warranties. 

    I recognize that the accuracy, validity or completeness of the report provided by CREDCO and TransUnion Direct is not guaranteed and I hereby release CREDCO’s and TransUnion Direct’s parent, sister, affiliated companies, successors and assigns and its and their directors, officers, agents, employees and independent contractors (collectively, “CREDCO’s Affiliates” “TransUnion Direct’s Affiliates”) from any liability for any negligence in connection with the preparation of the Report and from any loss, damages, expenses, costs or obligations of any kind and nature whatsoever suffered by me resulting directly or indirectly from the inaccuracy, invalidity or incompleteness of the Report.

    I covenant not to sue or maintain any claim, cause of action, demand, cross action, counterclaim, third party action or other form of pleading against CREDCO and/or TransUnion Direct and their affiliates for damages based upon the inaccuracy, invalidity or incompleteness of any Report provided by CREDCO and/or TransUnion Direct hereunder.

    If one or more of the provisions, or a portion of a provision of this document are held for any reason to be invalid, illegal or unenforceable, such invalidity or illegality or unenforceability will not affect any other provisions of this document, and this document will be construed as if such invalid, illegal or unenforceable provision had not been contained herein.

    • En espanol 

    • Por la presente autorizo Core Logic Credco LLC ("CREDCO" o "FAC") y / o TransUnion Direct, para obtener mi informe de consumidor / información crediticia, puntajes de riesgo de crédito y otras mejoras a mi Informe de consumidor (en adelante referido colectivamente como "Informe ") De uno o más de los tres repositorios nacionales de crédito (Equifax, Experian, Trans Union) y proporcionar una copia del Informe a mi agencia de asesoría de vivienda, Northwest Side Housing Center (" Counselor ") para que el Consejero brinde servicios de asesoramiento sobre vivienda. Esta autorización está destinada a cumplir con una solicitud de informe del consumidor como se establece en 15 U.S.C.1681b (a) (2).

      Reconozco que el Informe se proporciona "TAL CUAL" y que Credo y Transunion Direct no ofrecen ninguna garantía de representación, expresa o implícita, incluidas, pero no limitadas, garantías implícitas de comerciabilidad o idoneidad para un propósito particular y garantías implícitas derivadas de un trato. o un curso de desempeño con respecto a la precisión, validez o integridad del informe o que cumplirá con mis necesidades y Credco renuncia expresamente a todas las representaciones y garantías

      Reconozco que la precisión, validez o integridad del informe provisto por CREDCO y TransUnion Direct no está garantizada y por la presente divulgo las empresas matrices, hermanas, filiales, sucesoras y personas designadas de CREDCO y TransUnion Direct y sus directores, funcionarios, agentes y empleados y contratistas independientes (colectivamente, "Afiliados de CREDCO", "Afiliados de TransUnion Direct") de cualquier responsabilidad por negligencia relacionada con la preparación del Informe y por cualquier pérdida, daño, gasto, costo u obligación de cualquier tipo y naturaleza que sufra el resultado directa o indirecta de la inexactitud, invalidez o incompletitud del Informe. 

      Me comprometo a no demandar o mantener ningún reclamo, causa de acción, demanda, acción cruzada, reconvención, acción de terceros u otra forma de alegato en contra de CREDCO y / o TransUnion Direct y sus afiliados por daños y perjuicios basados ​​en la inexactitud, invalidez o incompletitud de cualquier Informe proporcionado por CREDCO y / o TransUnion Direct a continuación.

      Si una o más de las disposiciones, o una parte de una disposición de este documento se consideran por cualquier motivo inválidas, ilegales o no exigibles, dicha invalidez o ilegalidad o inaplicabilidad no afectará a ninguna otra disposición de este documento, y este documento se interpretará como si tal disposición inválida, ilegal o inaplicable no se hubiera contenido aquí.

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  • General Authorization to Release Information

    Autorización general para divulgar información
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  • Nonprofit Agency: Northwest Side Housing Center

    HUD # 84143 

    Tax ID: 20-1413891

    Address: 5233 W. Diversey Ave Chicago, IL 60639

    Phone: 773-283-3888

     

    Staff

     

    • Angela Fontes
    • Jason Estremera
    • Karina Aguilar
    • Maria Ortiz
    • Carmen Landecho
    • Edwin Pinto
    • Migdalia Vazquez
    • Migdalia Roldán
    • Ernie Lukasik
    • Joanna Kwiatkowska
    • Lety Covarrubias
    • Cassandra Hernandez
    • Cecilia Salgado
    • Roxana Pereira
       

     

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  • Disclosure Statement

    Declaración de divulgación

  • The following disclosure statement is provided by the Northwest Side Housing Center (NWSHC) to all clients seeking counseling services from NWSHC. Complete list of services provided by the NWSHC in addition to counseling. 

    The NWSHC provides group education sessions on a variety of housing counseling topics and community organizing, community outreach and leadership development on housing, education and safety issues. We receive grants that support our housing counseling and financial opportunity centers from:

    La siguiente declaración de divulgación es proporcionada por el Centro de Vivienda del Noroeste (NWSHC) a todos los clientes que buscan servicios de asesoramiento de NWSHC. Lista completa de servicios proporcionados por el NWSHC además de asesoramiento.

    El NWSHC ofrece sesiones de educación grupal sobre una variedad de temas de asesoría de vivienda y organización comunitaria, alcance comunitario y desarrollo de liderazgo en temas de vivienda, educación y seguridad.

     

    • Associated Bank
    • BMO Harris Bank
    • Chicago Community Trust (CCT)
    • Community and Econonmic Development Association of Cook County (CEDA)
    • Chicago Foundation for Women (CFW)
    • Chase Workshop
    • CIBC Bank
    • City of Chicago
    • Community Savings Bank
    • Credit Builders Alliance
    • Fifth Third Bank
    • Huntington Bank
    • Illinois Housing Development Authority (IDHA)
    • Ocwen Financial Services/PHH Mortgage
    • Polk Bros Foundation
    • UnidosUS
    • US Bank
    • Wintrust Financial
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  • Privacy Notice

  • NORTHWEST SIDE HOUSING CENTER (NWSHC), an Illinois not-for-profit corporation, would like to advise you of its privacy policies. We assure you that all information shared both orally and in writing will be managed within legal and ethical considerations. NWSHC has collected non-public personal information from your application and consumer credit reporting agencies. This non-public personal information includes your address and other contact information, demographic background, application status, family income, social security number, employment information, collection and repayment history, and credit history.


    All employees of NWSHC at all times will maintain the confidentiality of its clients, participants and volunteers. We disclose non-public personal information to third parties including creditors, program monitors, and others associated with the Housing Stability Counseling Program. We may also use anonymous aggregated information for the purpose of evaluating our services, gathering valuable
    research information, and/or designing future programs. We do this, only as necessary to process and service your application and forgivable loan, only as necessary to effect, administer or enforce your forgivable loan with your consent, and/or as permitted or provided by applicable laws, including the Illinois Freedom of Information Act (“FOIA”) and the Privacy Act of 1974. Applicable laws permit
    disclosure to third parties for certain purposes. Examples of such disclosures include:

    (i) disclosure in connection with enforcement purposes or litigation, audits or other investigations;

    (ii) to comply with proper requests under FOIA or other federal, state, or other local laws and regulations; and

    (iii) to federal and state agencies to the extent specifically permitted or required by law. We do not sell or otherwise make available any information about you to any third parties for marketing purposes.


    We protect the security and confidentiality of non-public personal information by limiting and monitoring all physical access to sites where non-public personal information is kept. A complete copy of our written privacy policy is available upon request.


    If we decide to change our privacy policy, we will provide you with a revised privacy policy containing such changes.
    You have the opportunity to opt-out of disclosures of your non-public personal information to third parties, if you chose to opt-out, we will not able answer questions from your creditors. If at any time you wish to change your decision to opt-out, you may get in touch with us at (773) 283-3888.

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  • Angela Fontes, Ph.D., AFC

    Executive Director

  • Third Party Authorization Form

  • The following disclosure statement is provided by the Northwest Side Housing Center (NWSHC) to all clients seeking counseling services from NWSHC. Complete list of services provided by the NWSHC in addition to counseling:

    • Youth programming
    • Parent programming
    • Operates Kelvyn Park Senior Center
    • Older adult programming
    • Community organizing
    • Health equity
    • Immigration programming
    • Financial counseling
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