FIRST-TIME HOMEBUYER EDUCATION PROGRAM

The Center for Affordable Homeownership is committed to empowering potential homebuyers with the ability to make educated and informed decisions regarding the process of purchasing and maintaining a home. Our purpose is to serve as the central homeownership counseling and educational resource center for the citizens of Hillsborough County and the City of Tampa. The process starts by attending a First-Time Homebuyer Education training class. Once you have completed the training, you will be ready for one or more counseling sessions.

FIRST-TIME HOMEBUYER PROGRAM PROCESS

When you have the items below, submit the entire package to our office to register for the next available class. A calendar is also attached for all training classes for the 2019 calendar year.

1. Registration Process

Before your seat is confirmed, you will need to complete the attached program application in its entirety; sign all authorization forms; make PHOTOCOPIES of the requested documents listed below:

• $40.00 ($70.00 for married couple) Non-refundable application fee per person, in money order form only, made payable to TAMPA HOUSNG AUTHORITY (cash or checks will not be accepted).

o NOTE: SCHOLARSHIPS MAY BE AVAILABLE TO CITY OF TAMPA RESIDENTS CALL (813) 341-9101 X2450 TO SEE IF YOU ARE ELIGIBLE

o $32.00 CREDIT REPORT FEE AT TIME OF COUNSELING (Refer to Counseling Agreement) o DEADLINE TO REGISTER IS THE MONDAY PRIOR TO CLASS DATE.

• Two (2) most recent (consecutive) paystubs and/or proof of ALL other income for ALL applicants.

• If self-employed, profit and loss statements for last six (6) months (each month separated).

• Award letter for SSI, Social Security, retirement/pension, etc.

• Two (2) most recent bank statements for ALL checking and savings accounts; all pages required.

• Picture ID (Driver’s License/Florida ID Card) for applicants 18 and over. The Registration packet, along with the above-mentioned documents, must be dropped to our office at 5301 West Cypress Street, Tampa, FL 33607** NO FAXES or EMAILS.

2. First-Time Homebuyer Education Training Designed to empower the prospective homebuyer with the knowledge and skills of the basic homebuying process. The training course includes: Shopping for a Home, Understanding Credit, Money Management, Obtaining a Mortgage and much more…

3. One-on-One Counseling ($32.00 CREDIT REPORT FEE) Upon completion of the First-Time Homebuyer Education Training, a HUD Certified housing counselor will meet with you to determine your readiness to buy based on your specific income, debt, savings and credit status, and develop your personal plan of action toward your home purchase.

** A letter or email, confirming your reserved seat status, will be provided to you prior to class start date. Should packets be received with less than one-week before start of class, a verbal confirmation will be provided. Please note: Children are not permitted in any of the First-Time Homebuyer Education Classes or Counseling sessions. Please contact our office with any questions at (813) 341-9101 EXT 2450.

5301 WEST CYPRESS STREET • TAMPA, FL • 33607 • Phone: 813.341.9101 EXT 2450 • Fax: 813.251.9526

5301 West Cypress Street, Tampa, FL 33607 Phone: (813) 341-9101 Ext 2450 Fax: (813) 251-9526 Page 1 of 2

Homebuyer Education Program Registration Form

*$40.00 ($70.00 for married couple) Non-Refundable Registration Fee Must Accompany Application (Scholarships MAY be available for Section 8, Public Housing, &/or City of Tampa Residents)

~ INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED ~

APPLICANT:

Date of Birth: ______________

SSN:

Email Address:

Home Phone:

Work Phone: ______

Cell Phone:

CO-APPLICANT:

Date of Birth: ______________

SSN:

Email Address:

Home Phone:

Work Phone: ______

Cell Phone:

Relationship to Applicant:

REFERRED BY (check all that apply): Flyer Bank/Lender _________________ Friend Realtor ___________________

Walk-in Other _______________________

APPLICANT: CO-APPLICANT: Gender: Female Male Gender: Female Male Married ____ Separated ____ Married _____ Separated ____ Single ____ Divorced ____ Widow ___ Single _____ Divorced ____ Widow ___

Current Address of Applicant Current Address of Co-Applicant

How Long: _____ year(s) ____ month(s) How Long: ____ year(s) ____ month(s) Rent Payment: $_____________________________ Rent Payment: $_____________________________

Current occupation/position/title: Current occupation/position/title:

Current Employer: Current Employer:

Date of Hire: ___/___/_____ Date of Hire: ___/___/_____

Are you currently a Section 8 Participant with THA? Yes ____ No ____ ~If YES, STOP. You MUST provide a referral from the Section 8 Homeownership Counselor with this application or you WILL NOT be registered. Are you a Public Housing Resident with THA? Yes ____ No ____ If yes, please provide property name: _______________________

Applicant Education (Please check one): Co-Applicant Education (Please check one):

o Below High School Diploma

o High School Diploma or Equivalent

o Two-year college/Associates

o Bachelor’s Degree

o Master’s Degree or Higher

o Below High School Diploma

o High School Diploma or Equivalent

o Two-year college/Associates

o Bachelor’s Degree

o Master’s Degree or Higher

SECTION A – APPLICANT AND CO-APPLICANT INFORMATION/EDUCATION/RACE/ETHNICITY

Check One: (Office Use Only)

o Month: _____________ o Public Housing/Section 8 o Fee Waived (COT)

5301 West Cypress Street, Tampa, FL 33607 Phone: (813) 341-9101 Ext 2450 Fax: (813) 251-9526 Page 1 of 2

Applicant Race/Ethnicity Co-Applicant Race/Ethnicity Hispanic ____ Non-Hispanic _____ Hispanic ___ Non-Hispanic ___

Race: Race: o American Indian/Alaskan Native o Asian o White o African American

o American Indian/Alaskan Native

o Asian o White o African American

Applicant Immigrant Status: Co-Applicant Immigrant Status:

____ U.S Citizen ____ U.S. Citizen

____ Permanent Resident Alien ____ Permanent Resident Alien

____ Non-Resident Alien ____ Non-Resident Alien

Country of Origin: _________________ Country of Origin: _____________________

Names of Household Members Age Relationship to Applicant

Name Relationship Age

Household Type? Single Adult Married without children Married with children

Female- single parent Male - single parent Two or more unrelated adults

Type of Account (Checking/Savings) Bank Name Amount

Applicant Co-Applicant Other Income Base pay: $ $ $ Pension: $ $ $ SSI/Disability: $ $ $ Child Support: $ $ $ Other*: $ $ $ *Alimony, Dependent SSI, Workers’ Compensation, etc.

Are you or Co-Applicant currently in Chapter 13 bankruptcy? Yes No If yes, when did it begin? ___________; when will it be paid out? _____________; how much is the payment? __________________

Have you or Co-Applicant had a Chapter 7 bankruptcy? Yes No If yes, when was it or will it be discharged? _____________

Have you or Co-Applicant owned a home in the last three (3) years? Yes No

Are you a Veteran? Yes No

Do you have a contract on a house at this time? Yes No

Are you currently working with a real-estate agent? Yes No

I/We understand that any intentional or negligent representation(s) of the information contained on this form may result in civil and/or criminal liability under the provisions of Title 18, United States Code, Section 1001.

_________________________________________________________ ____________________

Applicant Date

_________________________________________________________ ____________________ Co-Applicant Date

SECTION B – HOUSEHOLD MEMBERS (including self)

SECTION C – BANK ACCOUNTS, CREDIT UNIONS, ETC.

SECTION D –MONTHLY INCOME INFORMATION (before taxes)

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2: Managing Your Money

HousingRent or mortgage $ ________heating (gas or oil) $ ________Electricity $ ________Water or sewage $ ________telephones (landlines and cell phones) $ ________Renters or homeowners insurance $ ________(if not included in mortgage)trash service $ ________home maintenance and furnishings $ ________Cleaning supplies $ ________Lawn service $ ________

TransportationGas $ ________Car payment $ ________Car insurance $ ________Car inspection $ ________Car repairs and maintenance $ ________License plates and registration fees $ ________Public transportation or taxi $ ________Parking and tolls $ ________

FoodGroceries $ ________School lunches $ ________Work-related (lunches and snacks) $ ________

insurancehealth $ ________(medical and dental, if not payroll-deducted)Life $ ________disability $ ________

medicaldoctor $ ________dentist $ ________Prescriptions $ ________

childcareChildcare or babysitters $ ________Child support or alimony $ ________

clothingClothing $ ________Laundry and dry cleaning $ ________

donationsReligious or charity $ ________

Total Regular monthly Expenses $ ________

Educationtuition $ ________Books, papers and supplies $ ________newspapers and magazines $ ________Lessons (sports, dance, music) $ ________

giftsBirthdays $ ________Major holidays $ ________

PersonalBarber or beauty shop $ ________toiletries $ ________Children’s allowances $ ________tobacco products $ ________Beer, wine or liquor $ ________

EntertainmentMovies, sporting events, concerts, etc. $ ________Video rentals $ ________internet service $ ________Cable/satellite tV $ ________Restaurants and take-out meals $ ________Gambling and lottery tickets $ ________Fitness or social clubs $ ________Vacations/trips $ ________hobbies or crafts $ ________

miscellaneousChecking account and money order fees $ ________Pet care and supplies $ ________Postage $ ________Pictures and photo processing $ ________“Mad” money $ ________

debtsStudent loan $ ________Credit card (monthly minimum) $ ________Credit card (monthly minimum) $ ________Credit card (monthly minimum) $ ________Medical bills $ ________Personal loan $ ________

Otherother $ ________other $ ________other $ ________

Monthly Expenses Worksheet

Privacy Policy

The Center for Affordable Homeownership is committed to assuring the privacy of individuals and/or families who have contracted us

for assistance. We realize that the concerns you bring to us are highly personal in nature. We assure you that all information shared

both orally and in writing will be managed within legal and ethical considerations. Your “nonpublic personal information,” such as

your total debt information, income, living expenses and personal information concerning your financial circumstances, will be

provided to creditors, program monitors, and others only with your authorization and signature on the Counseling Agreement. We

may also use anonymous aggregated case file information for the purpose of evaluating our services, gathering valuable research

information and designing future programs.

Types of information that we gather about you

Information we receive from you orally, on applications or other forms, such as your name, address, social security number,

assets, and income.

Information about your transactions with us, your creditors, or others, such as your account balance, payment history, parties to

transactions and credit card usage, tax statements, bank statements.

Information we receive from a credit reporting agency, such as your credit history.

You may opt-out of certain disclosures:

1. You have the opportunity to “opt-out” of disclosures of your nonpublic personal information to third parties (such as your

creditors), that is directed to us not to disclose.

2. If you chose to “opt-out”, we will not be able to answer questions from your creditors. If at any time you wish to change your

decision with regard to your “opt-out” decision, you may contact us in writing at The Center for Affordable Homeownership at

5301 West Cypress Street, Tampa, FL. 33607.

Release of information to third parties:

1. So long as you have not “opted out”, we may disclose some or all of the information that we collect, as described above to

your creditors or third parties where we have determined that it would be helpful to you, would aid us in counseling you, or is

a requirement of grant awards which make our services possible.

2. We may also disclose any nonpublic personal information about you or former clients to anyone as permitted by law (e.g., if

we are compelled by legal process).

3. Within the organization, we restrict access to nonpublic personal information about you to those employees who need to

know the information to provide services to you. We maintain physical, electronic, and procedural safeguards that comply

with federal regulations to guard your nonpublic personal information.

Signature of Acknowledgement

(In addition to the above, you further acknowledge you have received a copy of this Privacy Policy)

_______________________________________ _________________________

Applicant Signature Date

_______________________________________ _________________________

Co-Applicant Signature Date

Revised July 2013

5301 WEST CYPRESS STREET • TAMPA, FL • 33607 • Phone: 813.341.9101 EXT 2450 • Fax: 813.251.9526

Client/Counselor Contract

The Center for Affordable Homeownership and its counselors agree to provide the following services:

Development of a spending plan

Analysis of the mortgage default, including the amount and cause of default

Presentation and explanation of reasonable options available to the homeowner

Assistance communicating with the mortgage servicer and other creditors

Timely completion of promised action

Explanation of collection and foreclosure process

Identification of assistance resources

Referrals to needed resources

Confidentiality, honesty, respect and professionalism in all services

I/We, ___________________________ agree to the following terms of service: I/We will always provide honest and complete information to my/our counselor, whether verbally or in

writing.

I/We will provide all necessary documentation and follow-up information within the timeframe

requested.

I/We will be on time for appointments and understand that if we are late for an appointment, the

appointment will still end at the scheduled time.

I/We will call within 6 hours of a scheduled appointment if I/we will be unable to attend an appointment.

I/We will contact the counselor about any changes in our situation immediately.

I/We understand that breaking this agreement may cause the counseling organization to sever its

service assistance to me/us. THIS INCLUDES NOT PROVIDING THE REQUESTED INFORMATION

IN A TIMELY MANNER.

I/We will understand that I must call to schedule an appointment if I need further assistance and

that I understand Center for Affordable Homeownership does not allow walk-ins.

Hold Harmless Agreement

I give the Center for Affordable homeownership permission to use my name in publications or reporting.

Furthermore, in view of the fact that the Center for Affordable Homeownership is a non-profit

organization, I hereby release, hold harmless and waive all claims associated with these publications

and marketing materials which I may have against the agency and its employees.

___________________________________ __________________________ Applicant Date

___________________________________ __________________________ Co-Applicant Date

5301 WEST CYPRESS STREET • TAMPA, FL • 33607 • Phone: 813.341.9101 EXT 2450 • Fax: 813.251.9526

Counseling, Fees and No Steering Agreement

1. I understand the Center for Affordable Homeownership provides financial capability and

mortgage readiness counseling/coaching, which I will receive an action plan, consisting

of recommendations for handling my finances, including referrals to other agencies, as

appropriate.

2. I understand that counseling services are FREE, however, a $32 fee is charged for a tri-

merge (3-bureau) credit report inclusive of all 3 credit bureau scores. The credit report is

necessary to effectively assess my financial situation and determine the best course of

action. THIS FEE MUST BE PAID AT OR PRIOR TO TIME OF COUNSELING.

3. I understand the Center for Affordable Homeownership will close my case file after

several attempts to communicate with me via email, telephone, and/or U.S. postal mail.

4. I understand I am not obligated to utilize any of the services offered me and may be

referred to other housing services offered by the agency or to an outside agency to

assist with concerns that may have been identified.

5. Counselors may answer questions and provide information, but will not give legal advice.

If I want legal advice, recommendation will be that I seek legal assistance from the

appropriate entities.

6. I understand the Center for Affordable Homeownership will not make referrals to specific

agencies, but will provide me a list of at least three (3) agencies and I will make my own

decision. I further understand that the housing counseling I receive does not obligate me

to choose any of these particular loan products or housing programs.

7. I understand that the Center for Affordable Homeownership receives grant funds

(including, but not limited to, HUD, City of Tampa, NCRC), and may be required to

submit client data related to grant activity and give consent to be contacted for purposes

of grant oversight or program compliance.

8. I give permission for all grant/program administrators and/or their agents to follow-up

with me within the next three (3) years for the purposes of program evaluation.

Applicant Signature ________________________________ Date _______________

Co-Applicant Signature _____________________________ Date________________

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HOMEBUYER EDUCATION

CALENDAR

8-Hr Homebuyer Education

Class Location 5301 West Cypress

Street Tampa, Florida 33607 “1st Floor Training Room”

Saturday, 8:30am to 4:30pm ~Doors open at 8:00am~

Tues/Thurs – 5pm to 9pm ~Doors open at 4:45pm~

Phone: 813-341-9101

Ext 2450

Facsimile: 813-251-9526

Website: www.thafl.com

PRE-REGISTRATION

REQUIRED

Space is limited! **Classes may be cancelled due

to low enrollment**

2019