TRIAGE FORM | HOUSING COUNSELING

Triage Form CICD
BASIC INFORMATION
HOMEOWNER INFORMATION
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FINANCIAL STATUS
Own Home as Primary Residence?
On mortgage?
Loan or Rental Status
COUNSELING STATUS
YOUR COMMITMENT
LOAN OR RENTAL STATUS
FIRST MORTGAGE AND RENTAL INFORMATION
SECOND MORTGAGE INFORMATION
THIRD MORTGAGE INFORMATION
IF YOU ARE DELINQUENT, PLEASE COMPLETE THE FOLLOWING:
IF YOU ARE CURRENT, PLEASE COMPLETE THE FOLLOWING:
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