First Name

Last Name

Email

Phone Number

What are you interested in? Exploring Home Loans Refinancing Mortgage Purchasing Second Home Credit Counseling Other

Other

Estimated Purchase Price or Budget

Estimated Annual Income Under 75k 75k-100k 100k-125k 125k-150k 150k+

Estimated Credit Score Above 690 Between 620-690 Under 620 I have not established credit I have no idea

When are you hoping to buy or refinance? ASAP 1-3 months 3-6 months Just exploring

How did you hear about us? My Portland Housing Center Counselor Real Estate Agent Lender Community Organization Government Agency Friends/Family

What is the name of the person or agency who referred you?

Any additional information or context you would like for us to know? Limit: 250 characters

Comments

If you experience any technical issues with this form or have questions, please contact us at lending@portlandhousingcenter.org or call (503) 282-7744.