NHS INTAKE FORM – THANK YOU - Neighborhood Housing Services of Los Angeles County

THANK YOU FOR YOUR APPLICATION
PROCEED WITH NEXT STEPS:

FORECLOSURE PREVENTION APPLICATIONS

ITEMS NEEDED FOR REVIEW
PLEASE PROVIDE COPIES WE CAN KEEP

IF YOU HAVE QUESTIONS ON ANY ITEM, PLEASE CALL THE EDUCATION AND COUNSELING DEPARTMENT

Intake Forms:

NHS Intake: Intake, Budget & CFPB Questionnaire, completed, signed and dated
Disclosure Agreement, signed and dated
Privacy Policy, signed and dated
Authorization for Servicer, completed, signed and dated

Supporting Documentation:

Most recent Mortgage Statement
Most recent Proof of Income, for any borrowers and spouse, (whichever is applicable)
- Two (2) most recent Pay Stubs
- Award Letters (Social Security, Pension, Disability, Unemployment, etc.)
- Profit & Loss Statement (Year-to-Date), if self employed
Two (2) months most recent Personal Bank Statements (ALL PAGES, even if blank, Online Transaction Printouts are NOT acceptable. However you should be able to print out an actual statement online.)
- If self-employed, please provide three (3) months recent Business Bank Statements, in add
Most Recent Personal Federal Tax Returns & W-2s/1099s (1040, ALL PAGES/SCHEDULES, Please SIGN & DATE PAGE 2)
Hardship Letter including:
- Start Date of Hardship, Financial Impact $$$ of the hardship (e.g. household income decre from $4,000 to $3,000 per month or expenses increased from $3,000 to $3,800 per month)
Current Property Tax Statement, even if insurance is paid through escrow/impound account
Current Homeowner’s Property Insurance Statement (Declaration Page)
Copy of most recent Loan Modification, if applicable
Notice of Default and/or Notice of Trustee Sale, if applicable

Click button below to proceed with scheduling an appointment with a counselor.

Failure to return a complete package will delay evaluation for assistance.

Please email the requested documentation to:

email: [email protected]
-OR-
Drop-off in person or mail to one of our locations:

NHSLA Office: 3926 Wilshire Blvd, Suite 200, Los Angeles 90010

NHS Center for Sustainable Communities: 1051 Rosecrans Ave, Compton 90222

phone: 213.381.2862

fax: 213.406.6080

RENTAL ASSISTANCE APPLICATIONS

ITEMS NEEDED FOR REVIEW
PLEASE PROVIDE COPIES WE CAN KEEP

IF YOU HAVE QUESTIONS ON ANY ITEM, PLEASE CALL THE EDUCATION AND COUNSELING DEPARTMENT

Intake Forms:

NHS Intake: Intake, Budget & CFPB Questionnaire, completed, signed and dated
Disclosure Agreement, signed and dated
Privacy Policy, signed and dated
Authorization for Servicer, completed, signed and dated

Supporting Documentation:

Valid Photo ID - A government-issued form of identification (e.g., California Driver’s License or State ID)
New Lease or Rental Agreement - Must include:
- Full property address
- Lease term
- Monthly rent amount
- Landlord contact information
Most recent Proof of Income, for any borrowers and spouse, (whichever is applicable)
- Two (2) most recent Pay Stubs
- Award Letters (Social Security, Pension, Disability, Unemployment, etc.)
- Profit & Loss Statement (Year-to-Date), if self employed
Two (2) months most recent Personal Bank Statements (ALL PAGES, even if blank, Online Transaction Printouts are NOT acceptable. However you should be able to print out an actual statement online.)
- If self-employed, please provide three (3) months recent Business Bank Statements, in add
Most Recent Personal Federal Tax Returns & W-2s/1099s (1040, ALL PAGES/SCHEDULES, Please SIGN & DATE PAGE 2)
Hardship Letter including:
- Start Date of Hardship, Financial Impact $$$ of the hardship (e.g. household income decre from $4,000 to $3,000 per month or expenses increased from $3,000 to $3,800 per month)
Current Insurance Determination, (if applicable)– Statement or document confirming whether renter’s insurance is required or not. Please complete the required documentation in order to proceed with scheduling your initial counseling session via:

Click button below to proceed with scheduling an appointment with a counselor. Schedule Counseling Appointment

Failure to return a complete package will delay evaluation for assistance.

Please email the requested documentation to:

email: [email protected]
-OR-
Drop-off in person or mail to one of our locations:

NHSLA Office: 3926 Wilshire Blvd, Suite 200, Los Angeles 90010

phone: 213.381.2862

fax: 213.406.6080, please reference Wildfire Rental Assistance

WILDFIRE ASSISTANCE APPLICATIONS

ITEMS NEEDED FOR REVIEW
PLEASE PROVIDE COPIES WE CAN KEEP

IF YOU HAVE QUESTIONS ON ANY ITEM, PLEASE CALL THE EDUCATION AND COUNSELING DEPARTMENT

Intake Forms:

NHS Intake: Intake, Budget & CFPB Questionnaire, completed, signed and dated
Disclosure Agreement, signed and dated
Privacy Policy, signed and dated
Authorization for Servicer, completed, signed and dated

Supporting Documentation:

Most recent Mortgage Statement
Most recent Proof of Income, for any borrowers and spouse, (whichever is applicable)
- Two (2) most recent Pay Stubs
- Award Letters (Social Security, Pension, Disability, Unemployment, etc.)
- Profit & Loss Statement (Year-to-Date), if self employed
Two (2) months most recent Personal Bank Statements (ALL PAGES, even if blank, Online Transaction Printouts are NOT acceptable. However you should be able to print out an actual statement online.)
- If self-employed, please provide three (3) months recent Business Bank Statements, in add
Most Recent Personal Federal Tax Returns & W-2s/1099s (1040, ALL PAGES/SCHEDULES, Please SIGN & DATE PAGE 2)
Hardship Letter including:
- Start Date of Hardship, Financial Impact $$$ of the hardship (e.g. household income decre from $4,000 to $3,000 per month or expenses increased from $3,000 to $3,800 per month)
Current Property Tax Statement, even if insurance is paid through escrow/impound account
Current Homeowner’s Property Insurance Statement (Declaration Page)
Copy of most recent Loan Modification, if applicable
Notice of Default and/or Notice of Trustee Sale, if applicable

Click button below to proceed with scheduling an appointment with a counselor.

Failure to return a complete package will delay evaluation for assistance.

Please email the requested documentation to:

email: [email protected]
-OR-
Drop-off in person or mail to one of our locations:

NHSLA Office: 3926 Wilshire Blvd, Suite 200, Los Angeles 90010

NHS Center for Sustainable Communities: 1051 Rosecrans Ave, Compton 90222

phone: 213.381.2862

fax: 213.406.6080

THANK YOU FOR YOUR APPLICATIONPROCEED WITH NEXT STEPS:

PRE-PURCHASE COUNSELING EVALUATION APPLICATIONS

ITEMS NEEDED FOR REVIEWPLEASE PROVIDE COPIES WE CAN KEEP

IF YOU HAVE QUESTIONS ON ANY ITEM, PLEASE CALL THE EDUCATION AND COUNSELING DEPARTMENT

Failure to return a complete package will delay evaluation for assistance.

Please email the requested documentation to:

FORECLOSURE PREVENTION APPLICATIONS

ITEMS NEEDED FOR REVIEWPLEASE PROVIDE COPIES WE CAN KEEP

IF YOU HAVE QUESTIONS ON ANY ITEM, PLEASE CALL THE EDUCATION AND COUNSELING DEPARTMENT

Failure to return a complete package will delay evaluation for assistance.

Please email the requested documentation to:

RENTAL ASSISTANCE APPLICATIONS

ITEMS NEEDED FOR REVIEWPLEASE PROVIDE COPIES WE CAN KEEP

IF YOU HAVE QUESTIONS ON ANY ITEM, PLEASE CALL THE EDUCATION AND COUNSELING DEPARTMENT

Failure to return a complete package will delay evaluation for assistance.

Please email the requested documentation to:

WILDFIRE ASSISTANCE APPLICATIONS

ITEMS NEEDED FOR REVIEWPLEASE PROVIDE COPIES WE CAN KEEP

IF YOU HAVE QUESTIONS ON ANY ITEM, PLEASE CALL THE EDUCATION AND COUNSELING DEPARTMENT

Failure to return a complete package will delay evaluation for assistance.

Please email the requested documentation to:

HOME REPAIR APPLICATIONS

ITEMS NEEDED FOR REVIEWPLEASE PROVIDE COPIES WE CAN KEEP

IF YOU HAVE QUESTIONS ON ANY ITEM, PLEASE CALL THE EDUCATION AND COUNSELING DEPARTMENT

Failure to return a complete package will delay evaluation for assistance.

Please email the requested documentation to:

PRE-PURCHASE COUNSELING EVALUATION APPLICATIONS

ITEMS NEEDED FOR REVIEWPLEASE PROVIDE COPIES WE CAN KEEP

IF YOU HAVE QUESTIONS ON ANY ITEM, PLEASE CALL THE EDUCATION AND COUNSELING DEPARTMENT

Failure to return a complete package will delay evaluation for assistance.

Please email the requested documentation to:

PRE-PURCHASE COUNSELING EVALUATION APPLICATIONS

ITEMS NEEDED FOR REVIEWPLEASE PROVIDE COPIES WE CAN KEEP

IF YOU HAVE QUESTIONS ON ANY ITEM, PLEASE CALL THE EDUCATION AND COUNSELING DEPARTMENT

Failure to return a complete package will delay evaluation for assistance.

Please email the requested documentation to:

ITEMS NEEDED FOR REVIEWPLEASE PROVIDE COPIES WE CAN KEEP

Failure to return a complete package will delay evaluation for assistance.

Please email the requested documentation to: [email protected]

MRP 2.0 APPLICATIONS

ITEMS NEEDED FOR REVIEW

IF YOU HAVE QUESTIONS ON ANY ITEM, PLEASE CALL THE EDUCATION AND COUNSELING DEPARTMENT

Failure to return a complete package will delay evaluation for assistance.

Please email the requested documentation to:

THANK YOU FOR YOUR APPLICATION
PROCEED WITH NEXT STEPS:

ITEMS NEEDED FOR REVIEW
PLEASE PROVIDE COPIES WE CAN KEEP

ITEMS NEEDED FOR REVIEW
PLEASE PROVIDE COPIES WE CAN KEEP

ITEMS NEEDED FOR REVIEW
PLEASE PROVIDE COPIES WE CAN KEEP

ITEMS NEEDED FOR REVIEW
PLEASE PROVIDE COPIES WE CAN KEEP

ITEMS NEEDED FOR REVIEW
PLEASE PROVIDE COPIES WE CAN KEEP

ITEMS NEEDED FOR REVIEW
PLEASE PROVIDE COPIES WE CAN KEEP

ITEMS NEEDED FOR REVIEW
PLEASE PROVIDE COPIES WE CAN KEEP

ITEMS NEEDED FOR REVIEW
PLEASE PROVIDE COPIES WE CAN KEEP