NJCAEF's Loan Counseling Service
Thank you for your interest in NJCAEF’s Loan Counseling Service. Please take a moment to fill out the attached counseling application. You can return your finished application to us by postal mail or fax. Print the application, complete it, and return it to:
By Postal Mail
New Jersey Citizen Action Education Fund Loan Counseling Service
744 Broad Street, Suite 2080
Newark, NJ 07102
By Fax
732-714-5386
Your application will be forwarded to a Loan Counselor as soon as we receive it. You should receive a call back from your counselor in two or three weeks. Your counselor will set an appointment to meet with you in the office of your choice. You should bring as much financial information as possible to your meeting.
We look forward to working with you and hope that you will soon join the thousands of successful NJCAEF homeowners!
NJCA Education Fund's
Loan Counseling Service Application
> 1. What is your name?
___________________________________
> 2. Do you plan to purchase a house alone or with others?
____ I want to buy alone
____ I have co-purchaser(s)
> 3. What are the name(s) of additional purchaser(s)?
___________________________________
> 4. What is your mailing address?
___________________________________
___________________________________
> 5. What is your daytime phone number with area code?
___________________________________
> 6. What is the best time for a counselor to call between 9 a.m. and 5 p.m.?
___________________________________
> 7. What is your evening phone number with area code?
___________________________________
> 8. Please list the daytime phone number(s) of your co-purchaser(s).
___________________________________
> 9. What is your gross income? (This is your income before taxes; the best source for this information would be your income tax return.) $__________
> 10. What is the gross income of any additional purchaser(s)? $__________
> 11. Do you or any other purchaser(s) have any dependent children? ____ How many? ____
> 12. Do you pay or receive child support? ____ How much? $__________
> 13. Please list any debts that you or your co-purchaser may have. List your monthly minimum payments and total balance for each debt.
Credit Card - Mo. Min. $____________ Total Bal. $__________
Credit Card - Mo. Min. $____________ Total Bal. $__________
Credit Card - Mo. Min. $____________ Total Bal. $__________
Personal loan - Mo. Min. $__________ Total Bal. $__________
Personal loan - Mo. Min. $__________ Total Bal. $__________
Personal loan - Mo. Min. $__________ Total Bal. $__________
Auto Loan/lease - Mo. Min. $________ Total Bal. $__________
Auto Loan/lease - Mo. Min. $________ Total Bal. $__________
Auto Loan/lease - Mo. Min. $________ Total Bal. $__________
Student Loan - Mo. Min. $___________ Total Bal. $__________
Other - Mo. Min. $__________________ Total Bal. $__________
> 14. How did you hear about New Jersey Citizen Action? (Please list name and phone number)
___________________________________
___________________________________
> 15. If you were referred by a bank, please list the name and phone number of the person you are working with.
___________________________________
___________________________________
> 16. Do you require a Spanish-speaking counselor? ____
> 17. Please choose the office that you would like to go to.
____ Camden
____ Highland Park
____ Jersey City
____ Newark
____ Passaic
____ Paterson
____ Plainfield
____ Rahway
____ Trenton
> 18. How would you rate your overall credit?
____ Poor
____ Fair
____ Average
____ Good
____ Excellent
