Gateway Commons Application

Email Address

Re-enter Email Address

How did you hear about us?

Current Phone Number

Additional Current Phone Number

Current Address

Current Address line 2

Current City

Current State Value is not selected

Current Zip

Total number of household occupants If more than two applicants, please complete the Additional Household Members information below

Applicant #1

Last Name

First Name

Middle Name

Date of Birth

Employer (must be employed a minimum of 30 hours at an employment site in Placer County.)

Employer Address

Employer City

Employer State Value is not selected

Employer Zip

Recent Employment Start Date

Recent Employment End Date

Monthly Income Include all SSI, Retirement, Etc.

Additional Employment

Applicant #2

Last Name

First Name

Middle Name

Date of Birth

Employer

Employer Address

Employer City

Employer State Value is not selected

Employer Zip

Recent Employment Start Date

Recent Employment End Date

Monthly Income Include all SSI, Retirement, Etc.

Additional Employment

Additional Household Members

Members of Household

Additional Income

List out additional sources of income (including: SSI/retirement/Alimony/etc.)

Monthly Income Additional sources of income include child support, alimony, lottery winnings or any additional sources of income not listed here

Source of additonal Income

Total household monthly income

Are any household members a Veteran?

Yes

Current monthly rent or mortgage

Has applicant or co-applicant had a Bankruptcy, Short sale, or Foreclosure in the last 7 years?

Yes

If yes, what year was it discharged

How much do you have available for a down payment?

Source of down payment Savings, Checking, Retirement and Gift

Would you like information on down payment assistance programs, if available?

Yes

Required Documents to be Uploaded

One month of most recent paystubs for each applicant in household

Most recent tax return

Prequalification letter from lender with loan amount

1008 form from lender-to determine lenders calculated income

Proof of down payment (One month of bank statement, retirement assets, gift letter, etc.)

Signatures

I/we certify that the information provided in this form is true and correct on the date set forth. *

Applicant 1 Signature

Applicant 2 Signature

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Gateway Commons Application

Gateway Commons Application

Applicant #1

Applicant #2

Additional Household Members

Additional Income

Required Documents to be Uploaded

Signatures