Gap Registration Form

	Gap Registration Form
Home \| Homebuyers \| Lenders \| Real Estate Professionals \| Homebuyer Education \| Clases en Español \| Homes for Sale \| Contact Us \| About Us

	Info for Homebuyers
	Buyer Income Limits
	Home Sales Price Limits
	Obtaining A Mortgage
	Assistance Amounts
	Homebuyer Education
	FAQ's
	Available Funds
	View Homes for Sale
	Contact Us

Gap Registration Form

Lenders only - use this form to reserve funds for your client. All fields are required. Requests for purchases within the city limits of Lakeland only are being accepted at this time.

Date of Request:	(input as MM/DD/YY)
Applicant(s) Name:
Property Address:
City and Zip Code:
In the City Limits?:	Yes No
Sales Price:
Select One:
Household Size:
Gross Annual Income:
Funds Requested
Down Payment:
Closing Costs:
Total Request:
Name of Contact:
Your Company:
Company Phone:	(include area code)
Company Fax:	(include area code)
Company Address:
E-Mail Address:
Anticipated Closing Date:	(input as MM/DD/YY)
Has Applicant Attended a Homebuyer Education Class?:	Yes No
If so, date?:	(input as MM/DD/YY)
Provided by:

All fields are required. If you input all fields, a confirmation page will display for you. If you do not input all fields, you will receive an error page. If this occurs, click the "BACK " button in your browser window.

View and Print our Down Payment Assistance Programs Brochure

You will need Adobe Reader 5.0 or later to view and print the brochure. If you do not have Adobe Reader 5.0 or later, you can download it for free by clicking on the link below.

To view our Equal Housing Opportunity Statement , click on the logo at left.
Copyright © 2002-2007 Keystone Challenge Fund, Inc.	Last modified: 11/18/08
Home
Send mail to webmaster@keystonechallenge.org with questions or comments about this web site.