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Score A Better Credit Future – Credit Class May 18, 2024 @ 7:00 pm - 8:30 pm « Commercial & Consumer Credit Seminar Metro Atlanta Housing Fair 9am – 3pm » Registration Form Registration Form ARE YOU UNDER CONTRACT?*NoYesDate MM slash DD slash YYYY Anticipated closing date MM slash DD slash YYYY Home purchase date MM slash DD slash YYYY County Referral Source Eventbrite Facebook Agent Lender Word of Mouth Radio Newspaper Other Name* First Last Email* Preferred Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Last 4 Digits of SocialPlease enter a number less than or equal to 9999.Birthdate MM slash DD slash YYYY Number of occupants in householdGenderMaleFemaleMarital StatusSingleMarriedSeparatedWidowDisabledNoYesEnglish ProficiencyProficientNone English ProficiencyDo you live in a rural area?YesNoPlease select all that apply First-time Home Buyer Active Military Head of Household Owned in Last Three Years Re-Entering the Market Age Range18 - 2525 - 3031 - 3535 - 4041 - 4546 - 5051 - 5556 - 65over 65RaceAmerican IndianAsianBlack / African AmericanNative HawaiianWhiteOtherIncome Range$0 - $25,000$25,001 - $30,000$30,001 - $40,000$40,001 - $50,000$50,001 - $60,000Over $60,000Highest Level of Education AchievedPrimaryHigh School / GEDCollegeUnder GraduateGraduate SchoolHome Purchase TimingImmediately3 - 6 months6 - 12 months12 - 18 monthsNot SureType of CounselingHousingCreditFinancial ManagementEducationWould you like to receive additional information from the speakers? Yes No Do you have a realtor? Yes No Realtor Name and Number (If you answered yes to having a realtor)Do you have a loan in process? Yes No Lending Company If you answered yes to having a loan in process Media Release Morningstar Urban Development Inc. engages in marketing through social media, photographs, television or recorded work to be used in media presentations that are made available to the public, lenders, grantors and others who request information concerning our education and counseling services. Your signature hereby states that you understand and consent that your image/picture may be published and presented in MUDI presentations and advertisements, but no other information about your will be revealed without prior consent. Client SignatureConsentPlease note: We encourage you to schedule a one on one counseling session with a MUDI Counselor, whether you are just beginning the home buying process, have or have not been pre-approved pre-approved with a lender, already in the home searching process or under contract, s to answer any further questions and to assist you during this process. I Would like to Schedule an AppointmentName First Last Please print your name (workshop attendees only) exactly as you wish it to appear on your Workshop Certificate. CLIENTS ARE NOT OBLIGATED TO RECEIVE ANY OTHER SERVICES FROM MORNINGSTAR URBAN DEVELOPMENT OR ANY OF THEIR EXCLUSIVE PARTNERS HiddenEvent Date Day Month Year Date of event the user is schedulingHiddenEvent Name Course Cost Δ Add to calendar Google Calendar iCalendar Outlook 365 Outlook Live Details Date: May 18, 2024 Time: 7:00 pm - 8:30 pm