Fair Housing        Anti-Predatory Lending        Private Enforcement         Foreclosure Prevention

 

Can You Help?
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Since 1993, Nevada Fair Housing Center, Inc (NFHC) has worked to ensure equal access to housing and credit for residents of Nevada. NFHC promotes it mission by providing education and legal assistance on housing and consumer related issues.
 

To start the process, fill out the client intake form, fax it or submit it the the
NFHC office. You will be contacted to set up a one on one appointment.
 (mailing address and fax listed at the bottom of the page.)  

CLIENT INTAKE FORM 

Client Name:             SSN #

                                 SSN #

Address:               

City:                           State:    Zip:

E-mail:               

Home Telephone:   

Cellular Phone:    

Work Telephone:  

Best time to call: 

Are you presently leasing? Yes     No

Rent Payment:    

When do you plan to purchase?  

 

BRIEF DESCRIPTION OF PROBLEM: (check all that apply)

Mortgage Foreclosure Request for information about existing loan
Home Mortgage Loan Request for information before borrowing
Auto Loan Home Improvement Problems
Personal Loan Other (Describe)
Credit Card Debts  
Other Loan(s)  
General Financial Problems/Budgeting  

HOUSEHOLD FINANCIAL INFORMATION:

What is the TOTAL household income?   

What are the sources of income?  

How many in household?                   Ages? 

               

 

3380 W. Sahara, Suite 150
Las Vegas, Nevada 89102
Phone: 702-731-6095 
Fax: 702-732-9538
 info@nfhc.org
                                          Copyright @ 2009 NFHC                         Disclaimer