First Name Last Name E-Mail Phone What is your affiliation with the community? -- Choose affiliation --OwnerProperty ManagementThird-Party Services ProviderOther * If you chose 'Other', please identify:
Company Name Address Line 1 Address Line 2 City State Zip Code
Community Name Address Line 1 Address Line 2 City State Zip Code Number of Units Community Type -- Choose community type --FamilySeniorSpecial NeedsVeterans
Ownership Company Name Address Line 1 Address Line 2 City State Zip Code Entity Ownership Name (LP, LLC, etc.) Authorized Contract Signer Full Name Monthly Budget for Resident Services (Enter monthly budget with whole numbers and without the dollar sign, commas, or cents.)
Will the site be new construction?
YesNo
Will the site be rehabbed?
Anticipated date construction/rehab will be complete.
Is the property subject to a LURA, QAP, RFP, or any other regulatory requirements?
Will you provide the LURA, QAP, RFP, and/or any other regulatory documents?
Will you be partnering with Fannie Mae to receive the Healthy Housing Financial Rewards aligned with a CORES certified organization (new development or preservation development)?
Would the property benefit from a nonprofit as a general partner in the ownership structure?
Please list your desired services for the community . . . Please list the perceived residents' needs . . . Please list the current services provided at the community . . . Please list the available amenities at the community (Wi-Fi, computer lab, community space, etc.) . . .
What date do you anticipate services to begin?
To ensure we are supporting your application needs, by what date do you need the proposal?
