CITY OF YORBA LINDA
Initial Application for Mortgage Assistance Program (MAP)
Name: _________________________________________________________________________________________________________
Address: ________________________________________________________________________________________________________
Home Phone: ____________________ Work Phone: _______________________ Cell Phone: ______________________
E-mail Address: ___________________________________________________________________________
Please answer the following questions to confirm your eligibility in MAP:
1. Have you ever owned or been partial owner of a residence? ________________________________________
If yes, please indicate the date of last ownership? ___________________________________________________
2. Indicate the number of persons in your household? ________________________________________________
3. What is your estimated combined annual household income? _____________________________________
Please answer the following informational questions for the home you have selected and the lender
that has qualified your loan application:
1. Is the residence you wish to buy a home, condo or townhouse?______________________________________
2. Is it newly constructed or a resale unit? ________________________________________________________________
3. What is the address of the residence? _________________________________________________________________
4. What is the anticipated first loan amount to be requested from your lender based upon the
residence you have selected?__________________________________________________________________________
5. Please provide the contact information for the lending institution that you have initiated this process
through:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
I do affirm that the information provided in this application is true and factual according to the best of my
knowledge. I understand that any falsification of information or records could result in a denial of MAP funds
from the City of Yorba. Furthermore, I understand that full eligibility to qualify for a home loan and to
participate in this program is at the discretion of the lending agent. Nothing in this application should be
construed as a guarantee of a home loan or the guarantee of home purchase. Every applicant will need to be
approved for an underlying first mortgage loan by a participating lender. Applicants may be disqualified on the
basis of too much or too little income, credit history, insufficient cash available, employment history, etc.
Application will not be processed without a signature.
Please return application to Pam Stoker at City of Yorba Linda, 4845 Casa Loma Avenue, Yorba
Linda, CA 92886, fax to (714) 993-7530, or e-mail at pstoker@yorbalindaca.gov
____________________________________________________________________ ____________________
Applicant(s) Signature Date
click to sign
signature
click to edit
![]()
