Individual #2 (Co-Applicant)

FINANCIAL CAPABILITY – HOUSING COUNSELING PROGRAM

CLIENT AGREEMENT/DISCLOSURE/ACKNOWLEDGEMENT

Note: If you have an impairment, disability, language barrier, or otherwise require an alternative means of completing this form or accessing information about financial capability and/or housing counseling, please communicate with us about arranging alternative accommodations.

About Us and Program Purpose
CAPI USA is a non-profit that serves immigrants refugee and U.S. born communities in local Twin Cities metro. We serve all clients regardless of income, race, color, religion/creed, sex, national origin, age, familial status, marital status, disability status, regarding public assistance, sexual orientation, or gender identity. We administer our programs in conformity with local, state, and federal antidiscrimination laws, including the Federal Fair Housing Act (42 USC 3600, et sew.), title VIII of the Civil Rights Act, as well as the Human Rights Act.

Financial Capability / Housing Counseling Agreement
CAPI USA is pleased to offer our programs and services to help your current finance and housing needs. By participating in our Financial Services, Homeownership, and Education program, you are agreeing to receive counseling, education, information, and application assistance, including computations, assessments, and procurement of services, in connection with your pursuit of (a) a home purchase, (b) credit and asset building (c) budgeting or (d) preventing a home foreclosure. While you are welcomed and encouraged to do so, you are in no obligation to participate in any of our home partner services, grant programs, or other services. CAPI USA is also not obligated to enroll you in any other program because of your participation in any homeownership education program. Each CAPI USA program is administered separately, and you should seek application information pertaining to your program of interest.

Funding Sources
CAPI USA receives/will receive grants from the Federal government agencies including Department of Housing and Urban Development (HUD), State and Local government agencies, National Intermediaries, Financial Institutes, foundations, Non-profits, and Individual Donors. CAPI USA currently does not have a “fees for services” arrangement with any lending institution.

Non-Discrimination Policy
We at CAPI USA not and shall not discriminate based on race, creed, color, religion, gender, age, national origin, physical or mental health, sexual orientation or any characteristic protected by the law, and is following all requirements of law and regulations with respect to the provision of services, employment decisions and volunteer participation.

Organization Conduct
No CAPI USA employee, director, volunteer, contractor, or agent shall undertake any action that might result in, or create the appearance of, administering counseling operations for personal or private gain, provide preferential treatment for any person or organization, or engage in conduct that will compromise our organization’s compliance with federal, state or local regulations and our commitment to serving the best interests of our clients.

Organization Relationships
CAPI USA currently has a financial affiliation or professional affiliation with Minnesota Housing Finance Agency, Minnesota Homeownership Center, National Coalition of Asian Pacific American Community Development (CAPACD), United Way, and banks including Wells Fargo Home Mortgage.

Alternative Services, Programs, Products and Referral Service Disclosure
CAPI USA, as appropriate, refers clients to other community service organizations. These organizations provide services such as emergency shelter, financial assistance, utility assistance and access to other locally available resources. While you may learn about the advantages/disadvantages of specific services, programs and products during the education or counseling sessions, you are free to choose the services, programs, and products of your own choosing regardless of the recommendations made by the educator/counselor. As a client of CAPI USA, you have the option of utilizing the services of the licensed real estate brokers, lenders, attorneys, and other service experts on our referrals lists, however, you are not obligated to receive, purchase, or utilize any services offered or referred to by CAPI USA or its partners. It is your responsibility and based on decisions made of your own free will to determine which services, programs, or products best meet your needs. CAPI USA does, from time to time, receive grants or donations from various institutions to provide free services to the public. However, CAPI USA does not endorse or recommend any institutions. CAPI USA provides a list of servicers for the sole purpose of informing clients and providing starting points for clients that may need it.

CLIENT PRIVACY POLICY DISCLOSURE AND TENNESSEN WARNING

We at CAPI USA value your trust and are committed to the responsible management, use and protection of personal information. This notice describes our policy regarding the collection and disclosure of personal information and our policies regarding conflict of interest. Personal information, as used in this notice, means information that identifies an individual personally and is not otherwise publicly available information. It includes personal financial information such as credit history, income, employment history, financial assets, bank account information and financial debts. It also includes your social security number and other information that you have provided us on any applications or forms that you have completed. The following programs are funded in part by Federal government agencies including Department of Housing and Urban Development (HUD), State and Local agencies, National Intermediaries, Financial Institutes, foundations, Non-profits, and Individual Donors.

• Financial Coaching/ Financial Wellness Counseling.

• Rental Counseling, Assistance and/or Education.

• Homebuyer education.

• Pre-purchase Counseling.

• Post Purchase and/or Refinance Counseling.

• Foreclosure Prevention Counseling and Assistance.

Information We Collect
We collect personal information to

• learn about your current finance issue, including obtaining demographic information, reason for financial difficulty and situation, housing objective, credit status, home value, and loan documentation,

• support our financial counseling, assessing your financial capacity to meet your monthly obligations,

• assist in qualification for our affordable home development projects

• perform a mortgage affordability assessment.

• assist you in shopping for and obtaining a home mortgage from a lender.

• developing and executing an agreed to action plan to meet your financial goals.

We collect personal information about you from the following sources:

• Information we receive from you on applications or other forms,

• Information we receive from a consumer credit reporting agencies,

• Information we receive from independent third parties authorized by you to provide us with your information.

Information We Disclose
We may disclose the following kinds of personal information about you:

• Information we receive from you on applications or other forms, such as your name, address, social security number, employer, occupation, assets, debts, and income.

• Information we receive from consumer credit reporting agencies, such as your credit reports, your credit history, and your creditworthiness.

To Whom Do We Disclose
We may disclose your personal information to the following types of unaffiliated third parties:

• Financial service providers, such as companies engaged in providing home mortgage or home equity loans, and others such as nonprofit and/or governmental organizations involved in community development, but only for program review auditing, research, and oversight purposes.

• We may also disclose personal information about you to third parties as permitted by law.

Prior to sharing personal information with unaffiliated third parties, except as described in this policy, we will give you an opportunity to direct that such information not be disclosed. If you want to opt out, that is to direct us not to make disclosures about your personal information (other than disclosures permitted by law) as described in this notice.

Confidentiality and Security
We restrict access to personal information about you to those of our employees who need to know that information to provide products and services to you and to help them do their jobs, including making loan decisions, aiding you in obtaining loans from others, and financial counseling. We maintain physical and electronic security procedures to safeguard the confidentiality and integrity of personal information in our possession and to guard against unauthorized access. We used locked files, user authentication and detection software to protect your information. Our safeguards comply with federal regulations to guard your personal information.

Social Security Numbers
The Privacy Act of 1974 makes it unlawful for any Federal, State, or local government agency to deny your participation in the above referenced programs if you refuse to provide your social security number. If you do not voluntarily provide your social security number, services to you may be more limited, but you will continue to be eligible to receive the services we can provide without a social security number.

Other Private Data
Under Minnesota Statutes, your name and address may be public data. All other data we may ask about you is private data on individuals. Agreeing to share your public data is mandatory for participation in the above referenced programs. Sharing your private data is not mandatory for participation in the program. However, if you do not provide private information (such as income, debts, and assets), services to you may be more limited. We collect private data for the purposes of service delivery, program management, compliance, monitoring, research, and program evaluation.

Quality Assurance
To assess client satisfaction and in compliance with grant funding requirements, CAPI USA, or one of its partners, may contact you during or after the completion of your counseling service. You may be requested to complete a survey asking you to evaluate your client experience. Your survey data may be confidentially shared with CAPI USA funders such as HUD, the Minnesota Homeownership Center, Minnesota Housing Finance Agency, Twin Cities LISC FOC, HECAT, NATIONAL CAPACD and or other Grantors.

Privacy Choices
If you want to opt out, that is to direct us not to make disclosures about your personal information (other than disclosures permitted by law or by counseling agreement) as described in this notice, check the box below to indicate your privacy choices. This authorization is effective immediately.

• Limit disclosure of personal information about me to unaffiliated third parties except nonprofit organizations involved in my case or government entities that required my information, in addition, to the referred agency/company that I agreed to.

ACKNOWLEDGEMENT

I/We understand that CAPI USA provides information and education on numerous loan products and housing programs. I/We further understand that the finance/housing counseling I/we receive from CAPI USA in no way obligates me/us to choose any of these particular loan products or housing programs.

FINANCIAL COACH/HOMEOWNERSHIP ADVISOR – CLIENT AGREEMENT

Homeownership Advisor Roles & Responsibilities

• Providing services confidentially, honestly, and respectfully.

• Reviewing your housing goal and your finances; including income, debts, assets, and credit history.

• In partnership with you, developing a household budget to assist you with managing your debt, expenses, and savings.

• In partnership with you, create a client action plan with steps that you and your Financial Coach/Homeownership Advisor will take to achieve your housing goal.

• Presenting reasonable options available based on your current situation.

• Offering referrals to needed resources. However, you are under no obligation to utilize the provided resources.

• Providing guidance and education in support of your goal.

• Neither your Financial Coach/Homeownership Advisor nor CAPI USA, employees, agents, contractors, or directors may provide legal advice.

Client Roles & Responsibilities

• Providing accurate information about your income, debts, expenses, credit, and employment.

• Attending meetings, returning calls, and promptly providing requested paperwork.

• Being an active participant in the creation and completion of steps on your Action Plan.

• Notifying CAPI USA or your Financial Coach/Homeownership Advisor if your housing situation or goal changes.

• Attending educational workshops (i.e., Homebuyer Education) as recommended.

• Retaining an attorney if seeking legal advice and/or representation in matters such as foreclosure or bankruptcy protection.

Termination of Services: You or the advisor may terminate counseling services at any time. Reasons the advisor may terminate services include, but are not limited to, no progress on the agreed-upon Action Plan steps, not responding to an advisor’s attempt to contact you, or missing scheduled appointments.

CREDIT REPORTING AUTHORIZATION

Individual #1: Please indicate your choices in the boxes below:

In connection with my request to receive Financial Services and housing counseling and my pursuit to (a) evaluating my financial readiness to purchase real property and/or obtain a mortgage loan, and/or (b) receive mortgage delinquency counseling and/or post purchase and refinance counseling, and (c) and/or (c) rental counseling, and (d) for review purposes lasting up to 5 years from the date of the initial counseling session, I AuthorizeDo Not Authorize CAPI USA to obtain a copy of my credit report.

IAuthorizeDo Not Authorize CAPI USA to share with potential mortgage lenders, governmental agencies and/or other non-profit agencies my credit report and any information that I have provided, including any computations and assessments that have been produced based upon such information. If authorized, these lenders may contact me to discuss loans for which I may be eligible for, and these non-profit and governmental agencies may contact me for program evaluation purposes or offer other services. I understand I may revoke my consent to these disclosures by notifying CAPI USA Financial Services & Homeownership Program in writing.

Consent Form for Research

CAPI USA helps participants become more financially secure by assisting them to get and keep jobs, enter and complete training, access public benefits for which they are eligible, and learn how to manage their money. CAPI USA is working with Local Initiatives Support Corporation (“LISC”) to figure out which kinds of assistance and supports are helpful to participants and which ones are not. The information you provide us during your participation in this program will be compiled with other people’s data and shared with LISC to help provide better service to participants.

Your Right to Confidentiality
The information you provide to CAPI USA, and LISC is completely confidential. In research reports and presentations, your privacy will always be respected and your name or other personal information that might identify you will never be disclosed to the public or sold for commercial purposes.

Benefits and Risks
There are no special benefits or risks to you as an individual if you participate in this research; the information will be used only for learning purposes, so that programs know the kinds of assistance and support that help people become more financially secure. Participation in this research study is completely voluntary. If you do not want to participate in the research, you may still continue to receive the same services and supports. Also, if you choose to participate in the research, you may discontinue participation at any time without penalty.