New Buyer Questionnaire Please submit the following information about your organization. 1) Organization Legal Name (required) 2) Organization Entity Type (required) ---Non-ProfitFor-ProfitGovernment 3) Organization Full Address (required) 4) Federal EIN (##-######) (required) 5) Website 6) Primary Contact Name (required) 7) Primary Contact Title 8) Primary Contact Phone Number (required) 9) Primary Contact Email (required) 10) Please state your organization’s mission, as detailed in the bylaws. (required) 11) Please briefly describe the services offered by your organization (required) 12) Please identify secured sources of capital for acquisition and rehab activities as it relates to NCST properties. Funding sources are considered secured once funding agreements have been executed and funding is available for purchase immediately. How many secured sources of capital do you have? (required) 123+ Main Funding Provider Name (required) Main Funding Type (required) Internal Funds/CashLine of Credit/LoanPublic Funds/Grants Amount Available (required) 13) Does your organization target end-users within 120% of the local area median income (AMI)? (required) YesNo 14) Does your organization introduce other entities in to the chain of title before a property is sold to a new homeowner? (required) YesNo 15) Please list any bank-sponsored First Look or Discounted Sales programs in which your organization has participated. 16) Have you ever been suspended or removed from a bank-sponsored First Look or Discounted Sales Program? YesNo 17) Has your organization directly acquired and rehabbed properties for resale, rental, or other disposition? YesNo 18) How did you find out about NCST? 19) If there is a property you are interested in bidding on (CWCOT Program), please provide the full address 20) Please complete this form with a list of all properties directly acquired by the applying organization. Please do not include properties acquired by other entities or individuals. If additional room is needed, please include additional sheets. If you do not submit a form below, we will assume your organization does not have any acquisition history. (xlsx,.xls file types) 21) Any additional Comments? If you experience any issues with this form please email NCST