DFC Home Financing Assessment Form

Thank you for your interest. Please provide accurate answers so we can assess your eligibility.

This is NOT a Loan Application. Upon receipt and review of your completed assessment, a DFC Branch Representative will contact you.

Do take note of our Branches' contact numbers below. Fell free to your branch directly for support:

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* 1. Please select your sex:

Male

Female

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* 2. Please select your age range:

18-24

25-34

35-44

45-54

55-64

65+

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* 3. Please complete the below information:

Name:

City/Town/Village/Caye:

Mobile No. / Other:

Email:

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* 4. Please select the District or Caye where you reside:

San Pedro OR Caye Caulker

Corozal

Orange Walk

Belize Dist.

Cayo Dist.

Stann Creek

Toledo

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* 5. Please select your Profession Category:

Other

Public Officer

Public Officer - Teacher

Public Officer - Medical Personnel

Employee of a Statutory Body

Police (Active Duty)

BDF (Active Duty)

Coast Guard (Active Duty)

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* 6. Living Status: (*Dependents = Children or Senior Citizens)

Single

Common Law or Married - No Dependents

Common Law or Married WITH Dependents

Single Parent with Dependents

Other

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* 7. Please state the number of persons that will reside in the home you want financing for.

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* 8. I am:

Employed

Self Employed

Not Employed

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* 9. If employed, how long have you been employed?

Less than 6 months

6 months to 1 year

1 - 5 years

above 5 years

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* 10. How much is your gross monthly income? (Total or ALL income you make in ONE (1) MONTH)

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* 11. Do you have any existing loans? (including Courts and Quick stop payments)

Yes

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* 12. If yes, how much is your TOTAL MONTHLY loan repayments? (If none, enter '0') (Please do NOT include rent/utility payment values etc.)

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* 13. If you have a loan(s), in each field please state 1. The Outstanding Loan Balance AND 2. Time left to pay the Loan off:

NO LOANS:

LOAN 1:

LOAN 2:

LOAN 3:

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* 14. Please select the purpose of your current loan(s)?

I don't have any loan/s.

Home or Land

Personal/Consumer Loan

Student Loan

Business loan

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* 15. Would you borrow alone or are you able to borrow with someone else? (Borrowing with someone and their income would increase the amount you would be able to borrow)

Borrow Alone

Borrow with someone

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* 16. If you will borrow with someone else, please state the below: (Optional)

Person's gross MONTHLY income:

Person's TOTAL MONTHLY Loan Repayment amount (Including Courts etc.)

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* 17. For the person's loan(s), in each field please state 1. The Outstanding Loan Balance AND 2. Time left to pay the Loan off:

NO LOANS:

LOAN 1:

LOAN 2:

LOAN 3:

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* 18. Do you already have land?

No, I don't have a land.

Yes - But currently being transferred

Yes - Lease land

Yes - Title land

Yes - Family land

Yes - Communal land

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* 19. Do you have any savings?

Yes, I have savings

No Savings

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* 20. If yes, please state the total amount of savings available. (Enter '0' if none)

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* 21. What type of DFC home financing are you interested in?

Buy land first (Build later)

Buy land and build home immediately

Build a home on my existing property

Buy an existing home (from owner, real estate company or other financial institution)

Buy a Pre-fab home (Mennonite Home)

Home improvement, renovation, expansion.

Home security, fencing burglar bars.

Power my home with Solar or Energy Efficient technologies.

Home Refinancing.

Purchase Foreclosed property.