Mortgage Assistance Questionnaire Name(Required) First Last Phone(Required)Email(Required) 1. Do you live within the municipal boundaries of Boise or Meridian? (See map for reference)(Required) Boise Meridian I live outside the boundary. 2. How many people live in your home, including yourself?(Required)3. What is the total annual gross income of all residents in the household combined? (Include the income of all earners over 18, regardless of whether they contribute to the mortgage.)(Required)4. Do you have a City of Boise or NeigborWorks Boise mortgage?(Required) Yes No 5. How did the COVID-19 pandemic affect your financial situation? (Check all that apply)(Required) Lost job Hours were decreased Missed work due to Covid-19 illness Other My financial hardship was not caused by the pandemic 6. Have you received any other financial assistance to help you make your mortgage payments? If yes, list source of assistance.(Required) 7. How did you hear about the Mortgage Assistance program?(Required) Δ
