Referral Form

Thank you for referring one of your clients to PPL. To support homeownership among lower income households, we offer education and coaching that can help prospective homeowners access down payment assistance from a variety of local programs.

Please select your relationship to the client: *

Lender

Realtor

Agency

Your first and last name: *

Company: *

Phone number: *

Email: *

Buyer Information

Primary Applicant First Name *

Primary Applicant Last Name *

Co-applicant First Name

Co-applicant Last Name

Buyer phone number: *

Buyer email address *

Has this client completed homeownership education, such as Home Stretch or Framework, through PPL or another organization? *

Not yet but is registered

Yes

If there is another lender/realtor involved, please list contact information:

What homeownership education did/will this client complete? Please list program name, organization it was through, and day of completion. *

Does this client have a purchase agreement? *

Yes, with a closing date of: Yes, with a closing date of: