Neighborhood Assistance Corporation of America

Fighting For Economic Justice With America's Best Mortgage

Are you a NACA Member?
NACA ID
Your First Name
Your Last Name
Social Security Number
House Number
Street Name
Zip Code
Email
Re-enter Email
Mobile Phone
Re-enter Mobile Phone
Mobile Phone Carrier
Are you currently employed?
Are you currently behind on paying rent?
Number of Months Behind
Total Amount Owe
Is your current rent affordable moving forward?
Has your household faced increased expenses since March 2020 due to the COVID-19 pandemic?
Do you receive any government assistance?
Are you currently behind on any utility bills?
Total Utilities Amount Owe
What is the approximate combined total household annual income?
Has your household's income decreased since March 2020 because of the COVID-19 pandemic?
Have you received an eviction notice or a court summons?
Can you give a brief description of what happened?

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