Purchase Pre-Qualification
 

Name:
Phone number:
Street Address:
City, State, Zip Code:
E-mail Address:
As far as a house payment is concerned, what is the highest payment that you would feel comfortable making each month?:
How much of a down payment are you going to deposit, if any?:	Please Choose One 0% 5% 10% 15% 20% or more
Are you prepared to pay closing costs?:	Please Choose One Yes No
How would you rate your credit?:	Please Choose One Good Fair Poor
What is your total monthly income?:
What are your total monthly debts?: (including child support if applicable):
How many years do you intend on living in your new home?:	Please Choose One 1 2 3 4 5 or more
Have you had a bankruptcy or foreclosure within the past 7 years?:	Please Choose One Yes No
What type of property are you interested in purchasing?:	Please Choose One Single family Condominium Townhouse Mobile home
Occupancy status:	Please Choose One Primary home Second home Investment property