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Name:
Phone Number:
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E-Mail Address:
Approx. Purchase Price:
Select One
$150,000
$160,000
$180,000
$200,000
$250,000
$300,000
$350,000
$400,000
$500,000
$600,000
$700,000
$800,000
$900,000
$1,000,000
$1,250,000
$1,500,000
$1,750,000
$2,000,000+
How will you be using your New Home?
Select One
Primary Residence
Second/Vacation Home
Investment Property
Describe Your Recent Credit History:
Select One
Excellent Credit -- Little Debt
Good Credit -- Have Balances; No Lates
Fair Credit -- Have Balances and a Few Recent Lates
Recent Credit Issues
Don't Know
Gross Annual Income:
(Before taxes or deductions)
Borrower
$
Co-Borrower
$
Assets Available for Home Purchase:
Checking and Savings
$
Retirement (IRA/401k)
$
Gift Funds
$
Other
$
Minimum Monthly Payments:
Min. Credit Card Payment
$
Car Payments
$
Loan Payments
$
Other (e.g. alimony etc.)
$
Current Housing Arrangement:
Select One
Own
Rent
If You Own Your Home:
Approx. Market Value
$
1st Mortgage Amount
$
2nd Mortgage Amount
$
Employment/Documentation Type:
Select One
Salaried Employee -- Will Document Income and Assets
Self-employed -- Will Document Assets But Not Income
Other -- Not Able to Document Income or Assets
Don't Know, Don't Care
Other requirements:
Please specify any requirements or ask any questions.
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Home Buying Information