First Name
Last Name
Your Email (required)
Your Phone Number
Date of Birth
Marital Status
Current Full Street Address
Do You Rent or Own Where You Live?
How Long Have You Lived There?
Approximate Desired Purchase Price
Approximate Down Payment Amount Available
What Is The Highest Level of Education You Have Completed?
Where Do You Work?
When Did You Start Working There?
How Many Years Have You Been In This Profession?
Are You Paid Hourly or Salary?
What Is Your Annual Salary Before Taxes?
What Is Your Social Security Number? (please note that we will need to pull your credit score)
Do you intend to occupy the home as your primary residence? YesNo
Are there any outstanding judgments against you? YesNo
Have you been declared bankrupt within the past 7 years? YesNo
Have you had property foreclosed upon or given title or deed in lieu thereof in the last 7 years? YesNo
Are you party to a lawsuit? YesNo
Have you directly or indirectly been obligated on any loan which resulted in foreclosure, transfer of title in lieu of foreclosure, or judgement? YesNo
Are you presently delinquent or in default on any Federal debt or any other loan, mortgage, financial obligation, bond, or loan guarantee? YesNo
Are you obligated to pay alimony, child support, or separate maintenance? YesNo
Is any part of the down payment borrowed? YesNo
Are you a co-maker or endorser on a note? YesNo
Have you had an ownership interest in a property the last three years? YesNo
What is your U.S. Citizenship status? U.S. CitizenPermanent Resident AlienNon-Permenant Resident Alien