prequal

Name:
Address:
Address2:
City:
State:
Zip Code:
eMail:
Phone:

1) Do you now? Rent Own Home Own Mobile Home Live with others

2) If you own your home or mobile home, do you want it demolished and replaced by a brand new home? Yes No Maybe

3) What county do you want to build in?

4) How many adults, 18 years old or older, will live in the new home?

5) How many children, under 18 years old, will live in the new home?

6) Total before tax wage income for entire household? $yearly OR $monthly OR $weekly

7) Child Support Income? $yearly OR $monthly OR $weekly

8) Alimony Income? $yearly OR $monthly OR $weekly

9) Disability Income? $yearly OR $monthly OR $weekly

10) Pension Income? $yearly OR $monthly OR $weekly

11) Social Security Income? $yearly OR $monthly OR $weekly

12) Current Loan Payments? $monthly

13) Minimum Credit Card Payments? $monthly

14) Credit Score?

15) Have you had a bankruptcy in the last 3 years? Yes No