Home Craft Lead Form

1

How long have you been in the Healthcare Industry?* This field is required.

Less than 1 year

1 – 5 years

6 – 10 years

10 – 20 years

20+ years

2

What Is Your Job Title?* This field is required.

3

What is Your Current Zip Code?* This field is required.

4

Do You Rent Or Own? * This field is required.

OwnRent

5

Which Type of Home Would You like to Buy?* This field is required.

Single Family Home

Multi Family Home

Townhouse / Condo

Other

6

What is the Estimated Purchase Price of the Home You Would Like to Buy?* This field is required.

$100,000 - $200,000

$200,000 - $300,000

$300,000 - $400,000

$400,000+

7

What is Your Estimated Down Payment?* This field is required.Note: A down payment is not always necessary.

Minimum Down

5% - 10%

10% - 20%

20%+

8

If We Can Get You Qualified, How Soon Would You Like to Buy a Home?* This field is required.

1 - 3 Months

3 - 6 Months

Already Have Home Under Contract

Just Researching Options

9

How Would You Rate Your Credit?* This field is required.A best guess is good enough.

Excellent (760+)

Above Average (700 - 760)

Good (640 - 700)

Below Average (Below 640)

10

What is Your Estimated Gross Income (Before Taxes)?* This field is required.

$0 - $50,000

$50,000 - $75,000

$75,000 - $100,000

$100,000+

11

Are you Working With a Realtor?* This field is required.

No

Yes

12

What is Your Name?* This field is required.

First Name

Last Name

13

What is Your Email Address?* This field is required.This is where we will send your pre-approval information.

14

What is Your Mobile Number?* This field is required.We will text you when we have your pre-approval status ready.

Area Code

Phone Number