Qualification Questionnaire

Qualification Questionnaire
Contact Information
Buyer 1*

First NameLast Name
Buyer 2

First NameLast Name
Marital Status:*

SingleMarriedOther
Phone*

Area CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How long have you lived in your current address?*

0-1 Year1-2 Years2-4 Years4+ Years
Monthly rent/mortgage
If you don't pay rent, do you live with friends or family

YESNO
Employment Information
Buyer 1 Present Employer*
Buyer 2 Present Employer
Buyer 1 Occupation*
Buyer 2 Occupation
Buyer 1 Number of years with Employer*

0-1 Year1-2 Years2-4 Years4+ Years
Buyer 2 Number of years with Employer

0-1 Year1-2 Years2-4 Years4+ Years
Buyer 1 Gross monthly income*
Buyer 2 Gross monthly income
How much do you currently have saved*
ex. $25,000
Car payment
ex. $350
Credit card payments
Minimum monthly
Personal loans
Monthly
Student loans
Monthly
Have you had any late payments in the last 12 months*

YESNO
Do you have any collection accounts or charge offs*

YESNO
What type of property are you looking for *
What payment would you be comfortable with as a monthly mortgage payment *
$2500
What is the name of the lender or program you are approved by?*
ex. XYZ lender or ABC housing
What area would you like to purchase in once qualified
ex. Hawthorne, Lawndale, Victorville
What is your current family size?*
Number in your household
Name of your Real Estate Agent
Full Name
How did you hear about The American Dream Grant Program?*
ex. My Aunt Gertrude
Comments
I have delinquent taxes, and I pay child support, co-buyer email address
I hereby agree that the information given is true, accurate and complete as of the date of this application submission. **

YESNO
Should be Empty:

Qualification Questionnaire

Contact Information

Employment Information