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CHL Mortgage Survey
1
Is This Your First Home Purchase?
*
This field is required.
YES
NO
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2
Which Type of Home Would You like to Buy?
*
This field is required.
Single Family Home
Multi Family Home
Townhouse / Condo
Other
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3
If We Can Get You Qualified, How Soon Would You Like to Buy a Home?
*
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Ready. Now?
1 - 3 Months
3 - 6 Months
Already Have Home Under Contract
Just Researching Options
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4
What is the Estimated Purchase Price of the Home You Would Like to Buy?
*
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$100,000 or Less
$100,000 - $200,000
$200,000 - $300,000
$300,000+
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5
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%+
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6
How Would You Rate Your Credit?
*
This field is required.
A best guess is good enough.
Excellent (750+)
Above Average (700 - 750)
Good (620 - 700)
Below Average (580 - 620)
Below 580
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7
What is Your Estimated Gross Income (Before Taxes)?
*
This field is required.
$100,000+
$75,000 - $100,000
$50,000 - $75,000
$25,000 - $50,000
$0 - $25,000
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8
How many years are you at your current job?
*
This field is required.
5+ Years
2 - 5 Years
1 - 2 Years
Less than 1 Year
Unemployed
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9
What was your salary each year for past 2 years?
*
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10
What is your estimated FICO Score?
*
This field is required.
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11
What is Your Email Address?
*
This field is required.
This is where we will send your pre-approval information.
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12
What is Your Current Zip Code?
*
This field is required.
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13
What is Your Name?
*
This field is required.
First Name
Last Name
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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
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15
Are you Working With a Realtor?
*
This field is required.
No
Yes
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16
What is your Date of Birth
Date of Birth
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17
What is your home address?
Address, City, State, Zip Code
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18
Account
*
This field is required.
Database
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19
Loan Type
*
This field is required.
Residential
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20
Group
*
This field is required.
Jot-Form
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