CHL Mortgage Survey

1

Is This Your First Home Purchase? * This field is required.

YESNO

2

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

Single Family Home

Multi Family Home

Townhouse / Condo

Other

3

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

Ready. Now?

1 - 3 Months

3 - 6 Months

Already Have Home Under Contract

Just Researching Options

4

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

$100,000 or Less

$100,000 - $200,000

$200,000 - $300,000

$300,000+

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%+

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

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

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

9

What was your salary each year for past 2 years?* This field is required.

10

What is your estimated FICO Score?* This field is required.

11

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

12

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

13

What is Your Name?* This field is required.

First Name

Last Name

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

15

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

No

Yes

16

What is your Date of Birth

Date of Birth

17

What is your home address?

Address, City, State, Zip Code

18

Account* This field is required.

Database

19

Loan Type* This field is required.

Residential

20

Group* This field is required.

Jot-Form