Empire Program Pre Qualification Questionnaire

Let's get you Pre-Qualified for funding!

We would love to see how great of a fit you will be for one of our innovative funding programs. Please answer the following questions and complete this form with your information. Someone will reach out to you soon about next steps.
Do you currently/have you ever invested in real estate?*

YesNo
Do you currently own a business of any type?*

YesNo
Do you have a credit score of 680 or higher?*

YesNo
What city/state do you live in?*
Are you currently employed or self-employed ?*

Full time employeeSelf-employed onlyEmployed and also own a business
Do you currently RENT or OWN your own home?*

RentOwn
Do you have any student loan debt*

Yes, less than $10,000Yes, $10,001- $20,000Yes, $20,001- $30,000Yes, $30,000-$40,000Yes, more than $40,000No, I don't have any student loan debt.
What is your current income?*

Less than $30,000 per year$30,000- $50,000 per year$50,000-$75,000 per year$75,000 + per year
Which funding program are you interested in?*

CAR ProgramREAL ProgramNOTES ProgramSPIFF ProgramHEAD ProgramDRIP ProgramOther
How did you hear about the CAR/REAL/USA/HEAD Program?*

InstagramFacebookPersonal ReferralOther
If you answered other, please specify where you heard about the program?
Name*

First NameLast Name
Email*
example@example.com
Best number to reach you with more information.*
Please enter a valid phone number.
What is your preferred method of contact?*

EmailPhone CallText Message
Signature*

Clear
The information provided in this form will not be shared and is kept confidential.
Should be Empty:

Let's get you Pre-Qualified for funding!