Customer Pre-Qualification

Customer Pre-Qualification

Assessment
Customer info/ Informacion del cliente
1st Applicant

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date

MonthDayYear
Social security
(***-**-****)
Employment / Empleo
Job title/ Puesto
How long have you been working?
( # Year, # Months)
Hourly Income?
Tax Filling

Other
What other monthly income you receive?

Other
What is the Amount?
( SSI, Retirement, Child Support )
Financing Basics / Datos de financiamiento
Will you be applying alone?
If you answered "No", who is applying with you?
Down-payment Amount
Do you have land?
Is it paid off?
Type of Home
Numbers of Bedrooms
Signature
Should be Empty: