Contact Info
Please fill out information for ALL people that will be making the purchase. For assistance with completing this intake form , please do not hesitate to reach out via email at teraira@processingbynorthwest.com, imanic@processingbynorthwest.com. phone at (267)312-0847.
First & Last Name
*
Name Prefix
Please Select
Mr
Mrs.
Ms.
Other
Name preferred to be called
Best email address to contact you
*
Best phone number to reach
*
Additional contact numbers
(2nd Person) First & Last Name
Name preferred to be called
Name prefix
Please Select
Mr
Mrs.
Ms.
Other
Best email address to contact you
Current Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Best phone number to reach
Additional contact numbers
Best times of day to contact
How did you find out about me
Additional contact info, such as preferred method of contact. Any additional contact information that may be important.
Home Information
Please enter as much information as possible so that I can serve you better.
What is your time frame to be in your new home and why?
*
Do you currently own or rent a home?
*
Own
Rent
Other
What county?
*
Have you been pre-approved for a mortgage loan?
*
Yes
No
If you have not been pre-approved for a loan what is your estimated credit score? What source did you use?
*
What type of home are you looking for?
*
Any
Single Family
Condo
Townhome
Land
Other
If other, include details.
Desired number of bedrooms
*
1
2
3
4+
Age of home
*
No preference
New Build
15 Years or less
16 years or more
Desired zip codes or neighborhoods?
*
Must haves (garage, school district, etc.)
Wish list- You would like but can go with out (stainless steel, shed, hardwoods.
Additional info. Anything that you feel is important to add.
(2nd person) Buyer Birthday
-
Month
-
Day
Year
Date
Name
First Name
Last Name
Buyer Birthday
-
Month
-
Day
Year
Date
Occupation
Hobbies, activities, things like to do
Time at current employer ( no estimates)
2+ years
Less than 2 years
Other length
Current employer
Do you have any savings ? If so type amount in other
401K
Cash
Shoe box money
Other
Total amount : $
If any collections less than 5 years, how many?
Number of collections
Total amount of collections : $
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