CO-OP Questionnaire Form
Must be filled out by Buyer. In blank cells place a "0" if necessary
Property Address:
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Buyer(s) Agent:
Agent Name:
*
First Name
Last Name
Agent email:
*
example@example.com
Buyer(s) Info:
Buyer 1:
*
Name
Buyer 2:
Name
Total # of Occupants to live in unit:
*
Do any of the buyers own another property:
*
Yes
No
Are there any past foreclosures
*
Yes
No
Any pets living in unit:
*
Yes
No
Buyer(s) Financial Info:
Buyer(s) Information:
*
Rows
Primary Buyer
Buyer 2
2nd Co-Buyer
Name:
Credit Score:
Length of current Employment
Buyer(s) Income Yearly:
*
Rows
Primary Buyer
Buyer 2
2nd Co-Buyer
Salary Income: (must be verified)
Bonus(es) Earning:
Commission Earnings:
Alimony / Child Support Earnings:
Other Income:
Values below are automatically calculated.
Total Yearly Income Primary Buyer:
Total Monthly Income Primary Buyer:
Total Yearly Income Primary Buyer 2:
Total Monthly Income Buyer 2:
Total Yearly Income 2nd Co-Buyer:
Total Monthly Income 2nd Co-Buyer:
Total "A” Monthly Income (ALL Buyers):
Tax Information:
*
Rows
Primary Buyer
Buyer 2
2nd Co-Buyer
Reported Income on Last Tax Return:
If Income on tax return differs from total income please explain:
Buyer(s) Monthly Liabilities:
*
Rows
Primary Buyer
Buyer 2
2nd Co-Buyer
Monthly Mortgage (for this Purchase):
Maintenance (this purchase):
School Loan(s):
Vehicle Loan(s):
Vehicle Lease(s)
Combined Alimony / Child Support :
Credit Card(s) Debt:
Other Debt(s) Total:
Values below are automatically calculated.
Total Monthly Debt Primary Buyer:
Total Monthly Debt Buyer 2:
Total Monthly Debt 2nd Co-Buyer:
Total "B" Monthly Debt (all buyers):
Total Monthly Debt to Income Ratio:
(“B” / “A” X 100)
Assets Total Remaining After Purchase:
*
Available Funds
Submit
Should be Empty: