Homebuyer Head Start - Pre-Qualification Check

1
What are you looking to do?* This field is required.
Buy a home
Refinance my current home
2
Timeframe to buy* This field is required.
Within 1 month
1 to 3 months
3 to 6 months
6+ months
Just exploring
3
Property type* This field is required.
Single-family
Condo
Townhome
Multi-unit (2-4)
Manufactured
4
What is your goal for the refinance?* This field is required.
Lower my rate/payment
Take cash out
Shorten my term
Remove PMI
Consolidate debt
5
Are you currently working with another lender on this refinance?* This field is required.
Yes
No
6
Estimated credit score* This field is required.
Excellent 740+
Good 700-739
Fair 660-699
Below 660
Not sure
7
Employment status* This field is required.
W-2 employee
Self-employed
Retired
Other
8
Combined annual income for everyone on the loan* This field is required.
in US dollars
9
Estimated purchase price* This field is required.
Under $300K
$300K-500K
$500K-750K
$750K-1M
$1M-1.5M
$1.5M+
Not sure yet
10
How much do you have saved for down payment and closing costs?
in US dollars
11
Current home value estimate
in US dollars
12
Current mortgage balance
in US dollars
13
Current interest rate on your primary mortgage (percent)
14
Any bankruptcy, foreclosure, or loan modification in the last 2 years?* This field is required.
Yes
No
Prefer not to say
15
State* This field is required.
Please Select
Please Select
Alabama
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
16
City* This field is required.
17
First name* This field is required.
18
Last name* This field is required.
19
Email* This field is required.
example@example.com
20
Mobile phone* This field is required.
Please enter a valid phone number.
21
Preferred contact method* This field is required.
Text
Phone call
Email
22
Best time to reach you* This field is required.
Morning
Midday
Afternoon
Evening
Anytime
23
How did you hear about us?
A realtor
Friend or family
YouTube
Facebook or Instagram
TikTok
Google search
Other
24
Realtor's nameSo we can thank them and keep you connected.
25
Promotional consent: I consent to receive marketing and promotional messages, including special offers, discounts, and new product/service updates from Krevoy Team Marketing Inc dba Homebuyer Headstart. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt out. By submitting this form you acknowledge our Terms of Service and Privacy Policy.
I agree
I do not agree
26
Transactional: By checking this box, I agree to receive text messages from Homebuyer Head Start (Krevoy Team) about homebuyer education, scheduling, and follow-up at the number I provided. Message frequency varies. Msg & data rates may apply. Reply STOP to opt out, HELP for help. See our Privacy Policy and Terms of Service. By submitting this form you acknowledge our Terms of Service and Privacy Policy.
I agree
I do not agree
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